Cat Adoption Application

Name of Cat You Wish to Adopt *

Name *

First

Last

Date *

Address *

Address 2

City *

State *

Home Phone *

Daytime Phone

Cell Phone

Email *

Number of Adults (over 18 years) *

Number of Children (under 18 years) *

Ages of children

Who in the household will be the pet’s primary caregiver? *

Have allergies to animals been a problem to any household member? *

Yes
No

Is shedding a concern? *

Yes
No

Are all family members aware that you are considering adopting a pet? *

Yes
No

Do they all approve? *

Yes
No

Do you live in : *

House
Condo/Townhouse
Apartment
Dorm

Do you rent or own your home? *

Rent
Own
Live with Parents

What best describes your street location: *

If other, please describe.

What is your employment status? *

If other, please provide details.

The cost of caring for one dog is at leat $500/year. This includes food, litter, vaccines, flea treatment and vet bills. Are you able and willing to pay this cost? *

Yes
No

How many pets do you have now? *

Number of Dogs *

Number of Cats *

Other Pets? Please provide type and number.

Are they current on their vaccinations? *

Yes
No

If you own dogs, have they been socialized with cats?

Yes
No

Do your cats go outside?

Yes
No

Name of current veterinarian: *

Reason for adopting a cat.

If other please specify.

Will this cat be *

Indoor
Outdoor
Both

Will your cat have access to a

Covered Patio
Balcony
Other

If other, please describe.

What behavior problems are you willing to tolerate and work on? *

Under what circumstances would you return this animal?

If other, please describe.

Agree to Terms *

I hereby agree to the terms and conditions below.

By checking the box below, I agree to the following terms regarding my participation as a Foster Parent for Rez Animal Resources & Education: I agree to provide a temporary home for animals placed in my care and will be responsible for providing daily food, water, exercise, shelter, and affection for my foster animal. I agree to let Rez Animal resources & Education inspect the premises where the animal is being kept at any time to ascertain that the animal is well cared for. In the case of a medical emergency, I will contact Rez Animal Resources & Education and obtain immediate veterinary care at the approved clinic. If I encounter behavior concerns with my foster animal, I will contact Rez Animal Resources & Education. I understand that foster animals often have unknown medical and behavior histories and may show behaviors in one home that they may not show in another home. I agree to work through these issues to the best of my ability. If concerns are beyond my ability, I will work with Rez Animal Resources & Education to find a more appropriate foster home. I understand that animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Rez Animal Resources & Education, from any claim or suit filed by anyone as a result of such an incident. In addition, Rez Animal Resources & Education will not be responsible if the animal should damage or destroy property while the animal is under my care. If I need to return the foster animal before the end of the agreed-upon foster period I will contact Rez Animal Resources & Education at least 72 hours to find another foster home for the animal. If I have a known period of time (i.e vacation) that I cannot provide care for the foster animal, I will discuss options for my foster animal at least two weeks prior. All foster cats must be kept inside only. Foster dogs should be allowed indoors/outdoors but must be provided with a secure fenced area when outside, including shelter from the elements. The foster animal will always be under my control either on leash or in the confines of my property. I will not allow others to care for my foster animal unless I have received approval from Rez Animal Resources & Education to do so. I am responsible for the well-being of my foster animal at all times.

Date

Have Questions? Call Us (253) 370-6392