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Cat Adoption Application - Redemption Rescue
Note: All information provided below should be filled out completely and accurately. If any information is falsified application will be terminated immediately. In order to properly process this application you must:
1. You must be 18 years or older.
2. Have a valid license, state ID, or passport showing your current address.
3. Have your landlord’s and/or parent(s) contact information/consent if you rent or live at home.
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* Indicates required question
General Information
Name of cat you are applying for
*
Your answer
Why are you adopting this cat? (check all that apply)
*
Family Pet
Child's Pet
Companion for other Pet(s)
Companion for me
Gift
Other:
Required
Who are you adopting for
*
Self
Friend
Family
Other:
Required
Primary Adopter's Information
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Home Phone Number
Your answer
Cell Phone Number
*
Your answer
Email Address
*
Your answer
Are you employed, retired, student, or other? Please Explain.
*
Your answer
If employed, please provide us with the name and number of your employer.
*
Write "N/A" if this does not apply to you.
Your answer
Secondary Adopter's Information
If there is no secondary adopter for this application, please fill N/A for the required fields.
Secondary Adopter's First Name
*
Your answer
Secondary Adopter's Last Name
*
Your answer
Are you over the age of 18?
*
Yes
No
Relationship to Primary Adopter.
*
Your answer
Secondary Adopter's Cell Phone Number
*
Your answer
Secondary Adopter's Email Address
*
Your answer
Household Information
What do you currently live in
*
House
Apartment
Townhouse
Mobile Home
Condo
Other:
How long have you lived at your current address?
*
Your answer
Do you have any pet restrictions?
*
Yes
No
Do you...
*
Own
Rent
If renting, please provide your landlord’s name and number.
*
If you do not have a landlord, please type N/A.
Your answer
How many adults are living in the household?
*
Your answer
How many children are living in the household?
*
Your answer
Please list the ages of any children living in the household
*
If you do not have any children living in your household, please type N/A.
Your answer
Does anyone in the household have allergies?
*
Yes
No
If you answered yes to the allergies question, please explain.
*
If you answered no and this does not apply to you, please type N/A.
Your answer
Do all the members in the household know you plan on adopting a pet?
*
Yes
No
What is the longest period of time the cat would be left home alone on an average day?
*
Your answer
Where will the cat stay when you are not home?
*
Check all the apply.
Crate
Loose in House
Garage
Basement
Outside
Other:
Required
Cat Adoption Questions
Do you allow your cats (past and/or present) to go outside?
*
Please select N/A if you have not owned a cat in the past or presently.
Yes
No
N/A
If you answered yes to allowing your cats to go outside, how often?
*
Your answer
Where will you let the adopted cat stay?
Indoor
Outdoor
Indoor & Outdoor
Other:
Clear selection
Do you plan to declaw the cat?
*
Yes
No
Undecided
Are you aware that the average life-span of a cat can be 15 years? Are you prepared to give this cat a home for the rest of their life?
*
Yes
No
What would you do if your cat stopped using the litter pan?
*
Your answer
Have all the cats in your care been tested for FeLV/FIV?
*
Yes
No
N/A
If you answered yes to testing the cats in your care for FeLV/FIV, what were the results of the test(s)?
*
If you answered no or N/A, please type N/A for this question.
Your answer
Pet History
If you have not had a pet previously then you will need to answer each required question with N/A.
Have you filled out an application with another rescue?
*
Yes
No
If you answered yes above, were you denied?
*
Yes
No
If you answered yes to filling out an application with another rescue, can you explain the details.
*
Type N/A if you have not filled out an application for another rescue.
Your answer
As an adult have you ever owned a pet? (past and/or present)
*
If you answer no to this question, make sure that you answer N/A for all the rest of the questions under Pet History.
Yes
No
Have you ever given your pet away to someone else or a shelter?
*
Yes
No
N/A
If you answered yes to giving away a previous pet, please explain.
*
If you answered no, please type N/A.
Your answer
Were all your pets both past and present up to date on shots?
*
Yes
No
N/A
Name and Phone Number of veterinarian.
If your animals are no longer with you, list the one used last. Type N/A if you have never had a pet.
Your answer
Current and Past Animals
Please list any animals you have owned in the past 5 years. All information will be verified. If you do not have any animals, please type N/A in the required fields below.
Please list the animals name, age, species, spayed/neutered, and whether that animal is still living with you or not.
*
Type N/A if you have not had any animals in your care in the last 5 years.
Your answer
Adopted Pet Questions
What amount of time do you think is reasonable for your cat to adjust to you and your new home?
*
Your answer
Under what circumstances would you not be able to keep this cat?
*
Please check all that apply.
Pregnancy/Baby
Divorce/Separation
Spouse/Child is allergic
Moving
Sprays, litter box problems
Behavioral problems
Expensive vet bills
Conflicts with other pets
Needs a special diet
Cat disability
Scratches Carpet, drapes, or furniture
There is nothing
Other:
Required
What will you do with this pet when you go on vacation?
*
Your answer
The minimum cost of owning a pet can be over $500 per year. Are you able to assume the financial responsibility of veterinary care and basic needs for this animal?
*
Yes
No
References
Name of first reference
*
Your answer
Phone number or email of first reference
*
Your answer
Name of second reference
*
Your answer
Phone number or email of second reference
*
Your answer
Acknowledgement Statement
I/we do hereby acknowledge that any false or knowingly omitted statements on this application may constitute a rejection. I also give Redemption Road Rescue of Michigan permission to maintain contact with me by a home visit, emails, and/or telephone calls. I understand that this application is the property of Redemption Road Rescue of Michigan and has the right to deny my request to adopt. This application can be reviewed at any time for follow up procedures and in the event information provided above is false then Redemption Road Rescue of Michigan reserves the right to seize the animal and the adopter forfeits all fees acquired at the time of adoption (total adoption fee varies for different animals).
*
Yes, I agree to terms above.
No, I do not agree with the terms above.
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