CAT ADOPTION APPLICATION FINAL...UNDERSTANDING CAT BEHAVIOR: * Please answer these questions to the...

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Page 1|4 CAT ADOPTION APPLICATION NAME: ____________________________________________ DRIVERS LICENSE #: _________________________________ ADDRESS: _________________________________________ CITY: ________________________ ZIP: _______________ HOME PHONE: _____________________________________ WORK/CELL PHONE: ________________________________ EMAIL: __________________________________________________________________________ DATE: _____________ How did you hear about us? Website Facebook Friend/Family Other: ___________________________ Thank you for considering adopting a pet from our shelter! We will be happy to conduct an animal interaction if/when your application has been approved. Remember, you are potentially making a 1020 year commitment. All cats have been vaccinated for FVRCP. Your veterinarian may recommend additional vaccinations at the adopter’s expense. Kittens often require a series of vaccinations. Cats over three months of age have been vaccinated for rabies. If your kitten is not already vaccinated for Rabies, you will be provided with a date/time to return for his/her vaccination. All cats have a microchip as a permanent form of identification, have been spayed or neutered, and tested for FIV/Feline Leukemia. Adoption fees are nonrefundable. Your adopted pet must be taken to a veterinarian within 710 days of adoption for an exam and any necessary vaccinations/medications. You will be provided with a medical/vaccination record at the time of adoption that should be shared with your veterinarian. PLEASE LIST ANY PETS THAT ARE CURRENTLY IN YOUR HOME: BREED NAME AGE OWNED HOW LONG? VETERINARY HOSPITAL CURRENT ON VACCINES? Yes No Yes No Yes No Yes No Yes No PLEASE LIST ANY PETS YOU HAVE OWNED IN THE PAST 5 YEARS: BREED NAME OWNED HOW LONG? NOT CURRENTLY IN HOME BECAUSE? VETERINARY HOSPITAL I am interested in adopting: ______________________

Transcript of CAT ADOPTION APPLICATION FINAL...UNDERSTANDING CAT BEHAVIOR: * Please answer these questions to the...

Page 1: CAT ADOPTION APPLICATION FINAL...UNDERSTANDING CAT BEHAVIOR: * Please answer these questions to the best of your ability. Any questions you have can be discussed with an adoption counselor.

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CAT ADOPTION APPLICATION  

NAME: ____________________________________________    DRIVERS LICENSE #: _________________________________ 

ADDRESS: _________________________________________  CITY: ________________________  ZIP: _______________ 

HOME PHONE: _____________________________________  WORK/CELL PHONE: ________________________________ 

E‐MAIL: __________________________________________________________________________  DATE: _____________ 

How did you hear about us?       Website       Facebook       Friend/Family       Other: ___________________________  Thank you for considering adopting a pet from our shelter! We will be happy to conduct an animal interaction if/when your application has been approved.  Remember, you are potentially making a 10‐20 year commitment. All cats have been vaccinated for FVRCP. Your veterinarian may recommend additional vaccinations at the adopter’s expense. Kittens often require a series of vaccinations. Cats over three months of age have been vaccinated for rabies.  If your kitten is not already vaccinated for Rabies, you will be provided with a date/time to return for his/her vaccination.  All cats have a microchip as a permanent form of identification, have been spayed or neutered, and tested for FIV/Feline Leukemia. Adoption fees are non‐refundable. Your adopted pet must be taken to a veterinarian within 7‐10 days of adoption for an exam and any necessary vaccinations/medications. You will be provided with a medical/vaccination record at the time of adoption that should be shared with your veterinarian. 

PLEASE LIST ANY PETS THAT ARE CURRENTLY IN YOUR HOME: 

BREED  NAME  AGE OWNED HOW 

LONG? VETERINARY HOSPITAL 

CURRENT ON VACCINES? 

            Yes     No 

            Yes     No 

            Yes     No 

            Yes     No 

            Yes     No 

PLEASE LIST ANY PETS YOU HAVE OWNED IN THE PAST 5 YEARS: 

BREED  NAME OWNED HOW 

LONG? NOT CURRENTLY IN HOME 

BECAUSE? VETERINARY HOSPITAL 

         

         

         

 

I am interested in adopting:

______________________ 

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How many people, including yourself, are currently living in your home? ________________ 

Please list the names and ages of the people living your home (include last names if different from yours): 

1. _____________________ Age: _____  2. _____________________ Age: _____  3. _____________________ Age: _____ 

4. _____________________ Age: _____  5. _____________________ Age: _____  6. _____________________ Age: _____ 

Do you live in a single‐family home, townhouse/condo, or an apartment? _________________________________ 

Do you own or rent your home? ____________  Renters, provide landlord name & number __________________________ 

Townhome/condo association name & number _________________________________________________________ 

PERSONAL BACKGROUND INFORMATION: 

Is anyone in your household allergic to cats?      Yes       No 

How long have you lived at your current address? _______________________________ 

In the last 5 years, how many times have you moved? ____________________________ 

Describe the activity level in your household? _________________________________________________________________ 

Have you ever given a pet away or relinquished a pet to a shelter?     Yes       No 

If yes, please explain: ______________________________________________________________________________ 

________________________________________________________________________________________________ 

MATCHING THE RIGHT PET: 

What traits are you looking for in a cat/kitten? (Check all that apply) 

 Playful   Independent   Lap Cat   Outgoing   Male   Female 

 Declawed    Calm   Long Hair   Short Hair   Low Maintenance 

 Other _______________________________________________________________________________________________ 

Why do you want to adopt this cat? (Check all that apply) 

 Companion   Companion for another animal   Gift   Mouser   To teach a child responsibility 

What will you do with your cat if you move? __________________________________________________________________ 

_______________________________________________________________________________________________________ 

Do you plan to let the cat outside?     Yes       No 

Who will be responsible for the cat’s daily care? _______________________________________________________________ 

 

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Where will you keep your animal when you are at home? 

 Bedroom   Basement   Garage   Laundry/Utility Room   Run of the House   Other _______________ 

UNDERSTANDING CAT BEHAVIOR: * Please answer these questions to the best of your ability.  Any questions you have can be discussed with an adoption counselor. 

A cat may stop using the litterbox for a variety of reasons. What steps will you take in the event that your cat stops consistently using the litterbox? 

_______________________________________________________________________________________________________ 

_______________________________________________________________________________________________________ 

Scratching is a normal behavior which cats use to stretch, shed the outer layer of their nails, and mark their territory. What will you do in the event of destructive behavior, for example, if the cat uses your furniture for a scratching post? 

_______________________________________________________________________________________________________ 

_______________________________________________________________________________________________________ 

Like dogs, you can tell a lot about a cat’s mood by their body language. How would you respond if your cat’s tail is swishing back and forth and its ears are pinned back? 

_______________________________________________________________________________________________________ 

_______________________________________________________________________________________________________ 

It may take a month or longer for a cat to adjust to a new home, especially if it is an older animal or other animals are involved.  How will you work with your cat during this adjustment period? 

_______________________________________________________________________________________________________ 

_______________________________________________________________________________________________________ 

What would be an unacceptable behavior which would cause you to give up your pet? 

_______________________________________________________________________________________________________ 

_______________________________________________________________________________________________________ 

CARING FOR YOUR CAT: 

Do you already have a Veterinarian?      Yes           No   

If yes, what is the name of the hospital/clinic and veterinarian? ____________________________________________ 

If no, what is your plan for veterinary care? ____________________________________________________________ 

Owning a cat means paying for food, litter, toys, treats, vet care, immunizations and more. Cats can live for 20+ years. Are you willing to budget for these expenses for the cat’s entire life?       Yes           No   

It is recommended that you have the same number of litter boxes plus one as there are cats in the home. Are you prepared for the daily maintenance of multiple litterboxes?       Yes           No   

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What do you plan to do with your cat when you go out of town?  _________________________________________________ 

______________________________________________________________________________________________________ 

What provisions will you make for your cat if you become unable to care for them? __________________________________ 

______________________________________________________________________________________________________ 

Would you return a cat for any of the following reasons?  (Check all that apply) 

 Allergies   Marriage/Divorce   Cat has medical problems   

 Having a baby    Want a younger cat   Destructive scratching 

 Job Change   Financial problems   Always hiding 

 Moving   Cat going outside the litterbox  

 Other, please explain: __________________________________________________________________________________ 

Tell us why we should adopt a pet to you: ____________________________________________________________________ 

_______________________________________________________________________________________________________ 

Are there any topics you would like to talk about with an adoption counselor?  (Check all that apply) 

 Feeding your pet   Grooming   Behavior issue   What to do if your pet is lost 

 How a microchip works    Other: ___________________________________________________________________ 

By signing below, I certify that I am 18 years of age or older, the information that I have provided is true and that I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I authorize DuPage County Animal Care and Control to investigate all statements made in this application. I also understand that adoption may be refused at the discretion of the DuPage County Animal Care and Control staff. 

SIGNATURE: ________________________________________________  DATE: ____________________ 

Staff Notes: