Adoption Questionnaire
BTKR AQ 2018
Kitten(s)/cat(s) requested or description of wants: *
Your answer
Name of applicant: *
Your answer
Address of residence: *
Your answer
City/state/zip code: *
Your answer
Contact Number: *
Your answer
E-mail Address: *
Your answer
Employer & Occupation: *
Your answer
Select Yes or No to give permission to contact employer for employer verification *
Required
Employer phone/e-mail: *
Your answer
1. Have you ever been convicted of animal abuse, cruelty, neglect or abandonment? Has anyone living in the home, or frequently visiting it, ever been convicted of animal abuse, cruelty, neglect or abandonment? If yes to either, please explain. *
Your answer
2. WHY do you want to adopt? *
Your answer
3. Tell us about the amazing life this new addition will have when he/she/they join your family. For example, food brand, sleeping arrangements, nail maintenance, flea control, play areas (inside or outside) and any siblings they might be gaining (human & furry). *
Your answer
4. Have you ever owned a kitten(s)/cat(s) before? When? *
Your answer
5. Are you familiar with the signs/symptoms of feline leukemia, diabetes, herpes, feline aids, upper respiratory infections and urinary infections? Which vet will you use for their medical care? *
Your answer
6. Do you own house plants? Please list them by name. Do you use essential oils? Which ones? *
Your answer
7. Tell us a little bit about you and your home life. For example, do you rent or own? If you rent, what is the contact information for your landlord? Who will be providing the primary care for this new addition? How much time will you be able to spend each day spoiling them? What are your home plans for vacation or relocation due to job? *
Your answer
8. Caring for pets can be costly at times, especially when emergencies come up. Have you considered the emotional and financial commitments are required? How much do you plan on spending each month for their care and supplies? *
Your answer
***Adoption Requirements - Respond To Each Statement Below Please*** *
Required
I acknowledge that all information contained in this form and all answers provided are correct and true. I understand that any misrepresentation of the facts may result in the removal of the kitten(s)/cat(s) from my home by Billy The Kidden Rescue. *
Required
I agree to NEVER declaw the kitten(s)/cat(s). *
Required
I agree to keep the kitten(s)/cat(s) inside at all times. *
Required
I agree to return the kitten(s)/cat(s) to Billy The Kidden Rescue if I find that I am in a situation where I can no longer care for him/her/them. *
Required
I am willing to commit to taking care of the kitten(s)/cat(s) for his/her/their entire life. *
Required
Applicant's Full Name/E-Signature: *
Your answer
Date: *
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