Bandade Animal Rescue - Cat Adoption Application

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To ensure that this adoption is in the best interest of both you and the cat you selected, we ask that you complete this application.

Please be advised there is a $75 non-refundable adoption fee.

Name of cat you are interested in adopting *

Your Name *

Home Phone *

Cell Phone

Full Address (street, city, state, zip code *

Email Address *

Type of Residence *

House

Apartment

Condo/Townhouse

Trailer

Other:

Own or Rent? *

Own

Rent

What will happen to this cat if you move unexpectedly? *

What will happen to this cat when you go on vacation or in case of an emergency? *

How many hours during the average day will your cat be without a human? *

0 to 3 hours

3 to 6 hours

6 to 9 hours

over 9 hours

Where will this cat be kept during the day? *

Where will this cat be kept at night? *

Where will this cat be kept when you are not home? *

Do you want this cat to be (select one) *

Inside

Outside

Both

Please tell us why you would like to adopt a cat *

Please list below all the people your cat will be living with (including yourself): *

Name, Age, Relationship to prospective adopter

Is there any member of your household who is allergic to cats? *

Are there any regular visitors to your home, human or animal, with which your new cat must get along? If yes, please describe. *

Do you have any other pets living with you now? If Yes, please list below *

Type (dog, cat, etc.), Breed, Neutered/Spayed, Owned for how long?

Have you had pets in the past? If Yes, please list below *

Type (dog, cat, etc.), Breed, Neutered/Spayed, Owned for how long?, Where is the pet now?

Do you have a regular veterinarian? *

If Yes, provide Clinic name, address, telephone number

May we have your permission to request information from your veterinarian? *

What kind of behavior do you find unacceptable, and if the cat has behavior problems, what will you do about it? *

By checking the box below, I certify that the above information is true and understand that false information may result in nullifying this adoption. I also acknowledge that Bandade reserves the right to take the cat back if determined by Bandade to be in the cat's best interest.

I certify the above information is correct

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This form was created inside of Bandade Animal Rescue.