Cat Adoption Application
Adopter's First Name
Adopter's Last Name
State (Please Select)
How did you hear about us?
Walkup - Petco
Walkup - Other
Online - Petco
Online - Other
Weekly Hours Worked
How Long at Current Job
Do ALL adults in your household agree to this adoption?
Names and Ages of Household Members
Do you have other pets?
Describe your other pets, including name, age, sex, and whether they are neutered/spayed
Have you ever owned any animal other than the one listed above?
If Yes, what kind of animal and when?
What happened to the animal?
What is the name and phone number of your current veterinarian?
A personal reference is required. (not living with you) Please list the name and relationship of a reference we may contact. Please let them know we will be calling.
Reference Phone number
How long have you resided in your current location?
Do you own or rent your residence?
Live with parent/guardian
Live with roommates or significant other
What kind of type of residence do you live in?
If renting, are animals allowed on premise?
If renting, please list name of landlord and phone number
If you are moving soon, what will happen to your pet?
Please select one of the following:
I have had animals my whole life (experienced owner)
I have worked with animals my whole life and am actively looking for the perfect companion (ready to own)
I have loved animals but never owned (novice)
I am looking to adopt for the following reason(s):
Companion for another pet
Will the adopted cat live primarily inside or outside?
Have you ever applied or adopted from another group?
If yes, what organization or person did you work with in the last 5 years?
Have you ever been declined for adoption ?
If yes, what was the reason?
Have you ever given up or turned in an animal to a rescue or shelter? If so, why?
What is your general philosophy on vet care?
Spare no expense
Within budget constraints
If treatment or care is very expensive, I may need assistance or return the cat.
Will you have the cat declawed?
Which of the following reasons would you consider giving up your pet?
Death of owner/loved one
Divorce or separation
Large vet expense
Loss of bladder control
Cat nips or scratches at stranger or family members
Out of state move or new residence where pets are not allowed
Cat and current pets/family member incompatible Allergies to pet (self or family member) Chronic Illness New baby or plans to have a baby Cat is not what I thought it would be Would never give up Other
If you cannot keep your cat, you must return him/her to Shelter2Rescue Coalition. Do you agree?
Shelter2Rescue Coalition and the representatives of the rescue reserve the right to call and verify care of the adopted pet with the veterinarian?
I hereby agree to hold Shelter2Rescue Coalition, Inc and it's representatives harmless against any and all claims, damages, cost, expenses, or other items pertaining to cat that is being adopted, or anything resulting from or caused by the adopted cat.