8/10/2019 Home Sweet Home Adoption Application - June, 2013
1/3
Home Sweet Home Animal Rescue
of long Island, Inc
273 Walt Whitman Road, 343, Huntington Station, NY 11746 (631)
495-5787
On_________________I received from
__________________________________,
thru Home Sweet Home Animal Rescue of Long Island, Inc.
a female/male _________________________________________of
age
__________
I, the undersigned, agree to adoption the described cat/kitten
under the following terms:
I agree the cat will be kept INDOORS ONLY and no exceptions be
brought outside unlessin a carrier.
I agree to provide veterinary treatment when necessary and
provide ANNUAL CHECK-UPS andVaccines when required.
I agree to provide safe, sanitary living conditions and FEED
QUALITY FOOD and fresh water daily.
I agree that adopting a cat is a commitment for the life of the
cat, which may be up to 20 years. I further agree that Ihave made
provisions for my cat in the event I become disabled or die. I will
include a copy of this contract and these
provisions with my personal papers (wills, etc).
I agree NOT to sell or give this cat to another person, company,
organization, medical research family, animal dealer,shelter or
pound. I assume full ownership for the life of the cat.
I agree to notify Mary @ 631-495-5787 of any new address I the
event I move and any change of phone number.
I agree to notify
________________________________________________ with ample time in
the event I must give up the cat.Home Sweet Home Animal Rescue will
help to rehome the cat together with efforts of my own, and, only
if room isavailable in any of their adoption centers, will they
take them back directly into their adoption program. At no time
are any cats adopted thru their program to be dropped off at any
of their adoption centers. In the event that I mustgive up the cat
and have a friend/relative willing to take ownership, this
information should be given to_____________________as well. It is
the hope of Home Sweet Home that these cats are not put in any
unfavorablesituations.
I agree not to have this cat euthanized unless it has a
terminal, debilitation condition. I will consult with
________________________________before this decision is made
unless the cat is suffering.
I agree NOT to expose this cat/kitten to any other that has not
been tested for Feline Leukemia/Aids, or that has been
tested positive for Leukemia/Aids.
8/10/2019 Home Sweet Home Adoption Application - June, 2013
2/3
I agree that I will NOT DECLAW the cat, and that doing so will
be a violation of contract.
PAGE TWO ----- ADOPTION AGREEMENT FOR _____________________
DATE: ____________________
Home Sweet Home Animal Rescue - or any rescue group working
under their support may check up on the
adoptive home by phone or personal visit. Should we learn the
cat is not being cared for as promised or that any terms of the
adoption agreement are violated, the adoption will be terminated
in accordance with Article 26 of the NYC Agricultural and
Market Laws. The decision is final.
The adoption donation is $____________ and these donations are
not refundable.
I AGREE TO ASSUME ALL RISK AND RESPONSIBITY AS TO HEALTH,
DISPOSITION, BEHAVIOR OR CONDUCT OFTHIS CAT AND AGREE TO NEVER MAKE
ANY CLAIMS AGAINST HOME SWEET HOME ANIMAL RESCUE OF
LONG ISLAND, OR ANY GROUP REPRESENTING THEM IN THIS ADOPTION OR
ANY OF ITS REPRESENTATIVES
BECAUSE OF SAID CAT OR ANY INJURY IT MAY CAUSE OR DO OR ANY
FUTURE MEDICAL EVENTS THAT MAY
ARISE.
SIGNATURE:
______________________________DATE:_________________________
ADOPTERS NAME:_________________________________HOME
PHONE:____________________________
ADDRESS:_____________________________________________________________________________________
CELL PHONE:_______________________________________ EMAIL
ADDRESS:__________________________
CATS
NAME:____________________________AGE:___________SEX:______COLOR:______________________
MEDICAL CARE INFORMATION
SPAY/NEUTER - ___________________
FLV/FIV TEST - ___________________ ____________________
FVRCP VAC 1 - ___________________
FVRCP VAC 2- ___________________
(booster shot for cats/kittens under 1 year should be given
approximately 4 weeks after the initial vaccine)
RABIES - ____________________ (mandatory under NYS Law)
OTHER - ____________________
WORMING: Medication: _________________/ Dates:
_____________________ _______________________
