Adoption Application

Name *

First and Last

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Do you rent or own your home? *

Own

Rent

Renters, please provide your landlord's name and phone number *

In the instance that you moved, what would you do if your new home did not allow animals? *

Do any members in your household have cat allergies? *

No

Yes

If you answered yes, please explain. *

Do you currently own any animals? *

No

Yes

List any animals you currently own. Please include age, gender, breed and if they are spayed/neutered. *

If none, just put none.

Have you ever had to rehome one of your pets? *

No

Yes

If you answered yes, please describe the situation. *

Under what circumstances would you rehome your new pet? *

Please list the veterinarian(s) you have used for your current pet(s). If you do not have current pets, list the veterinarians you used previously. Please include their name and phone number. If you are a first time pet owner, please list the veterinarian you plan on using. *

Please list which pet(s) you are interested in and why he/she/they appeal to you: *

What brand of food do you plan on feeding your new cat? *

What do you consider your house to be like? *

A library

Middle of the Road

A Carnival

Briefly explain your answer: *

Where do you intend to keep your new cat? *

Inside

Outside

Indoor and Outdoor

If you answered outdoors, please describe the set up: *

In a confined space, such as a screened in porch or garage

On a leash/harness

Free roam

OtherOther

How much time will your cat spend alone each day? *

Less than 4 hours

4-8 hours

8 or more hours

How important is it that your cat is able to adjust to new situations quickly? *

Not important

Somewhat important

Extremely important

How do you plan on introducing your new cat(s) to his/her/their new environment, family members and other pets? *

If the cat you adopt is not already declawed, will you have the procedure performed? *

No, never

Yes, for sure

Undecided

Since you answered undecided, please describe the situation that you would have it done: *

Since you answered no, please describe how you plan to deter your cat from unwanted scratching: *

Do you want your cat to love being around children? *

Children rarely come to my house

Sometimes

Most of the time

Indifferent

How often do you want your cat to enjoy being held? *

Little of the time

Sometimes

Most of the time

Does your cat need to get along with any of the following (select all that apply): *

Your selected other. Please list and explain: *

Have you lived with cats before?: *

No

Yes

Currently

You had cats before, please tell us the date: *

It is most important to me that my cat: *

What else should we know? *

Terms:

By clicking submit below, I certify that I am at least 18 years old. The above statements about me, and my history with companion animals are true and correct. I understand that Better Together Animal Rescue, Inc.. reserves the right to refuse any applicant for any reason. Any misrepresentation of fact may result in my application being rejected. My signature to this document also permits my present (or previous) Veterinarian or Animal Hospital to release requested information to a Better Together Rescue, Inc.. volunteer regarding my current or previously owned pets for the purpose of considering my application for a companion pet. I will not hold Better Together Rescue, Inc. or any of its volunteers responsible for any actions incurred once the animal has been released from their care.

Signature *

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