Cat app

Southern Animal Rescue - Cat Application

Name of cat(s) you are interested in adopting

Your name

Co-Applicant Name

Street Address, City, State, Zip, County

Phone numbers: Home / Cell / Work

Current Employer / Occupation

Email address

Please re-enter email address

Do you rent or own your home?

Own Rent

If you rent your home, please provide landlord/owner's NAME and NUMBER

Do you have landlord's approval to have pets? What is the pet deposit?

Type of residence (please check one):

House Apartment Duplex Mobile Home Farm Live with friend/relative Condo Other

How long have you lived at this address?

Do you plan to move in the next year?

How many times have you moved in the past five years?

Veterinary clinic name (you currently use or plan to use)

Phone number

If you do not currently have a veterinarian you plan to use, you will be asked to obtain one before the adoption is finalized.

Please list current pets and previously
owned pets from the past 5 years:

PET 1

Dog Cat Spayed/Neutered Still have pet No longer have pet

Name, Age, Breed

PET 2

Dog Cat Spayed/Neutered Still have pet No longer have pet

Name, Age, Breed

PET 3

Dog Cat Spayed/Neutered Still have pet No longer have pet

Name, Age, Breed

PET 4

Dog Cat Spayed/Neutered Stll have pet No longer have pet

Name, Age, Breed

PET 5

Dog Cat Spayed/Neutered Still have pet No longer have pet

Name, Age, Breed

Please list any additional pets:

Are your pets current on vaccinations?

Yes No N/A

If no, why not?

If you no longer own a pet, what happened to it?

Do any of your current pets or did any past pets live primarily outdoors? If yes, please describe:

Do you currently keep collars and id tags (other than rabies tag) on all pets you own? If no, please explain:

Are you willing to keep a collar and id tag on your new pet at all times? If no, please explain:

How do you plan to introduce your new cat/kitten(s) to other pets in the household?

Have you ever surrendered an animal to a shelter? If yes, please explain:

What is your past experience with cats?

First time owner Current cat owner Had a cat in the past

How will you correct behavior problems in your cats if they occur?

How will you handle the cat possibly scratching your furniture?

How much do you plan to spend per year to care for your cat (including food, litter, toys, veterinary care)?

How many hours a day will your cat be without human companionship?

Are you a frequent traveler?

Yes No

If yes, how often do you travel and how long are your average trips?

Who will care for your cats during vacations and business trips?

Where will you keep your cat during the day when you are home?

Where will you keep your cat during the day when you are gone?

Where will you keep the cat during the night?

What will you do if you partner with someone that doesn't like or is allergic to cats?

Owning a cat can easily be a 15-20 year committment. Are you willing to commit to a cat for the next 15-20 years?

If you must move from your current place of residence, what will you do with your cat?

What type of food (CANNED and/or DRY) do you plan to feed your new cat?

Under what circumstances do you believe it is alright to declaw your cat?

If you currently own cats, are any of them declawed?

How long will you allow your cat to adjust to living in your home?

Have you ever had to find a pet a new home because of a move, new baby, behavioral problem, etc? If yes, please explain:

Under what circumstances do you think it is acceptable to find your cat a new home? Please check all that apply:

Please explain:

Have you ever looked at or applied to adopt a pet from another rescue group?

Yes No

If yes, please explain the circumstances and what happened to it?

Have you ever had a serious behavior problem with a pet? If so, what did you do?

If your cat stopped using the litter box as a result of possible age/health related reasons, what would you do?

What will you do if you decide to move a place that does not allow pets?

Do you plan to take your cat into the vet for yearly checkups? If no, please explain:

Do you plan to have your cat vaccinated yearly? If no, please explain:

What is the activity level of your household?

Quiet Moderate Active

Number of adults in home

Number of children in home and ages

Number of grandchildren/visiting children and ages

Who will be the primary caretaker?

This cat is being adopted as (check all that apply):

House cat Outside cat Farm cat Gift Companion Companion for another pet For a child Breeding

Do you currently give your cat(s) and/or dog(s) monthly heartworm prevention?

Do you plan to give your new cat monthly heartworm prevention?

If you need more information on heartworm prevention please let us know and we can discuss options with you.

Does anyone residing in the home have any known pet allergies?

Do you understand that all adopted pets must be spayed or neutered?

Do you plan to allow your cat outdoors?

Yes No

If yes, please explain in detail under what circumstances:

Will your cat have access to a porch, balcony or patio? If yes, please explain:

Do you expect any major life changes in the next 10 years (marriage, children, moves out of state, etc)?

Yes No Not sure

If yes, how do you feel these changes might change your situation with your pets?

Would you agree to an in-home visit with a volunteer before, during or after the adoption is approved?

Yes No

If you are unable to keep your pet for any reason at any time, will you return the pet back to us?

Please provide the names and phone numbers of two personal references that we may call and verify the information:

Check items you would like more information about:

Litter box training Dog/Cat introductions Cat/Cat introductions Cats and children Vaccinations Spaying/neutering Training methods

How did you hear about our group (website, newspaper/magazine, referral from a past adopter, friend or family member)?

Let us know if you have any questions about this pet(s)

Our adoption fee for cats and kittens is $125 for one and $200 for two. All of our cats currently live in foster homes. Once you have submitted your application, we will get back to you within 24 hours to discuss the application and adoption. Once an application is approved, we will schedule a time for you to meet the cat/kitten in their foster home.

Typing your name below will serve as a legal signature. By signing, you agree you are applying for this cat for yourself and no one else and that this cat will be living only at the address listed above. By signing you are attesting to the truthfulness of the answers you provided above.

NAME & DATE