Feline Urgent Rescue Adoption Form

FELINE URGENT RESCUE OF THE UPSTATE

APPLICATION FOR CAT ADOPTION

E-mail Address: *
Name of the cat you are interested in: *
Date: *
Address *
Applicant Name: *
Home Phone: *
Alternate Phone: *
Age: *
Occupation: *
Years of service: *
Other Sources of income: *
Type of residence? *	Apartment Mobile Home House Farm Other
Do you rent or own? *	Rent Own
How long at this residence? *
If You Rent: Name of community:
Owner Manager Name:
Phone:
Pet Deposit $:
Have you paid the pet deposit?	Yes No
Suppose you move to an apartment or rental that does not accept pets. What do you do? *
How many people currently reside in you household? *
Adults *
Children *
Children’s ages:
Does any member of your family have any allergies to animals? *	Yes No
Why do want to adopt a cat? *	Family Pet Companion for self Gift Other
What type of cat are interested in? *	Male Female Adult Kitten (Under 6 months) Long Hair Short Hair
Personality Type? *
Do you plan to declaw? *	Yes No Not Sure
Why or Why not? *
Where will your new cat be kept? *	Indoors Only Outdoors Only Both in and out
How many cats have you had before? *
What happend to them? *
Do you have pets now? *	Yes No
If yes, How will your new cats adapt?
Do your pets spend any time outside?	Yes No
Explain:
Have your pets been around cats or kittens? *	Yes No
Describe those companion animals you still care for or that are living in your household: *
Name Breed *
Age Spayed or neutered?
Kept Where? Time in your care *
Name of veterinarian: *
Vets Phone Number? *
Are all pets listed under the same guardian name at your veterinarian’s office? *	Yes No
What will you do if your cat does not get along with your present companion animal? *
How would you handle the situation if the cats start unwanted behaviors? *
When alone where will the cat stay? *	Garage Basement One room of house Whole House Other
By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in F.U.R. refusing adoption privileges to me/us. If my/our request for adoption is approved and later F.U.R. discovers that the above information is not true or correct, F.U.R. reserves the right to remove the adopted cat from my home/farm.
E-Signature: *
Date: *