East of Eden (EOE) K9 Rescue (& kitties too!)

Adoption Application

Applicant Information

Name______Age:______

FirstLast

Address______

Street, # CityZip

Phone______Email______

Day Evening

*PLEASE MAKE SURE EMAIL IS LEGIBLE. WE WILL CONTACT YOU WITH STATUS ON YOUR APPLICATION BY EMAIL.

*We reserve the right to decline an application for any reason based on our experience.

How did you hear about EOE Rescue?______

______

Adoption fees are as follows:

  • Kittens under 6 mos old$100
  • Teens 6mos to 1yr$75
  • Adults$50

These fees help to cover some of our medical costs associated with our cats: spay/neuter, dewormings, vaccinations, & microchipping.

Background Information

1. Name of cat you are interested in:______

2. Why do you want to adopt a cat?______

______

3. Are you considering this cat/kitten to be (choose one):

— both an indoor and outdoor pet 

—indoor only 

— or outdoor only 

4. Do you have an enclosed yard? Y  N  If yes, how tall is the fence?______

5. Where will your cat sleep?______

6. How long will your cat be alone and where will he/she stay during this period? ______

7. Who will be primarily responsible for your cat’s care?______

8. Do all members of your household want a cat? Y  N  If no, who is not in favor?______

9. Do you know that cats require yearly vaccinations? Y  N 

10. Would you consider declawing your pet if he/she scratches your furniture? Y  N 

11.What will you do if your cat develops behavior problems? (ex: cat box problems, spraying, scratching inappropriately) ______

______

12. Are you aware that veterinary costs can be quite high sometimes in the thousands of dollars and are you financially able and willing to take care of any medical issues that may arise with your cat? Y  N . If not, what is your plan if your cat needs medical care that you cannot afford? Are you familiar with Care credit card accounts? ______

______

13. Are you willing to give your cat back to EOE if you cannot care for him/her anymore?Y  N 

14. Do you currently have a veterinarian? Y  N  If yes, please supply contact information:______

Name Address City/State/Zip Phone

15. Do you understand that you will be sharing your life with a cat for up to 20 years, who is totally dependent upon you for food, shelter, health and veterinary care? Are you willing and able to make this lifelong commitment to a cat as a family member? Y  N 

Family Information

16. No. of adults in household:______No. of children in household, and age(s):______

17. Do you have children who visit you? Y  N  If yes, what are their age(s)?______

18. No. of other pets in household:______Please describe each pet below:

Type of Animal / Age / Gender / Spayed/Neutered / Where Pet Lives

19. Besides the pets listed above, please list the number of all animals you have had in the past:______Please describe each pet below:

Type of Animal / Age / Gender / Spayed/Neutered / Where Pet Lived / What Happened to Them?

20. Have you ever had to re-home or give an animal up to the shelter? Y  N  If yes please explain: ______

______

21. Do you own or rent? Own  Rent  If rent, please supply contact information:______

Landlord Name Phone

(we must verify with your landlord that cats are okay to have in your rental)

22. What plans do you have for your cat if you have to move? If your next residence does not allow cats, what backup plans do you have?______

______

23. If you are unable to be at home with your cat for a lengthy period of time (e.g. vacation, emergency travel, or business travel), who will take care of the cat in your absence?______

24. Would you agree to a home visit to ensure it is secure for a pet? Y  N 

25. Please list 3 references of people who know you:

NameRelationshipPhone #

______

26. Top 5 reasons folks adopt cats and then give them up:

a. Allergies

b. Moving/divorce

c. Having a baby.

d. Too destructive or bad habits (marking)

e. Cannot afford vet bills.

Do you think that you will run into any of the issues above that may make you consider giving up your cat?

Y  N 

Please consider your current situation and also on what the future looks like for you. Cats are very sensitive beings and many times do not adapt well to change or disruption in their lives which can result in behavioral problems and/or medical issues. If you are not willing to work with your cat if he/she develops behavioral problems and or medical issues because of changes that may happen in your family or household, please do not consider adopting a cat. Most behavioralproblems can be remedied but it takes, time, knowledge and patience. Please be sure you have thought this out and are ready to devote all the time and care necessary to provide a loving permanent home for a pet.

Please read and certify the following: By submitting this form I certify that all information in this application is true, and I understand that false information may void this application. I agree that upon adopting a cat from EOE Rescue, I will agree and abide by their Adoption agreement.

Signature Date

______v8-16-13