Furry Friendzy | Cat Adoption Application

Incomplete applications will not be considered.
Personal Information:

Name:*

Age

Address:

Street Address City 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:

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:

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:*

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All donations are used to further our rescue efforts

Please complete and return to Adoptions@FurryFriendzy.org

CAT ADOPTION APPLICATION