Rescued Tails Animal Sanctuary Cat Adoption Application

Animal #_____________________ Animal Name___________________________
Microchip #
(Please print all information below legibly)
completing this application does not guarantee the adoption will be accepted - this is simply the first step in the process

__________________________________________________________
Applicant’s Name(s)

__________________________________________________________
Street Address

________________________________________________________________
City  						State			Zipcode

Home Phone:_________________________

Work Phone:_________________________

Cell Phone 1:_________________________

Birthdate:_________________

E-mail Address:____________________________________________________________

How long have you been looking to add a cat to your family?______________________
What is the primary reason you are getting a cat at this time? _______________________________________________________________________ 
Have you looked at other shelters or rescue groups for adopting a cat?  YES  /  NO      
What attracted you to this particular cat?_____________________________________
Are you looking for an inside or outside cat?___________________________________
Would you be interested in fostering a cat?___________________________________

About Your Family 

How many people are in the household?_______________________________
Wife works:   Part time/Full time / Not applicable    Occupation: _______________
Husband works: Part time/Full time / Not applicable  Occupation: ______________

What are the ages of any children:___________________________________________
What other animals do you have in the household?______________________________

Where do other pets live during the day? ___________________
		                during the night? __________________
Have you ever had a cat declawed? _____________________________________
Are you planning on declawing your adopted cat?__________________________
Do any of the family members have allergies to animals?    YES    /    NO

About Your Environment 

Where will the pet be kept when you are not home?_____________________________

Where will the pet be allowed in the home?____________________________________

Where will the pet sleep at night?____________________________________________

Will the cat be let outside?  YES / NO

About Your Living Situation 

Do you  OWN    /    RENT  ?        (Written approval from landlord required if renting)

If renting, Landlord’s Name______________________________Phone:___________________

Type of Dwelling?   House  /  Duplex   /   Apartment   /  Mobile Home  /  Townhouse /  Condo    

Does your living situation have animal restrictions (e.g. breed, size, # of animals, etc.)?  YES  /  NO

Do you belong to a neighborhood or mobile home association?  YES  /  NO  
(Written approval from association required)

About Your Day 

Briefly describe a typical day for you and your family (please list times as appropriate)

Behavior Considerations 

Please rate each of the following behavior issues as follows: 
1 =  Been there, done that, can handle without help
2 =  New to me, but know how to handle situation myself 
3 =  New to me, would get help to solve the problem
4 =  Been there, cannot handle, pet would need to be returned
5 =  New to me, cannot handle, pet would need to be returned
                   6 =  Don’t consider it a problem (please note why)
                      
_____Litter box accidents_______________________________________
_____Biting when playing____________________________________
_____Playing too rough with other pets________________________________
_____Scratching furniture__________________________________________
_____Doesn’t like to be groomed____________________________________
_____Fighting with other pets_______________________________________
_____Biting a person_____________________________________________

Basic Care

Are you willing to assume ALL veterinary costs for this pet from the date of this adoption forward?  Yes / No
Do you know what steps to take if your pet runs away?   Yes  /    No
Who will be the primary caretaker of the pet?_______________________
Who will feed the pet?_________________________________________
Who will exercise the pet?______________________________________
Who will groom the pet?____________________________
What type of exercise will you participate in with your pet?______________________
______________________________________________________________________

Family Pet History

Have you ever had a pet before?  YES  /  NO

If yes, please list: 

1)Name:_________________ Type of animal____________________
Date(s) pet lived with you: _________________________
What happened to pet?  Surrendered/Given away  /  Deceased  /  Ran Away  /  Still have
If checked anything other than “Still have”, please explain: 
____________________________________________________________________

2) Name:_________________ Type of animal____________________
Date(s) pet lived with you: _________________________
What happened to pet?  Surrendered/Given away  /  Deceased  /  Ran Away  /  Still have
If checked anything other than “Still have”, please explain: 
_____________________________________________________________________

3) Name:_________________ Type of animal____________________
Date(s) pet lived with you: _________________________
What happened to dog?  Surrendered/Given away  /  Deceased  /  Ran Away  /  Still have
If checked anything other than “Still have”, please explain: 
_____________________________________________________________________

References

Please list three references – one being your veterinarian if you have, or have had, animals

1.	Name_____________________________________________
Phone number_________________________
How do you know this person?______________________

2.	 Name_____________________________________________
Phone number_________________________
How do you know this person?______________________

3.	Name_____________________________________________
Phone number_________________________
How do you know this person?______________________

If for any reason you are unable to take care of this animal,
it MUST be returned to Rescued Tails Animal Sanctuary.

We reserve the right to determine whether or not it is in the best interest of the animal to be adopted by any individual, and if not, to refuse the adoption.

Applicant’s Name (please print):________________________________ 
Date: _______________

Applicant’s Signature:_______________________________

Adoptive Representative: ____________________________

There will be a $25.00 service charge for all returned or non-sufficient fund checks.