ROCK 'N PAWZ CAT ADOPTION APPLICATION
We are glad you would like to adopt a new family member from us. In order to be considered as an adopter you must: *Be 18 years of age or older. *If renting, have the knowledge and consent of your landlord. *Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care of the pet. *Be willing to have a volunteer visit your home. Disclaimer: Completion of this application does not guarantee adoption of a pet. * Indicates that this question must be answered in order to submit the application.
Email
First Name
Last Name
Address
Home Phone (if you only have a cell phone, please indicate "cell" or please provide a business phone)
Cell Phone
Business Phone
What is your occupation?
Why do you want a cat?
Please list the names, ages and relationships or everyone who shares your household (i.e. Spouse; Significant Other, Kids, Roommates)
Does anyone in your house have allergies to animals?
Who will be the cat's primary caregiver?
If your relationship changes, with whom will the cat remain?
How many hours of the day will your cat be left alone?
Do you live in a,
Select an option
House
Condo
Apartment
Other
How long have you lived there?
What are the association rules about keeping a pet? (If this does not apply please indicate "none")
Please check all that apply. Will the cat have access to a,
Balcony
Pet Door
Unscreened Windows
Unscreened Doors
Back Yard
Front Yard
Other means of outdoor access for the cat
If you checked "other", please describe:
Landlord's Full Name
Landlord's Address
Landlord's Phone Number
What areas of your home will the cat be allowed?
Where will the cat sleep at night?
Where will you keep the litter box?
What will you do if the cat claws the drapes or furniture?
What behavior is unacceptable to you?
Please list all pets you have had or currently have in your care:
Were they spayed/neutered?
Yes
No
Only some of them
Were your cats tested for FIV (Feline Immunodeficiency Virus) or FELV (Feline Leukemia Virus)? Please check all that apply:
FIV
FELV
Neither of these
Where did you get your previous pets?
Please check all that apply: Will your new cat be a,
Indoor
Outdoor
Both indoor and outdoor, if allowed
Outside anytime
Outside daytime only
Under supervision
Balcony/ Patio Only
Outdoor on a lease
Outdoor only when it's older
Outdoor only if I move to a house or other location
Please check all that apply. Will you feed your cat,
Wet food
Dry food
Both
Please check all that apply. What will you use for flea control?
Flea Spray
Flea Comb
Frontline
Advantage
Revolution
Other
If you checked "other" please specify:
Do you plan to declaw the cat?
Yes
No
Please explain "why" for either answer.
Have you ever declawed a cat?
Yes
No
Please explain "why" for either answer:
What will you do with your new cat if you go on vacation?
What will you do with your new cat if you move to a new pet building?
What will you do with your new cat if your partner is allergic to your pet?
What will you do with your new cat if you move locally?
What will you do with your new cat if you get married?
What will you do with your new cat if you move out of state?
Please check all that apply. Under what circumstances would you not be able to keep the new cat?
Pregnancy/New Baby
Divorce/Seperation
Spouse/Child is allergic
Needs too much attention
Job changes/Loss
New House/Apartment
Scratches Drapes/Furniture
Behavior Problems
Expensive Vet Bills
Conflicts with other pets
Sprays/Litterbox Problems
Needs special diet
Cat becomes disabled
Requires daily treatments
Other
If you checked "other", please explain:
How did you hear about cat adoptions?
Have you tried to adopt a cat/kitten in the past?
Yes
No
Are you prepared to cover any veterinary expenses your pet may incur throughout their life?
Yes
No
Is there a limit to the expenses you are willing to pay
Yes
No
How much is "too much"?
Please list the name and phone number of current and past vetinarians you use or have used:
Part 2: Terms & Conditions and Liability Agreement
I agree that all the information provided herein is true and correct. I agree to adhere to all the terms and conditions set forth by ROCK 'N PAWZ RESCUE. I further agree to release from all liability ROCK 'N PAWZ RESCUE for illness; injuries or damages sustained directly to any person or property by any pet adopted from or handled by ROCK 'N PAWZ RESCUE. ROCK 'N PAWZ RESCUE reserves the right to refuse any applicant for any reason or no reason. I have read and agreed to the statements contained within this document.
I agree to the terms & conditions
Your Signature
*
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