Cat Adoption Form

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LINDA’S FERAL CAT ASSISTANCE Foster/adoption application We reserve the right to approve or disapprove any adoption DATE_______________TIME________________ FIRST CHOICE – Cat Name: ______________________ In order to be considered for an adoption, you must: ___Be at least 21 years of age. ___Have the knowledge and consent of all adults living in your household. SECOND CHOICE – Cat Name: ____________________ ___Have landlord’s consent to bring an animal onto the property. Shelter Cat Impound Number:_______________________ NAME_____________________________________________________BIRTH DATE _______________________ SPOUSE/PARTNER ____________________________________________________________________________ ADDRESS________________________________________CITY_______________ STATE_____ ZIP ________ PHONE #: Home _______________________Work ______________________ Cell ________________________ E-MAIL ADDRESS: ____________________________________________________________________________ PLACE OF EMPLOYMENT ________________________________ Occupation: ___________________________ Have you ever owned a cat? YES _______ NO ________ If yes, do you still have it? _______________________ If not, what happened to the cat? ___________________________________________________________________ Have you ever owned or had a cat declawed? _____ If yes, reason: ________________________________________ Do you plan to declaw this cat? Yes ___ No ___ Maybe ___ Under what circumstance? _____________________ Why do you want to adopt a cat/kitten? ______________________________________________________________ Why did you choose this particular breed/mix of cat? ___________________________________________________ Will adopted cat be: Indoor only ______ Outdoor only _______ or, an Indoor/Outdoor cat _______________ Where in your home, what room, will the cat be left in when there is no one home? ___________________________ Do you have any dogs? ______ If so, how many? _______ Have they lived with a cat before? _______________ Cats can live 15 years or longer. Can you commit to caring for this pet that long? ____________________________ What will you do with the cat if you have to move? ____________________________________________________ What will you do with the cat if you have a baby? _____________________________________________________ Properly cared for cats can cost north of $1,000/year. This includes yearly vaccinations, vet checkups, cat supplies, potentially needed training, possible boarding, good quality food and unforeseen medical expenses. Are you FINANCIALLY ABLE to spend this kind of money on this cat if required? YES________ NO _______ Are you COMMITTED to spend this kind of money on this cat if required? YES _______ NO _______ What type of food will you feed this pet? ____________________________________________________________ Is any household member allergic to animals? _______ If yes, how will you deal with reactions to this pet? _______ How many adults in your home? _____ How many children? _____ Ages: _____ _____ _____ _____ ______ 718-205-1792 Do you a terrace? balcony? deck? backyard? interior elevator? washer dryer? Are they neutered/spayed? Vaccinated? FelV/FIV tested (cats)? Declawed? Are your windows completely screened in? YES NO

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cat adoption form

Transcript of Cat Adoption Form

Page 1: Cat Adoption Form

LINDA’S FERAL CAT ASSISTANCEFoster/adoption application

We reserve the right to approve or disapprove any adoption

DATE_______________TIME________________ FIRST CHOICE – Cat Name: ______________________

In order to be considered for an adoption, you must: ___Be at least 21 years of age.

___Have the knowledge and consent of all adults living in your household. SECOND CHOICE – Cat Name: ____________________

___Have landlord’s consent to bring an animal onto the property. Shelter Cat Impound Number:_______________________

NAME_____________________________________________________BIRTH DATE _______________________

SPOUSE/PARTNER ____________________________________________________________________________

ADDRESS________________________________________CITY_______________ STATE_____ ZIP ________

PHONE #: Home _______________________Work ______________________ Cell ________________________

E-MAIL ADDRESS: ____________________________________________________________________________

PLACE OF EMPLOYMENT ________________________________ Occupation: ___________________________

Have you ever owned a cat? YES _______ NO ________ If yes, do you still have it? _______________________

If not, what happened to the cat? ___________________________________________________________________

Have you ever owned or had a cat declawed? _____ If yes, reason: ________________________________________

Do you plan to declaw this cat? Yes ___ No ___ Maybe ___ Under what circumstance? _____________________

Why do you want to adopt a cat/kitten? ______________________________________________________________

Why did you choose this particular breed/mix of cat? ___________________________________________________

Will adopted cat be: Indoor only ______ Outdoor only _______ or, an Indoor/Outdoor cat _______________

Where in your home, what room, will the cat be left in when there is no one home? ___________________________

Do you have any dogs? ______ If so, how many? _______ Have they lived with a cat before? _______________ Cats can live 15 years or longer. Can you commit to caring for this pet that long? ____________________________

What will you do with the cat if you have to move? ____________________________________________________

What will you do with the cat if you have a baby? _____________________________________________________ Properly cared for cats can cost north of $1,000/year. This includes yearly vaccinations, vet checkups, cat supplies, potentially needed training, possible boarding, good quality food and unforeseen medical expenses.

Are you FINANCIALLY ABLE to spend this kind of money on this cat if required? YES________ NO _______

Are you COMMITTED to spend this kind of money on this cat if required? YES _______ NO _______

What type of food will you feed this pet? ____________________________________________________________

Is any household member allergic to animals? _______ If yes, how will you deal with reactions to this pet? _______

How many adults in your home? _____ How many children? _____ Ages: _____ _____ _____ _____ ______

718-205-1792

Do you a terrace? balcony? deck? backyard? interior elevator? washer dryer?

Are they neutered/spayed? Vaccinated? FelV/FIV tested (cats)? Declawed?

Are your windows completely screened in? YES NO

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Do you own or rent your home? __________ How many years have you lived at your current address?____________ Do you live in a: House ____ Apartment _____ Condo ______ Townhouse ______ Other (name) _______________ If you RENT, provide name and telephone number of your landlord - (REQUIRED)

Name: ____________________________________________________ Telephone: ________________________

Owners of condos or townhouses must also provide a copy of the condo association’s by-laws indicating pets are allowed, the number allowed and any limitations in size or weight, if any. WE WILL ALSOCONDUCT A HOME VISIT BEFORE THE CAT IS ADOPTED OUT TO IT’S NEW HOME.

Please provide references of two people who have known you for 5 years or more, not in your immediate family:

Personal Reference: _________________________________________ Phone # ____________________________

Personal Reference: _________________________________________ Phone # ____________________________

Present and Former Veterinarians –

Name of your PRESENT Veterinarian & Hospital: __________________________________________________

City and phone number (Present Vet): ______________________________________________________________

Name your pet’s records are under at your present vet (if different than applicant): ____________________________

Name of your FORMER Veterinarian & Hospital: __________________________________________________

City and phone number (Former Vet): ______________________________________________________________

Name your pet’s records are under at your former vet (if different than applicant): ____________________________

Give us information about all the animals alive and currently living in your household -

Name of Pet: Dog/Cat/Other Breed: Sex Altered? Age: Weight: Vaccinated? Dog-licensed?

Give us information about the last 3 animals that you no longer have (deceased or otherwise) -

Name of Pet: Dog/Cat/Other Breed: Sex What happened to pet? If dead, how did it die?

If dead, age at death:

Date of death:

Where did you hear about this facility and cat/kitten for adoption?_________________________________________

Are you familiar with local animal control laws? Yes _____ No _____

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PLEASE READ CAREFULLY BEFORE SIGNING FEES UPON ADOPTION APPROVAL, THE ADOPTION CONTRACT IS EXECUTED AFTER A $100 NON-REFUNDABLE FEE HAS BEEN RECEIVED IN CASH OR CHECK BY THE RESCUE GROUP. THE $100 COVERS THE ADOPTION FEE, THE SPAY/NEUTER SURGERY1, RABBIES AND DISTEMPER VACCINES, FIV/FEL TESTINGAND DEWORMING. FOR CATS WHOSE ARE NOT SPAYED/NEUTERED AT THE TIME OF ADOPTION A SURGERY DATE WILL BE SCHEDULED FOR YOU AND YOU ARE RESPONSIBLE FOR BRINGING THEM IN.

MULTIPLE APPLICATION CASES WHEN A CAT HAS MULTIPLE APPLICATIONS, WE WILL GO THROUGH THEM ON A FIRST COME, FIRST SERVE BASIS AND WILL GIVE THE ADOPTION OPTION TO THE FIRST APPROVED4 APPLICATION.

COPY OF DRIVER’S LICENSE (or other form of ID) IS REQUIRED This application is designed to help us determine if the adoption is in the cat’s best interest, and to assist you in finding a pet compatible with your lifestyle. An unwise adoption can result in an unpleasant experience for adoptive families and may ruin the pet for further adoptions. We hope you will agree that the pet’s welfare must be our foremost concern.

I understand the above questions and I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for denial of adoption. By signing this application, I am stating that the above mentioned is true.

Your Signature ____________________________________________________ Date: ________________________

For RESCUE use only: Processing notes: Comments: _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _____ Approved _____ Denied By____________________________________ Date___________________ Rev 7/30/10