Cat Adoption Application - Our Companions Animal Rescue

Applicant Information

Date*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone*

Email*

Employment*

If Other:*

Are there additional adults in the household?*

Yes
No

Name of additional responsible adult in household*

First Last

Relation to Applicant*

Phone Number*

Household Information

Do you*

Rent
Own

Type of Residence*

Single Family House
Multi-Family House
Apartment
Condo
Mobile Home
Live with friends/family members

Landlord/Condo Association Name & Phone Number*

Does your lease or HOA allow cats?*

Yes
No
Not Applicable

Length of Time in Current Residence*

How many adults in your household?*

How many children in your household? What are their ages?*

How many pets in your household?*

If moving becomes necessary, what will you do with your pet(s) if you cannot find a residence that allows pets?*

Are any members of your household allergic to cats?*

Yes
No
Unknown

Personal References

Maximum of one family member, please.

Reference 1*

First Last

Phone Number*

Reference 2*

First Last

Phone Number*

Pet Ownership

Are you a first time pet owner?*

Yes, this is my first pet.
No, I have owned pets before or currently own a pet(s).

Pet Information

List pets that you own, or have owned in previous years.

Please list the name, species, and breed (if applicable) of your previous pets.*

Do you currently own a pet(s)?*

Yes, I do currently own a pet(s).
No, I do not currently own a pet.

Please list the name, species, and breed (if applicable) of your current pets.*

Are your current pets spayed/neutered?*

Yes
No

If your pets are not spayed/neutered, please explain below.*

Have any of your cats been tested for feline leukemia?*

Yes
No
N/A

Have your cats been tested for FIV?*

Yes
No
N/A

Do any of your cats in the home go outdoors?*

Yes
No
N/A

Have any of your cats been declawed?*

Yes
No
N/A

Do your pets receive yearly wellness exams?*

Yes
No

Are all your pets up-to-date with vaccinations?*

Yes
No

Veterinarian Information

Please notify your vet to give permission to speak to us.

Name of Veterinary Clinic or Hospital*

Phone Number*

Adoptable Animal Information

Tell us more about the animal you'd like to adopt.

Is there a particular cat you are interested in? If so, please provide their name.

Why are you interested in adopting a cat at this time?*

Companion for me/family
Companion for another pet
Hunting/Mouser
Other

Other:*

What age cat are you looking for?*

Kitten
Adult
Senior

If you are interested in adopting a kitten under 6 months old, would you considering adopting two?*

Yes
No

Do you plan to have the adopted cat declawed?*

Yes
No

Do you have a room with a door where your new cat could be kept separate from other animals during the transition into the home?*

Yes
No

What type of personality and activity level would you prefer your new cat/kitten to have?*

Are there any specific preferences that you are interested in with your next pet?*

How many hours per day will the cat/kitten be without companionship?*

Where will the cat/kitten be kept during this “alone” time?*

Where will your cat sleep at night?*

Where will you primarily keep your new cat/kitten?*

Indoor only
Outdoor only
Indoor/Outdoor

Where do you plan to keep your litter boxes in your home?*

Are you planning to start a family?*

Yes
No
Not sure

Who will be primarily responsible for the care of this cat?*

What is the activity level in your home?

Quiet - 2 or less adults/seniors, no children, applicant(s) home most days.
Calm - Applicant(s) often home, 3 or less family members residing in the home, no young children
Moderate - Applicant(s) work typical schedule (5 days per week, home most weekends.
Active - Frequent visits by friends/family, multiple children, other pets, busy weekends – time spent out of the home

How much would estimate expenses for supplies be for 1 year?*

How much would you estimate expenses for veterinary care to be for 1 year?*

What type of food would you feed your cat/kitten and how often?*

What arrangements would you make for the care of your cat/kitten when you go on vacation?*

Do you think your pet should have a yearly physical exam?*

Yes
No
Not Sure

Do you believe you can provide a good home for your pet for its entire life, which could be up to 20 years or more?*

Yes
No
Not Sure

Under what circumstances might you decide not to keep your cat or kitten? (check all that apply)*

New Job
Moving
New Baby
Monetary Issues
Problem with Cat's Health
Problem with Cat's Behavior
Conflict with Other Household Pets
Illness or Allergies
N/A

What would you do if your cat scratched or nipped you?*

How do you plan on training your new cat not to scratch furniture?*

Have you ever given up a pet for adoption or surrendered an animal to an Animal Shelter, Pound, or Rescue Organization before?*

Yes
No

Have you ever adopted a cat from an Animal Shelter, Pound or Rescue organization before?*

Yes
No

Behavior problems can arise for many reasons; most can be solved. Do you agree to seek help and assistance to resolve these issues rather than give up your pet should problems occur?*

Yes
No
Not Sure

Would you accept an animal that has a treatable medical condition?*

Yes
No
Not Sure, would need further information

Would you allow a Rescue representative to do a home visit?*

Yes
No

If No, please explain.

How did you hear about Our Companions Animal Rescue & Sanctuary?

Website
Newspaper/Radio
Social Media
Vet Clinic
Family/Friend Referral
Community Event
Other

The following will be discussed when you are contacted:

Adoption Donation
Identification
Adjustment to new home
Health Care
Behavior Problems
Exercise
Feeding

Remember: The day you take home a new pet is the day you begin a very special friendship. While you’ll have many years together, your companion will never outgrow his/her need for you. We will happily provide information and advice to you on pet care and responsibility. Thank you for taking the time to complete this application and for your interest in adopting a cat!

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