Cat Adoption Application CAT Application Form Procedure: *Completely fill out & submit application. *You will hear back within 10 days or please assume your application was not selected. *Applications that are selected, vet-check and personal reference checks will be done. *If the adoption is approved, an adoption contract will be signed, adoption fee paid and you take your new pet home. Please give careful consideration to adopting, be sure your lifestyle allows the time, patience & expense this pet will need over the years. Ready for a 10-15 year commitment, Animals are not toys or short-term commitments and they are NOT disposable. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Primary Phone*Secondary PhoneWhy do you want to rescue a kitty?*Are you interested in a specific kitty?*Please ChooseYesNoWhich one(s)?*What kind of cat are you looking for? Age: 2-6 months Age: 6-12 months Age: 1-6 years Senior (7+ years) Declawed Health Issues FIV+/FeLV+ Declawing a cat is like ripping out a human's fingernails. It's cruel and painful.Are you looking for a cat that is:* Playful Calm Shy Affectionate Likes cats Likes dogs Likes kids Likes being outdoors Indoor only Lap cat Short hair Medium hair Long hair No preferences Preference for male or female?*Please chooseMaleFemaleNo preferenceAny additional interests, or requirements?Do any of your family members have allergies, or asthma?*Please ChooseYesNoPlease explain (asthma)*Please list all of the family members that live in your home. (names and ages):NameAgeRelationship to you Click + to add more rows.If any behavioral issues should be encountered with your new cat, what actions would you take?*Have all adult household members met and agreed on the kitty?*Please ChooseYesNoPlease explain (agreement)*Have you considered the extra expenses that will come with owning a cat?*Please ChooseYesNoThe cost of owning a cat typically runs from $200 to $700 per year for basic food, cat litter, routine veterinary care, vaccinations and boarding -- but not including grooming. If a cat is injured or gets seriously ill, extra veterinary care can cost hundreds to thousands of dollars. Other unexpected costs include replacing items a cat has scratched or soiled and cleaning the carpet or furniture more frequently. Grooming costs can range from $10 per year for the cost of grooming tools to $300 per year and up for a long-haired cat. Are you aware that changing the cat's environment may cause the cat to have accidents or other behavioral issues? Are you willing to give your cat time to adjust to it's new environment?*Please ChooseYesNoIs your residence a:*Please ChooseHouseCondoApartmentMobile HomeTown HouseOtherOther (housing)Do you*Please ChooseOwnRentLive with parent(s)Live with friend(s)OtherOther (lives with)*How long at current residence?*Please chooseFewer than 2 years2 years or moreIf you rent, please give name of your landlord:* First Last If you rent, please give phone number of your landlord:*If you rent, and have lived at your current residence less than 2 years please give your previous landlord's name First Last If you rent, and have lived at your current residence less than 2 years please give your previous landlord's phone*If you rent, and have lived at your current residence less than 2 years please give your previous landlord's information, and how long you lived there:*Do you plan to leave your cat outside?*Please chooseYesNoIf Yes, please explain:*Do you plan to de-claw your cat?*Please ChooseYesNoMaybeIf yes, please explain:*Who will be responsible for medical care of the cat?*How long, (in hours) will the cat be left alone everyday?*If you travel, where will your cat stay?*If you were to move, unexpectedly, where would your cat go?*Have you ever had to give up ownership of a pet?*Please ChooseYesNoIf yes, please explain:*Do you currently own any pets?*Please ChooseYesNoCurrent pets*BreedAgeNameWhat year did you get Pet 1?How did you acquire Pet 1?Up to date on rabies?Up to date on vaccines?De-clawedInsideOutsideSpayed/NeuteredVet nameVet phone Use + to add more rowsWill you use the same vet for your new cat?*Please ChooseYesNoIf you do not currently have pets, list any pets you had in the past that you were the primary caretaker? Please list these pets and what happened to each:*NameBreedWhat happened? Please list any Veterinarians you may have used within the past 10 years:*NamePhone Use + to add more rowsPlease provide additional information you would like us to know about yourself (breed / rescue experience, etc.):Reference 1 Phone*Reference 1 Name* First Last Reference 1 Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reference 1 relationship to applicant*Reference 2 Name* First Last Reference 2 Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reference 2 Phone*Reference 2 relationship to applicant*By submitting this application I attest that the information provided is true and accurate and understand false information will result in denial of adoption. Also, if an omission or untruth is discovered after an adoption takes place, the City of Attleboro or the Friends of Attleboro Animal Shelter reserves the right to annul the adoption and reclaim the animal. I give permission to fully investigate the information provided as well as contact veterinarians and related officials. The adoption decision is dependent on many factors, including but not limited to the compatibility of the family to the individual animal. I understand it is the Friends of Attleboro Animal Shelter prerogative to decide which home is most appropriate and that their decision is final, and therefore I will not argue with the decision. Unless otherwise indicated I am free to apply and undergo the application process in the future. I, the undersigned, hereby specifically and forever release, discharge and hold harmless the City of Attleboro, its agents, and any other person, firm or corporation charged or chargeable with liability, their heirs, administrators, executors, successors and assigns, from any and all claims, damages, costs, expenses, loss of service, actions and causes of action in relation to adoption of the dog. I hereby authorize the Friends of Attleboro Animal Shelter the right to receive information from Veterinarians and others listed on this application. MY INITIALS:* By checking this box you have read and agree to the above statements* I agree NameThis field is for validation purposes and should be left unchanged.