Adoption Application _______________________ What is the intended use for this animal Directions to property: Are you a current animal owner? ________ # of years __________ Number of animals owned ___________ Have you ever owned/adopted a cat/other before? Have you sold / relinquished any animals in the past 5 years? __________________ Who will be caring for this animal? Please give name and age What is your experience with animals? We adopt out INDOOR ONLY Cats/Kittens. Animals have been Vet checked and had all there vaccinations prior to being put for adoption Adopter agrees to Feed, House, and Care this animal in a Humane Manner. If for any reason this animal is no longer wanted in the household- it is to be returned to Cast-A-Way Cats does not refund Adoption Fees. Describe the type of animal you are seeking to adopt: _________________________________________________ Do you have knowledge of caring for this animal?____________ Do you have litter box's in a convenient setting and food and water accessible at all times. What type of food will you be feeding? By signing this contract you are taking the life of this animals in your hands- to care for it Will your children be animal friendly and responsible ______________?
I hereby acknowledge receiving from Cast-A-Way Cats the above animal which i agree to care for humanely. I certify that i am financially able to care for this animal. I agree to take this animal to my veterinarian within 2 weeks of this adoption. I understand that my donation will not be refunded without a receipt or letter from the veterinarian stating that this animal in not suitable for adoption due to serious health problems. Cast-A-Way Cats is not responsible for veterinarian fees. To the best of our knowledge, this animal is leaving our facility in good health. The medical history accompanies this animals paper work. There are no guarantees for this animals health once it leaves our facility and the adopter assumes the responsibility for this animals health and welfare from this date____________________. How did you hear about us? REFERENCES: VETERINARIAN: ________________________________________ Address ________________________________________ _______________________________________________ Phone __________________________________________ TWO PERSONAL REFERENCES (not related) Name/Address/Phone ______________________________ _______________________________________________ _______________________________________________ Name/Address/Phone ______________________________ _______________________________________________ ________________________________________________ Drivers License #____________________________________ Animal Protection Coalition, Inc. will require that all applicants have their information verified ____________________________________ ____________________________________ ADDENDUM TO APPLICATION Name _____________________________________ How long at present address? Years ________ Months ________ If renting, landlord’s Name ___________________ Phone _________________ How many people reside in your home? ______ Work hours (primary) ________ (secondary) ________ How many hours will dog/cat be alone? _________ Where will you keep the dog/cat when nobody is home? Where will you keep the dog/cat at night? What will you do with the dog/cat if you travel? If you move what would you do with the dog/cat? Does anyone have allergies in your home? _____________________________________ Is your yard fenced completely? ________ Type ____________ Height ______________ If no, how will you confine the dog/cat to your yard? Current pets Type/Breed____________________________________________________ Age__________________________________________________________ Sex__________________________________________________________ Altered?_______________________________________________________ Behavior issues _________________________________________________ If no pets currently owned, have you owned one in your adult life? ___________ Are you willing to obtain a crate for this dog/cat if necessary? Are you willing to enroll this dog/cat in obedience classes? How do you plan to exercise the dog/cat? Are you willing to give this dog/cat time to adjust to your environment which in What would be unacceptable behavior in your home to cause you to give I understand that in order to complete processing of this application, a visit ____________________________ _________________ ____________________________ __________________ ____________________________ ____________________________ |
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