ADOPTION APPLICATION- RUTHERFORD COUNTY CAT RESCUE
Thank you for your decision to adopt a rescued cat or kitten. You are encouraged to look at all
the animals available to find one that is best suited to your lifestyle.
RCCR reserves the right to accept or deny any applicant or application based on our
requirements for adoption and the needs of the cat or kitten being applied for. Completion of the
application does not guarantee approval.
Email address *
ADOPTION APPLICATION REQUIREMENTS
You must be at least 18 years old to be eligible to be adopt. No Exceptions.
You must agree to an in home visit prior to approval for adoption.
You will be required to pay the adoption fee which covers vetting such as spay/neuter, rabies and 1FVRCP vaccinations
What is your full name (First and Last) *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Employer *
Your answer
Occupation *
Your answer
Have you ever adopted an animal from a rescue/animal control agency? *
Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility? *
Why do you want to adopt cat? *
Your answer
Are you familiar with your local animal control laws? *
What kind of cat are you interested in? (check all that apply) *
Required
Please list any other specific traits or characteristics you are looking for in a cat. (color, breed, personality) *
Your answer
If there is a particular cat you are interested in adopting please provide the name below. *
Your answer
What is your experience level in cat ownership? *
For whom are you adopting the cat? *
Does any member of the family have any allergies to animals? *
Who will be responsible for the cat’s care? *
Your answer
Where do you live? *
Are you aware of any restrictions (rules from landlord, condo association, etc) that would prevent you from owning a pet? *It is your responsibility to ensure you are allowed pets* *
What are the pet restrictions where you currently live? *
Do you own or rent your residence? *
If you rent, please provide your Landord's name and phone number (type n/a if you own your home) *
Your answer
How many adults live in your household? *
Your answer
How many children live in your household? *
Your answer
What are the ages of any children living in your household? *
Required
Where will the cat be kept? *
If the cat is kept outside will it be *
Required
Tell us what a typical day is like in your household (work/school/activities/errands): *
Your answer
Will anyone be home during the day? *
How many hours will the cat be left unattended? *
Your answer
When no one is home, where will the cat be kept? *
Your answer
If you move, what will you do with the cat? *
Your answer
How far from the road/traffic is your home/farm located? *
Your answer
Is the volume of traffic *
How many cats are currently living in your home? *
Your answer
How many dogs are currently living in your home? *
Your answer
What breed is your dog(s) *
Your answer
If you have a dog, is he/she permitted to run loose? *
Have you ever had a companion animal before? *
Describe any companion animals you still care for or that are living in your household. *
Your answer
Please list any other animals living in your home *
Your answer
What precautions would you take to properly introduce a new cat into your home if you haveother animals (a dog, bird, rabbit, another cat, etc.)? *
Your answer
What will you do if your new cat does not get along with your present companion animals? *
Your answer
If a disciplinary or behavior problem arises, what steps will you take to work on it? *
Your answer
Are you planning on declawing? *
Are all of your animals (including companion animals) current on their vaccinations? *
Please provide the name and phone number of your Veterinarian *
Your answer
Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary? *
Acknowledgement
By signing this form, I/we acknowledge that all information on this form is true and correct. I/we
understand that any misrepresentation of fact may result in RCCR refusing adoption privileges
to me/us. If my/our request for adoption is approved and later RCCR discovers the above
information is not true or correct RCCR reserves the right to remove the adopted cat from my
home/farm. I/we understand that cats adopted from RCCR are not permitted to be
declawed under any circumstances. RCCR is not responsible for any problems that arise from
the adoption of this kitty as all necessary vetting has been performed by a qualified vet.
The prospective caregiver agrees: (check all to acknowledge) *
Required
If the cat must be relinquished for any reason by the prospective caregiver, s/he MUST NOT turn the cat over to a humane society, shelter or person, but must return the cat to the Adoptee. If the phone number and/or address for the original caregiver is no longer operative,the caregiver will make a good faith effort to locate and contact the original caregiver. *
Do you agree to permit a visit to your home/farm by appointment? *
I understand that failure to perform the foregoing agreement will constitute a breach of contract. In the event of any such breach of contract, I authorize the original caregiver to reclaim possession of the adopted cat. *
Electronic Signature of adopter (please type your name below) *
Your answer
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Thank you for your support and interest in adopting with RCCR!
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