Adoption Application

This is the first step to adopting a cat from Angelico Cat Rescue. Please answer all the questions honestly and completely; there are no wrong answers, we would just like to make sure our animals and their adopters are good fits for one another.

Angelico Cat Rescue asks that their adopters are 21+ years older, have identification showing present address, bring a carrier when the time to pick up your cat arrives, and be willing and able to provide appropriate emotional and medical care of the cat they adopt.

What is the name of the cat or kitten you are interested in adopting?

Applicant's Name *

Applicant's Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone *

Primary Phone

(###)

###

####

Email Address *

Driver's License #: *

ABOUT YOU, YOUR HOME, AND THOSE IN YOUR HOUSEHOLD.

Please list the other members of your household, including children. For adults 18+ please list full name. *

Why are you interested in adopting this particular cat? *

Are you over the age of 21? *

Yes

Please give two personal references (not related to you):

Personal Reference 1 *

Personal Reference 1

(Not related to you.)

First Name

Last Name

Personal Reference 1 *

Personal Reference 1

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Personal Reference 2 *

Personal Reference 2

(Not related to you.)

First Name

Last Name

Personal Reference 2 *

Personal Reference 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long a current address? *

Rent or Own? *

Rent

Own

Live with parents

Name OR company name of property owner. *

Name OR company name of property owner.

(If it is a company name, enter not applicable in last name field.)

First Name

Last Name

Phone number of property owner. *

Phone number of property owner.

(###)

###

####

Does anyone smoke inside your home? *

Yes, someone smokes inside my home

No, no one smokes inside my home

The next step in adopting this animal, if your application is approved, is a home visit, which is just a casual visit to get to know you & discuss cat ownership.

Which is your preferred way to complete the home visit? *

In‐person home visit

Facetime/Skype visit on computer or phone

PET OWNERSHIP HISTORY:

Do you currently have other animals? *

Yes

If yes, please indicate name, type and approximate age of pet(s). *

If no other animals, enter not applicable.

Veterinarian Name *

Veterinarian Phone *

Veterinarian Phone

(###)

###

####

Have you had pets before? *

Yes

Please list any pets you have had in the past and why you no longer have them. *

If you never had any pets, enter not applicable.

THIS CAT'S LIFE WITH YOU

Under what circumstances, if any, would you give this cat away to a friend or family member? *

Under what circumstances would you surrender this cat to the animal shelter? *

What will you do if this cat decides s/he wants to use your rug instead of the litterbox? *

What will you do if this cat decides to use the arm of your couch as a scratching post?

Will your new cat/kitten live indoors or outdoors? *

Indoor

Outdoor

What is your plan if you experience an emergency, such as a hurricane? *

What provisions will you make for this cat should you become unable to care for him or her? *

List potential reasons that would render you unable to care for this cat.

THE FINE PRINT

Do you agree to donate the appropriate adoption fee for this pet? *

The fee for adoption is indicated on the cat's adoption listing. While this donation does not cover the full medical expenses paid by the rescue, this is the amount agreed as a fair donation.

Yes, I agree

No, I do not agree

Do you understand that you are applying to adopt a cat whose medical history is unknown before it entered the rescue. Cats are tested for FIV and FeLV before placement, but beyond that we cannot anticipate future medical problems which may arise. You agree that, as the cat's legal owner, all future veterinary costs are your sole responsibility from the date of adoption. *

Yes, I agree

No, I do not agree

Do you agree to seek prompt and quality veterinary for this cat as soon as the need arises? *

Yes, I agree

No, I do not agree

The average expense for a cat is $600‐1000 in food, litter, and veterinary costs pear year. Do you agree to make such a financial commitment to this cat? *

Yes, I agree

No, I do not agree

Over‐the‐counter flea and tick preventatives (Hartz, Adams, etc.) can be extremely dangerous to cats and dogs. Reactions can cause problems such as skin inflammation, seizures, and death. Do you agree to only use veterinarian‐approved products such as Revolution, Frontline, Advantage, Capstar, and Program? *

Yes, I agree

No, I do not agree

The average lifespan is 15‐20 years. Do you agree that you are comfortable making a commitment to this cat to be its guardian and caretaker for the rest of its life? *

Yes, I agree

No, I do not agree

Where did you hear about us? *

(e.g. Adopt‐a‐Pet, Craigslist, Facebook, etc)

Any additional questions or comments here: *

(If no questions or comments, enter not applicable)

ELECTRONIC SIGNATURE

Signature *

Please type your name here to confirm and acknowledge and agree to the Adoption Terms and that you certify that all of the information contained within this application is true to the best of your knowledge.

Date *

Date

YYYY