Adoption Application

Name(required)

Email(required)

Address

Name(s) of cats you are interested in adopting:(required)

What type of personalities are you looking for?

Outgoing and playful Relaxed and lap cat

Why are you interested in adopting this cat?

Are you at least 18 years old?

Is everyone in the home aware you are adopting a cat?

Yes No

Do you rent or own your home:

Rent Own

Are pets allowed:

Yes No

On the average, how many hours per day are you home?

Do you have children?

Yes No

Children ages?

Does anyone in the home have allergies to cats?

Yes No

Does your home have a pet door?

Yes No

Will the cat have access to a porch or patio?

Yes No

Place of employment:

Work Number:

List pets and their ages currently in your home:

Are your current pets spayed/neutered?

Yes No

Are your cats' vaccines current:

Yes No

Tested NEGATIVE for Felv and FIV?

Yes No

Do you own dogs?

Yes No

How many?

How are they with cats?

List your Veterinarian Clinic

Do we have permission to contact them?

Yes No

When was your last vet visit?

Reason for visit?

List of pets you have owned in the past 5 years?

Where are they now?

Have you taken an animal to the shelter?

Yes No

If yes, please explain?

Have you previously adopted from SARA?

Yes No

If yes, who did you adopt and when?

Might you declaw this cat?

Yes No

Where will the cat live?

Indoors and Outdoors Mostly Inside Inside only Outside only

On average, how many hours per day will the cat be outside?

Where will the cat sleep?

What will happen with this cat if you move?

Under what circumstances would you not keep this cat?

What arrangements would you make if you can no longer keep this cat?

In the event of a terminal illness or passing away, what caregiver arrangements have been/will be made for your adopted feline?

Would you be agreeable to a scheduled home visit?

Yes No

Do we have permission to contact you in the future about this cat?

Yes No

Understand that routine care will cost hundreds of dollars and emergency care can cost thousands for this cat?

Yes No

Understand that this cat will be my responsibility for its entire life, which could even be a 15 – 20 year commitment?

Yes No

(initial) I understand if I choose to place a $95 hold (per feline), and I change my mind, $50 will be considered a donation to the rescue.

(initial) I understand if I choose not to place a hold that other following applications with a paid hold will have priority consideration.

IN SIGNING THIS APPLICATION, I AGREE THAT THE ABOVE INFORMATION IS TURE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND I UNDERSTAND THAT SAVING AT RISK ANIMALS HAS THE RIGHT TO APPROVE OR DENY THE APPLICATION. Upon approval, I acknowledge that if any of the information I have provided is found to be untrue, inaccurate or omitted that I am agreeing to a mandatory forfeiture of my legal rights and ownership of said cat(s) back to SARA and its Representatives. (Please type your name below)

Date

Phone Number(required)

Saving At Risk Animals

Adoption Application

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Saving At Risk Animals

Adoption Application

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