APPLICATION TO ADOPT AN ADULT CAT FROM 4PAWS RESCUE – 2015
Name: _____________________________Birth Date: ___________________________
Telephone: _____________________ What is the best time to call? _____________
Street address:_____________________________ Town: _________________________
Mailing Address: ______________________________________Postal Code______________
Email Address: ____________________________________________________________
I wish to adopt specific cat ________________(name).
I wish to adopt a future cat
This cat is for 1)Myself
or
I wish to adopt a future cat
2)Family member living away from home 3)Friend
Why do you want to adopt this cat:
How many people live in your household
A, Adults (19 to 65) ___ B, Seniors (Over 65) ___
C, Adolescents (12 to 18) ___ D, Children (3 to 12) ___
E, Infants (Under 3yrs.) ___
Everybody in your household agrees to add an adopted pet to the family? Y N
Name all which you are looking for in a cat: ie – colour, behaviour, good with others, etc
________________________________________________________________________
How would you rate your general knowledge about cat care?
A Very Knowledgeable: B Somewhat Knowledgeable
C Little or No Knowledge
How long have you actively been planning/searching for an adopted pet?
A, No. of Days :___ B, No. of Weeks: ___ C, No. of Months: ___
Are there other pets in the household now?
A, Yes: ___ B, No: ___
If yes please fill out the following
TYPE PET
CAT
DOG
OTHER
SEX
M
AGE
SPAYED/
NEUTERED
F
YES
Have you adopted a 4Paws Rescue animal before?
WHERE PET STAYS
NO
Y
INSIDE
OUTSIDE
IN & OUT
N
Have you applied for adoption with any other rescue group?
Has a Rescue group/person ever helped you in the past with strays, spay/neutering or rehoming of your
own animals?
Have you owned pets before?
Yes
No
Where are these pets now?
A, Don’t Know: ___ B, Gave Away: ___ C, Lost & Never Found: ___
D, Died: ___ E, Sold: ___ F, Never Owned: ___
How did your previous pets die:
A, Old Age: ___ B, Accident: ___ C, Illness: ___
D, Disease: ___ E, Don’t Know: ___ Other: _______
Name of Veterinary Clinic you plan to use: _________________________________
Do you plan to de-claw your adopted pet
Y
N
Maybe
Don’t Know
Where will your adopted pet spend most of the time? Indoors Outdoors Barn
Are you planning to allow your adopted pet access to the outdoors
What brand of food do you plan to feed your cat? Dry ________________ Wet __________
Please visit http://www.petfoodratings.org/ to discover what is in the food you plan to feed your new
cat. Special Note: Special Kitty is often recalled due to salmonella and other life threatening
contaminants. Feeding your cat *Low-end (cheap) food may result in life threatening, expensive
urinary tract blockages and crystals and other serious medical conditions.
How many litter boxes do you plan to use and where will they be located?
If your cat begins to urinate/defecate outside litter box what do you do?
1) Take to vet to check for bladder infection and crystals or other medical problems, 2) Clean the litter
box & do it more regularly 3) Check for reasons that would cause your cat to become suddenly
become territorial. 4) Relocate litter box away from appliances or food bowls and add another litter box
5) All the above.
Cats need to have enrichment to help them become secure & confident: Circle which you have or plan
to purchase for your cat: Scratching post or box, Cat tree or shelving for cats to perch on, laser pointer,
interactive toys, cat nip, boxes or beds in quiet places.
Who will be responsible for the care of this adopted pet?
Is your residence
A, House
B. Apartment
C. Mobile Home
How long have you resided there?
Do you plan to move within the next 12 months?
If renting, what are your pet regulations & restrictions? (Security deposits, number & size limits, e.g.)
Landlord: ___________________ Telephone: ________________________
Do you know what your town/village/city bylaws are regarding pet ownership are?
Does anybody in your family have allergies or asthma?
Have you or any of the persons dwelling in the house been accused of, suspected of, or charged with
cruelty to animals?
I affirm that I have answered all questions honestly and to the best of my ability and give permission
for 4Paws Rescue to call me to discuss any of my answers.
Signature:_________________________________ Date: __________________
Approved
Declined
Reason
View the cats & kittens available for adoption at our website: http://4pawsrescue.ca
You can download this application online and return it to me via email
You can return the application to Fit For Pets Boutique, Haileybury
landys@4pawsrescue.ca