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Best Buddy Pet Rescue - Cat Adoption Form
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You must be 21 years or older.
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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
Email
*
Your email
General Information
Which cat are you interested in?
*
Your answer
Why are you adopting this cat?
*
(check all that apply)
Family Pet
Child's Pet
Gift
Breeding
Companion for me
Companion for other pet(s)
Other:
Required
Who are you adopting for?
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Self
Family
Someone Else
Required
Primary Adopter's Information
First Name:
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Your answer
Last Name:
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Your answer
Street Address:
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Your answer
City:
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Your answer
State:
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Your answer
Zip Code:
*
Your answer
Home Phone Number:
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Your answer
Cell Phone Number:
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Your answer
Are you over the age of 21?
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Yes
No
Driver's License Number:
*
**If you do not fill comfortable providing this application online, please write "Ask in Person"
Your answer
Expiration Date:
*
**If you do not fill comfortable providing this application online, please write "Ask in Person"
MM
/
DD
/
YYYY
Email Address:
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Your answer
Are you employed, retired, student, or other? Please Explain.
*
Your answer
If employed, please provide us with the name of your employer.
*
Write N/A if this does not apply to you.
Your answer
Work Phone Number:
*
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's First Name:
*
Your answer
Secondary's Last Name:
*
Your answer
Are you over the age of 21? (Secondary)
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Yes
No
N/A
Relationship to Primary Adopter:
*
Your answer
Secondary's Home Phone Number:
*
Write N/A if this does not apply to you.
Your answer
Secondary's Cell Phone Number:
*
Write N/A if this does not apply to you.
Your answer
Secondary Driver's License Number:
*
If you do not fill comfortable providing this application online, please write "Ask in Person". Write "N/A" if this does not apply to you.
Your answer
Secondary's Expiration Date:
*
If you do not fill comfortable providing this application online, please write "Ask in Person". Write "N/A" if this does not apply to you.
Your answer
Secondary's Email Address:
*
Your answer
Household Information
What do you currently live in:
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House
Apartment
Townhouse
Mobile Home
Condo
How long have you lived at your current address?
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Your answer
Do you have any pet restrictions?
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Yes
No
Do you...
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Rent
Own
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?
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Your answer
Children living in the household?
*
Your answer
Please list the ages of any children living in the household:
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If you do not have any children living in your household, please type N/A.
Your answer
Does anyone in the household have allergies?
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Yes
No
If you do NOT live alone, do all the members in the household know you plan on adopting a pet?
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Yes
No
What is the longest period of time the cat would be left home alone on an average day?
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Your answer
Where will the cat stay when you are not home?
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(check all that apply)
Crate
Loose in house
Garage
Basement
Other:
Required
Cat Adoption Questions
Where will your cat stay?
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Indoor
Outdoor
Indoor & Outdoors
What would you do if your cat stopped using the litter pan?
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Your answer
Do you plan on declawing your new cat?
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Yes
No
If you answered yes to getting the new cat declawed, can you please explain the details of when, where, and what type of procedure?
*
If you answered no to declawing your new cat, then please type N/A.
Your answer
Have all the cats in your care been tested for FeLV/FIV?
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No
Yes
N/A
If you answered yes to testing the cats in your care for FeLV/FIV, what were the results of the test(s)?
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If you answered no or N/A, please type N/A for this question.
Your answer
Pet History
As an adult have you ever owned a pet? (past and/or present)
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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 filled out an application with another rescue?
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Yes
No
If you answered yes above, were you denied?
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Yes
No
N/A
If you answered yes to filling out an application with another rescue, can you explain the details.
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Type N/A if you have not filled out an application for another rescue.
Your answer
Have you ever given your pet away to someone else or a shelter?
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Yes
No
N/A
If you answered yes, 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?
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Yes
No
N/A
Name and Phone Number of veterinarian:
*
If your animals are no longer with you, list the one used last. If you have not had any animals in the past or present, please type N/A in the box.
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.
List the animals name, age, species, spayed/neutered, and whether that animal is still living with you or not.
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Type N/A if you have not had any animals in your care in the last 5 years.Your answer
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?
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Your answer
Under what circumstances would you not be able to keep this cat?
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Please check all that apply.
Pregnancy/Baby
Divorce/Separation
Spouse/Child is allergic
Needs too much attention
Behavioral problems
Expensive vet bills
Scratches Carpet, drapes, or furniture
Conflicts with other pets
Sprays, litter box problems
Needs a special diet
Cat becomes disabled and requires daily treatment
None of the above
Other:
Required
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
Some cats require a home visit. Do you object?
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Yes
No
If you answered yes for a home visit, please explain.
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If you answered no, please type N/A.
Your answer
Where did you hear about this cat or our rescue?
*
Choose
Adopt-A-Pet
Best Buddy Pet Rescue's Website
Facebook
Petfinder
Saw at a Pet Adoption Event
Other
References
You must provide two references in order for your application to be processed. If you do not provide two we will not consider your application.
First Reference Name:
*
Your answer
First Reference Phone Number:
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Your answer
Second Reference Name:
*
Your answer
Second Reference Phone Number:
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Your answer
Aknowledgement Statements
I/we do hereby acknowledge that any false or knowingly omitted statements on this application may constitute a rejection.
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Yes, I agree to terms above.
No, I do not agree with the terms above.
I give BBPR permission to maintain contact with me by a home visit, emails, and/or telephone calls.
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Yes, I agree to terms above.
No, I do not agree with the terms above.
I understand that this application is the property of BBPR and has the right to deny my request to adopt.
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Yes, I agree to terms above.
No, I do not agree with the terms above.
This application can be reviewed at any time for follow up procedures and in the event information provided above is false then BBPR 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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