Wilderness Cat Rescue

Wilderness Cat Rescue

540-207-1589

APPLICATION FOR ADOPTION

This form is help you understand the commitment of owning a new cat/kitten, and to ensure that you understand the full responsibility of the care involved with your new pet. Please take the time to answer all questions honestly and fully. We consider adopting a cat very seriously and hope to determine if the cat you are applying for is appropriate for you and your family and vice versa.

Date: ______

Name(s) ______

Address ______

City______State ______Zip Code ______

E Mail address______

Home Phone ______Work Phone______Cell______Best time to call and which ?

Occupation ______Occupation______

Employer______Employer______

1. What inspired you to fill out this application for adoption today? ______

2. Did you come here today specifically to: adopt a cat? Buy pet’s food and supplies? Curiosity? Other? (explain)______

3. What experience do you have with cats? ______

4. Please explain why you want to adopt a cat? ______

5. Will the cat be: (1) a pet (2) companion for another pet (3) barn cat (4)gift?

6. Do you prefer: Male Female Short hair Long hair Kitten Adult

7. Personality type? ______

8. Names of cat(s)/kitten(s) you are interested in now: ______

9. Would you consider taking an allergy medicine if you or your family member developed an allergy to the animal? ______

10. Who lives in your home; including yourself?

Name ______Age: ______Relationship______

Name ______Age:______Relationship______

11. How long have you been at your present address: ______Are you planning to move in the next year? _____

12. Would your cat go with you if you moved? ______

13. Do you: (1) Rent (2) Own - apartment/condo house mobile home (3) Live with parents

14. If you rent, does your contract allow pets? ______

Is there an additional fee for pet security? ______Additional monthly rent if animal lives there? ______

Are you in a financial position to assume that added cost? ______

15. If you rent, what is your Landlord’s name and phone number*?

We must have this information.______

(*Note: We will contact your landlord to verify if pets are allowed in any housing)

16. Has each family member or roommate agreed to allow a cat in the household? (1) Yes (2) No (3) Need to discuss

17. List all pets you have owned or have lived with you in the past three years:

Name Type of AnimalAge Sex Still own? (if no, please explain)

18. Which of these pets are spayed or neutered? ______

19. Where are your current pets primary kept? indoors outdoors both

Please explain: ______

______

20. If you currently have pets or had a pet in the last three years, list all animal hospitals* that have seen the pet.

(Name, address and phone number) ______

______

21. Whose name is listed as the owner/caregiver on the animal hospitals chart/account? ______

22. Are your pets current on their vaccinations? Yes No

Have your cats been tested for feline leukemia and AIDS? Yes No Results:______

23. Have you ever had a cat declawed? (1)Yes (2) No

24. Will you be declawing your new cat? (Circle one) (1)Yes (2)No (3)I don’t know

Please explain above answer (REQUIRED): ______

______

26. Will you let the cat outside? (1) Yes (2)No

27. How long do you think a cat should be left outside? (1)attended______(2)Unattended______

28. What will you do if your new cat does not get along with your present pet(s)? ______

29. Your new pet will be alone (without human companionship) for _____ hours per day. Where will the animal be

kept during this time? ______

30. Where will the animal sleep at night? ______

31. Is this animal going to be a gift? ______

32. How will you care for your pet when you travel, go on vacation, or in case of emergency requiring your extended absence? ______

______

33. Change is inevitable in one’s life. What will you do if you could no longer care for your animal? ______

______

34. Where would you go if your pet had a medical emergency? ______

______

35. What kind of animal behavior do you find unacceptable (please be specific)? ______

______

36. What would you do about these behaviors? ______

______

29. We are looking for “forever” homes for our kittens and cats. Cats can be expected to live as long as 20 years with proper nourishment, loving care and medical monitoring. Are you ready to commit to keeping this cat for up to 20 years? ______If not, please reconsider your idea to adopt a cat. Thank you!

By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Wilderness Cat Rescue refusing adoption privileges to me/us. If my/our request for adoption is approved and later Wilderness Cat Rescue discovers the above information is not true or correct, I agree that Wilderness Cat Rescue has the legal right to remove the cat from my home and find him a suitable home. Denial of the application can occur at any point in the adoption process. Understand that Wilderness Cat Rescue has the right to deny any application for any reason. Wilderness Cat Rescue reserves the right to not release the reason for denial.

In addition, I(we) agree that typing my(our) name(s) in the “Signature” space below, and sending this application to Wilderness Cat Rescue or a Representative of Wilderness Cat Rescue via electronic mail, constitute my(our) agreement with all provisions of this application just as if I(we) had actually signed my(our) name(s).

All adults who live in the household must sign below.

Signature ______Date ______

Notice: It is Wilderness Cat Rescue Policy to“not” adopt kittens < 6 months of age to families with children < 6 years of age.

Rev 2 (May 2010)