Animal Adoption Application Page 1 of 5CONTACT INFORMATIONWhich cat are you interested in adopting?*Only "Available" cats may be requested on this form. "Pending" cats submitted on this form will not be approved.Name*FirstLastStreet Address*City*Zip Code*Email address*Phone*Current Age*Name of Spouse/Significant Other.Current Age of Spouse/Signicant OtherNames and Ages of any additional people in the household.Who will be responsible for the cat's care?*Email address*NextHOUSEHOLDHas anyone in your household experienced allergies or asthma?*YESNOIf yes, please explain.*Is your home a:*HouseApartmentCondoOtherWhat are your associations's rules about keeping pets?*If other, please describe.*How long have you lived at your current address?*Where do you plan to move to?*Do you own or rent your home?*OwnRentDo you have permission to have a pet?*YesNoApartment Complex or Landlord Name?FirstLastApartment Complex or Landlord Phone Number?*Do you plan to move in the near future?*YESNOWhat are your plans if you move to a new home that does not allow pets?*What are your plans if you moved locally?*What are your plans if you moved out of state?*What will you do with your new cat:If you get married (if you are single)?*If a new boyfriend/girlfriend is allergic to cats?*If you travel?*If your cat outlives you?*Do you have any of the following?*PatioBalconyPet DoorUnscreened WindowsUnscreened DoorsBackyardFrontyardCatioOther means of outdoor access for a catIf other, please describe.*Are you willing to have an Adoption Representative visit your home?*YESNOIn what areas of your home will your cat be allowed?*Where will you keep the litter box?*Where will your cat sleep at night?*Cat BedGarageMy BedroomAnywhere (s)he wantsOtherIf other, please describe.*How many hours of the day will the cat be left alone?*Where will (s)he be left alone?*Will your new cat be an indoor or outdoor pet?*IndoorOutdoorBothWhen will your cat be allowed outside?*AnytimeDaytime onlyUnder supervisionOn balcony/patio onlyOn a leash & harnessOnly when the cat is olderOnly if I move to a house or other locationOtherIf Other, please explain.*If your cat will be allowed outdoors, please elaborate in detail on how much time and under what circumstances the cat would be outside.*BackNextPET HISTORYAre you prepared to care for this cat for 15-20 years?*YESNOWhy are you looking to adopt a cat?*Companion for you/spouseCompanion for childrenCompanion for petReplace lost/deceased catGiftOtherIf gift or other, please describe.*Is this your first pet?*YESNODo you currently have other pets? (Select all that apply)*DogsCatsOtherNot at this timeif other, please describe.*What are their favorite toys?*Please list any pets you previously owned.*Where did you get your previous pet?*What happened to the pets you previously owned?*If deceased, what was the cause of death?*Were your previous cats declawed?*YESNODo you plan to declaw your new cat?*YESNOWhy or why not?*BackNextPET CAREWhat brand pet food do you feed your pets?*Do you have a veterinarian?*YESNOVet NameFirstLastVet Phone NumberAre your dogs or cats spayed/neutered?*YESNOAre your dogs or cats vaccinations current?*YESNOHas your cat been tested for leukemia (FeLV) and FIV?*YESNOHow often does your pet visit the veterinarian?*When was the last visit and for what services?*Are you prepared to cover any vet expenses your pet may incur throughout its life?*YESNOIs there a dollar limit per incident?*YESNOHow much is too much per incident?*BackNextPET RESPONOSIBILITIESHave any of your cats caused any of the following problems? (check any that apply)*Scratching furniture/carpet/drapesScratching peopleFleasHigh vet billsLitter box problemsFighting with other petsExcessive sheddingRunning awayNone of the AboveOtherIf other, describe.*What will you do if your cat displays any of the above behaviors?*What is a behavior that would not be acceptable to you?*What amount of time do you think is reasonable for your cat to adjust to you and your home?*Under what circumstances would you not be able to keep this new cat? (Please check all that apply.)*Pregnancy/BabyDivorce/SeparationSpouse/child is allergicNeeds too much attentionJob changes/lossNew house/apt.Scratches carpet/drapes/furnitureBehavioral problemsExpensive vet billsConflicts with other petsSprays, litter box problemsNeeds special dietCat becomes disabledRequires daily treatmentOtherIf other, please describe.*If you have to give up this cat for any of the above checked reasons, what will you do with the cat?*Were you ever in a situation where you were not able to keep a pet?*YESNOIf yes, please explain.*Where did you find out about this cat? (Please check all that apply.)*Friend/family memberAnimal ShelterPet StoreDREAM Cattery Walk-inOther Rescue GroupPetFinder.comAdopt-a-pet.comOther WebsiteDream WebsiteFacebookInstagramNewspaper or Newspaper websiteCraigslistOtherIf Other Website or Other, please describe.* There may be more than one application for a cat. DREAM Animal Rescue reserves the right to select the best application for each cat. We reserve the right to decline an application based on the best interest of the cat. The applicant understands that any false, incomplete or misleading statements on this application are grounds for denial of the application and or immediate return of the cat to DREAM Animal Rescue. You will be asked to review and sign an Adoption Contract at the time of discharge. DREAM Animal Rescue reserves the right to refuse service to anyone and may deny adoptions at their discretion. Most of the cats at DREAM Animal Rescue have experienced physical and or psychological trauma, coming from shelters or being abandoned by their previous owners. Because of this, DREAM Animal Rescue feels it is imperative that our cats be adopted into homes that offer health, happiness, safety, longevity and permanence. If you are denied adoption of a cat, DREAM Animal Rescue asks that you not feel offended, but realize that DREAM Animal Rescueand you do not share the same philosophies regarding cat care.AGREEMENT AND SIGNATUREBy filling in my signature, today's date and clicking the submit button: I certify that all statements made by me on this document are true and correct. I agree that the current owner has the right to confiscate the above described animal in the event that any statements made by me are found to be false and/or if I am found to have breached this agreement in full or in part and/or my check for the adoption fee is returned for insufficient funds. I agree with this document in its entirety. Signature*Date*I have read and agree to DREAM Animal Rescue PRIVACY POLICY.BackSubmitREV 5/19This field should be left blank