Home
Furry Friendz
About Uz
Dogs
Cats
Wildlife
Wildlife Emergencies
Urban Wildlife – Tips
Wildlife Rehabilitation
Report Violations
Our FriendZ
Contact UZ
Forms
DonationZ
Wish List
Public Events
Volunteer Events Calendar
Applications
VOLUNTEER APPLICATION
ADOPTION APPLICATION
CAT ADOPTION APPLICATION
Home
Furry Friendz
About Uz
Dogs
Cats
Wildlife
Wildlife Emergencies
Urban Wildlife – Tips
Wildlife Rehabilitation
Report Violations
Our FriendZ
Contact UZ
Forms
DonationZ
Wish List
Public Events
Volunteer Events Calendar
Applications
VOLUNTEER APPLICATION
ADOPTION APPLICATION
CAT ADOPTION APPLICATION
CAT ADOPTION APPLICATION
Incomplete applications will not be considered.
Personal Information:
Name:
*
Age
Address:
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email Address:
*
Home Phone Number:
Mobile Phone:
Work Phone Number:
Employer
Hours at work:
Spouse/Significant Other:
Age:
Work Phone Number:
Employer
Hours at work:
Children living at home:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
If you do not have children, do you plan to have children some day?
Yes
No
If yes, explain how this will affect the dog's place in the household:
Does anyone else live in your home?
Yes
No
Name:
Relationship:
Age:
Name:
Relationship:
Age:
Name:
Relationship:
Age:
Does anyone in your home have allergies or asthma:
Yes
No
Your Residence:
Which of the following best describes your living situation:
House
Condo
Mobile Home
Apartment
Other
Type of environment:
City
Suburb
Country
Do you:
Own
Rent
Live with Parents
If you rent, Please provide your landlord's name, address and phone number:
How long have you lived at this address?
If less than 2 years, previous address and landlord:
What is the maximum number of pets allowed by city ordinance?
What are your local licensing fees/requirements?
Is there a chance you might move in the next 10 years?
Yes
No
Care and Responsibility
Is there a particular dog you are interested in?
Yes
No
Name or Description:
Have you ever owned a cat?
Yes
No
Do you prefer a male or female?
Male
Female
Why?
Age range:
Kitten
Teen
Young Adult
Adult
Mature
Will you accept a cat with special medical needs?
Yes
No
Where will the cat be kept?
Inside
Outside
How many hours per day will the cat be left alone?
Do you understand that the cat will take time to adjust to its new surroundings and that certain behavioral issues might occur?
Yes
No
Are you willing to work with Furry Friendzy to correct these issues?
Yes
No
Under what circumstances might you want to return your dog? (Examples: Marriage, new baby, divorce, behavior issues, financial stress, moving, job change, etc.)
History of Pet Ownership:
Do you currently have other pets?
Yes
No
If yes, please describe each pet in detail (species, age, breed, sex, spayed/neutered, personality):
Veterinarian Name:
Phone Number:
Names of animals seen at that vet clinic:
Are your pets current on vaccinations?
Yes
No
Are your cats on heartworm preventive medication?
Yes
No
Brand:
If no, why not?
If you have pets that are not spayed or neutered, please explain why:
Have you ever had a pet hit by a car?
Yes
No
Please list all the animals you have owned in the past 10 years and what happened to them:
What do you enjoy most about cat ownership?
What do you like least about cat ownership?
List any Humane Societies, Kennel Clubs, Breed or Training Clubs you are associated with:
References:
Please list the names and telephone numbers of 3 references not related to you. If you do not currently have pets under vet care, please provide a 4th reference.
Name:
Phone Number:
Name:
Phone Number:
Name:
Phone Number:
Name:
Phone Number:
How did you learn about Furry Friendzy Animal Rescue and Wildlife Rehabilitation?
By signing below, Applicant certifies that the above information is true and understands that, prior to being approved for adoption, this information will be verified. A home visit may be scheduled and all members of the household must be present. Applicant certifies that he/she is financially and physically able to care for the animal. Applicant understands that proper food and vet care can be costly and is prepared to meet these requirements. The adopted cat will be spayed/neutered, current on vaccinations and on heartworm preventive medication prior to placement. If a kitten is adopted then adoptee agrees to have altered by six months of age and provide proof to Furry Friendzy. Approved adoptions require a signed Adoption Contract. Adopter will also make a donation to Furry Friendzy upon taking possession of the cat. Furry Friendzy reserves the right to make random visits to ensure the adopted cat is being properly cared for, and if it is not, to remove the cat from the premises without refund.
Furry Friendzy reserves the right to decline any application.
"I/we hereby state that neither I/we nor anyone in my/our household, nor anyone who will have access to or care for this cat, has ever been charged with or convicted of any offense involving animal neglect, abuse, or cruelty, regardless of any dismissal or deferred prosecution or other expunging of the records. I/we understand and agree that if this statement is found to be incorrect, without further evidence of any other contract violation, the Rescue may immediately obtain return of all animals adopted to me/us, without refund of any sums paid, donated, or expenses incurred. Further, it is agreed that I/we shall pay all costs of the recovery and return of said cats(s) incurred by said Rescue."
*
I agree
Signature:
*
Drop files here or
Accepted file types: jpg, gif, png, pdf.
Upload your signature
All donations are used to further our rescue efforts
Please complete and return to
Adoptions@FurryFriendzy.org