Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
P a g e 1 | 4
CAT ADOPTION APPLICATION
NAME: ____________________________________________ DRIVERS LICENSE #: _________________________________
ADDRESS: _________________________________________ CITY: ________________________ ZIP: _______________
HOME PHONE: _____________________________________ WORK/CELL PHONE: ________________________________
E‐MAIL: __________________________________________________________________________ DATE: _____________
How did you hear about us? Website Facebook Friend/Family Other: ___________________________ Thank you for considering adopting a pet from our shelter! We will be happy to conduct an animal interaction if/when your application has been approved. Remember, you are potentially making a 10‐20 year commitment. All cats have been vaccinated for FVRCP. Your veterinarian may recommend additional vaccinations at the adopter’s expense. Kittens often require a series of vaccinations. Cats over three months of age have been vaccinated for rabies. If your kitten is not already vaccinated for Rabies, you will be provided with a date/time to return for his/her vaccination. All cats have a microchip as a permanent form of identification, have been spayed or neutered, and tested for FIV/Feline Leukemia. Adoption fees are non‐refundable. Your adopted pet must be taken to a veterinarian within 7‐10 days of adoption for an exam and any necessary vaccinations/medications. You will be provided with a medical/vaccination record at the time of adoption that should be shared with your veterinarian.
PLEASE LIST ANY PETS THAT ARE CURRENTLY IN YOUR HOME:
BREED NAME AGE OWNED HOW
LONG? VETERINARY HOSPITAL
CURRENT ON VACCINES?
Yes No
Yes No
Yes No
Yes No
Yes No
PLEASE LIST ANY PETS YOU HAVE OWNED IN THE PAST 5 YEARS:
BREED NAME OWNED HOW
LONG? NOT CURRENTLY IN HOME
BECAUSE? VETERINARY HOSPITAL
I am interested in adopting:
______________________
P a g e 2 | 4
How many people, including yourself, are currently living in your home? ________________
Please list the names and ages of the people living your home (include last names if different from yours):
1. _____________________ Age: _____ 2. _____________________ Age: _____ 3. _____________________ Age: _____
4. _____________________ Age: _____ 5. _____________________ Age: _____ 6. _____________________ Age: _____
Do you live in a single‐family home, townhouse/condo, or an apartment? _________________________________
Do you own or rent your home? ____________ Renters, provide landlord name & number __________________________
Townhome/condo association name & number _________________________________________________________
PERSONAL BACKGROUND INFORMATION:
Is anyone in your household allergic to cats? Yes No
How long have you lived at your current address? _______________________________
In the last 5 years, how many times have you moved? ____________________________
Describe the activity level in your household? _________________________________________________________________
Have you ever given a pet away or relinquished a pet to a shelter? Yes No
If yes, please explain: ______________________________________________________________________________
________________________________________________________________________________________________
MATCHING THE RIGHT PET:
What traits are you looking for in a cat/kitten? (Check all that apply)
Playful Independent Lap Cat Outgoing Male Female
Declawed Calm Long Hair Short Hair Low Maintenance
Other _______________________________________________________________________________________________
Why do you want to adopt this cat? (Check all that apply)
Companion Companion for another animal Gift Mouser To teach a child responsibility
What will you do with your cat if you move? __________________________________________________________________
_______________________________________________________________________________________________________
Do you plan to let the cat outside? Yes No
Who will be responsible for the cat’s daily care? _______________________________________________________________
P a g e 3 | 4
Where will you keep your animal when you are at home?
Bedroom Basement Garage Laundry/Utility Room Run of the House Other _______________
UNDERSTANDING CAT BEHAVIOR: * Please answer these questions to the best of your ability. Any questions you have can be discussed with an adoption counselor.
A cat may stop using the litterbox for a variety of reasons. What steps will you take in the event that your cat stops consistently using the litterbox?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Scratching is a normal behavior which cats use to stretch, shed the outer layer of their nails, and mark their territory. What will you do in the event of destructive behavior, for example, if the cat uses your furniture for a scratching post?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Like dogs, you can tell a lot about a cat’s mood by their body language. How would you respond if your cat’s tail is swishing back and forth and its ears are pinned back?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
It may take a month or longer for a cat to adjust to a new home, especially if it is an older animal or other animals are involved. How will you work with your cat during this adjustment period?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
What would be an unacceptable behavior which would cause you to give up your pet?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
CARING FOR YOUR CAT:
Do you already have a Veterinarian? Yes No
If yes, what is the name of the hospital/clinic and veterinarian? ____________________________________________
If no, what is your plan for veterinary care? ____________________________________________________________
Owning a cat means paying for food, litter, toys, treats, vet care, immunizations and more. Cats can live for 20+ years. Are you willing to budget for these expenses for the cat’s entire life? Yes No
It is recommended that you have the same number of litter boxes plus one as there are cats in the home. Are you prepared for the daily maintenance of multiple litterboxes? Yes No
P a g e 4 | 4
What do you plan to do with your cat when you go out of town? _________________________________________________
______________________________________________________________________________________________________
What provisions will you make for your cat if you become unable to care for them? __________________________________
______________________________________________________________________________________________________
Would you return a cat for any of the following reasons? (Check all that apply)
Allergies Marriage/Divorce Cat has medical problems
Having a baby Want a younger cat Destructive scratching
Job Change Financial problems Always hiding
Moving Cat going outside the litterbox
Other, please explain: __________________________________________________________________________________
Tell us why we should adopt a pet to you: ____________________________________________________________________
_______________________________________________________________________________________________________
Are there any topics you would like to talk about with an adoption counselor? (Check all that apply)
Feeding your pet Grooming Behavior issue What to do if your pet is lost
How a microchip works Other: ___________________________________________________________________
By signing below, I certify that I am 18 years of age or older, the information that I have provided is true and that I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I authorize DuPage County Animal Care and Control to investigate all statements made in this application. I also understand that adoption may be refused at the discretion of the DuPage County Animal Care and Control staff.
SIGNATURE: ________________________________________________ DATE: ____________________
Staff Notes: