Adoption Application

**ALL APPLICANTS MUST BE 18 YEARS OF AGE OR OLDER. APPLICATIONS FOR ADOPTION BY MINOR CHILDREN MUST BE COMPLETED BY PARENT OR GUARDIAN**

Name:

Email Address:

Street Address:

City: State: Zip:

Home Phone: Cell Phone:

Employer: Occupation:

Name of cat(s) you are interested in:

Are you 18 years old or older?  Yes No

How many people (including yourself) currently reside in your household?

Do you live at home with parents or older relatives?  Yes No

Any children in the household (under the age of 18)?  Yes No

If Yes, please list ages of children:

For whom are you adopting the cat?

Does any member of the family have any allergies to animals?  Yes No

If Yes, please explain:

Who will be responsible for the cat’s care?

What type of housing do you live in? (Ex: House, Apartment, Condo, Trailer, Farm)

Do you own or rent your residence?  Own Rent

If you rent, what is name of landlord and phone number?

Are pets allowed?  Yes No

Where will the cat be kept?  Indoors only Outdoors only Both in & out

How many hours will the cat be left unattended?

When no one is home, where will the cat be kept?

If you move, what will you do with the cat?

Have you ever had a pet before?  Yes No

Tell us a little bit about the animals that you currently care for: (Name, Type, Age, Spay/Neutered?, Time in your care, etc....)

Tell us a little bit about the animals that are no longer in your care: (Name, Type, Age, Spay/Neutered?, Reason no longer in your care, etc...)

Are your pets current on their vaccinations?  Yes No

If you currently have pets, how often are they seen by a veterinarian?

How often do you plan to take your adopted cat to a veterinarian?

If applicable, when was the last time your pet was seen by the veterinarian? Why?

Tell us a favorite pet memory:

Please provide name and contact info of your veterinarian/clinic. If you have had pets in the past and no pets currently, please include the name of the vet/clinic that the pet used while in your care:

Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary?

What precautions would you take to properly introduce a new cat into your home if you have other animals (a dog, bird, rabbit, another cat, etc.)?

If a disciplinary or behavior problem arises, what steps will you take to work on it?

What is your preference?
 Front Paws Declawed 4 Paws Declawed No Paws Declawed
Please Explain:

Have you ever adopted an animal from a rescue/animal control agency? If Yes, explain.

Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility? If Yes, explain.

Why do you want to adopt a cat?

Are you willing to sign legal pet adoption papers?  Yes No

Do you agree to permit a visit to your home/farm by appointment? Yes No

Please list three personal references and phone numbers that we may call.

How did you hear about us?
 Petco Petfinder.com Media Word of Mouth/Referral Other
If Word of Mouth/Referral, who referred you? If referral was from another rescue or business, please let us know that as well. (They will not be solicited in any way)

If Other, please explain.

I acknowledge that all information on this form is true and correct. I understand that any misrepresentation of fact may result in Carol's Ferals refusing adoption privileges to me. If my request for adoption is approved and later Carol's Ferals discovers the above information is not true or correct, Carol's Ferals reserves the right to remove the adopted cat from my home/farm.