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About

Cat Adoption Application

Adoption: Cat

Adoption form information fields

This field is hidden when viewing the form
Default: Cat Adopter Status
Name of Pet you are interested in:*
First Name*
Last Name*
Age of Applicant:*
Number of adults your home:*
Name(s) of everyone that lives with you:*
Age(s) of those that live with you:*
This field is hidden when viewing the form
Age Range*
Applicant's Home Phone Number
Applicant's Cell Phone Number*
Applicant's eMail Address:*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
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State/Province*
State/Province*
ZIP*
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Country
Profession(s):*
Work Phone Number
Hours and days of work (including commute):*
Co-Applicant First Name*
Co-Applicant Last Name*
Co-Applicant Phone*
Do children live in your household?*
- Yes
- No
Do you have children that visit your home?*
- Yes
- No
How often do the children visit?*
Visiting children's ages:*
Do you live in a...*
- House
- Townhouse
- Condominium
- Apartment
Do you...*
- Own
- Rent
Would you agree to a home visit to ensure the safety & security of the pet?*
- Yes
- No
Do you have an enclosed (fenced) yard?*
- Yes
- No
How tall is the fence?*
Do you have a pet size, weight, number of pets allowed limit where you live?*
- Yes
- No
Please describe:*
Landlord's name & phone number (if you rent):*
May we contact your landlord to confirm pets/sizes are permitted?*
- Yes
- No
Why do you want to adopt a pet?**
What type of breed are you most interested in?*
What do you know of this breed? Have you done any research?*
Preferred Pet Gender:*
- Male
- Female
- No Preference
Age range*
Hair type*
Activity Level*
Size*
Type of Activity*
Is anyone in your family allergic to dogs or cats?*
- Yes
- No
If so whom?*
What will you do if a member of the household is allergic to the pet you are adopting?*
Where would the pet stay when someone is home?*
- Indoor
- Outdoor
- Both
Do (will) you crate your pets?*
- Yes
- No
If so, how many hours at a time?*
Where would the pet stay when someone is at home?*
Where will your pet sleep?*
How many hours will the pet typically be left home alone?*
When left alone, where will your pet stay?*
Where will the pet stay when you are out of town?*
Who will be primarily responsible for the pet's care?*
How will you and your family spend time with the pet?*
Do all members of your household want a pet?*
- Yes
- No
Who? Why?*
Do you know that pets require yearly vaccinations?*
- Yes
- No
Can you afford monthly heartworm & flea/tick preventatives?*
- Yes
- No
Do you plan to walk & exercise your pet every day?*
- Yes
- No
List type of activities:*
What is your lifestyle like? (very active, loud/busy home, quiet, lots of people around, rarely have people over, travel often, lots of after school activities, couch potato, retired, longs, walks, running, etc.) There is no right or wrong answer, we are just determining if the particular pet you are interested in would best fit your lifestyle.*
How are you planning to obedience train your pet?*
What will you do if your pet develops behavior problems?*
Do you currently have a Vet? (veterinary information to be listed in reference section)*
- Yes
- No
Do you understand that you will be sharing your life with a pet for 14-18 years, who is totally dependent upon you for food, shelter, health and veterinary care? Are you willing and able to make this life-long commitment to a pet as a family member?*
- Yes
- No
Have you ever surrendered to a shelter or rescue or given away your pet?*
- Yes
- No
Please describe*
What is your living situation (roommate(s) live at home with parents, live with a partner/engaged/married or live alone?*
Please list current pets: Type of Pet, Breed, Age, Sex, Spayed/Neutered, Indoor/Outdoor.*
Please list all previous pets you have had in the past 5 years, not listed above: Type of Pet, Age, Sex, Spayed/Neutered, Indoor/Outdoor & What happened?*
What provisions for your pet’s care will you make if something should happen and you are no longer able to care for your pet?*
Name & phone number of person named responsible for your pet:*
Name of Pet(s) and Yearly Vaccination History (includes DHPP, Bordetella, Heartworm check, and Fecal*
Are you current pets(s) on monthly heartworm and flea/tick perventative(s)?*
- Yes
- No
REFERENCES
Veterinary Reference:
Veterinary Name*
Phone Number*
First Personal Reference Full Name*
Phone Number*
Email*
Relationship*
Second Personal Reference Full Name*
Phone Number*
Email*
Relationship*
SOCIAL PROFILES
Please enter the URL or your handle/username for each of your public social accounts. If you do not have an account for one of the social channels listed below, please type "N/A" in to the corresponding field.
Facebook*
Instagram*
Twitter*
Other Social Profile*
Authorization:*
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 pet from Saving Grace, I will agree and abide by their Adoption Agreement. *
- I agree
Please type your full name to represent your signature and to indicate that you understand and agree to the terms of this Adoption Application.
Your Full Name (Signature)
Date*
Name
This field is for validation purposes and should be left unchanged.

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