Valley Cats Cat and Kitten Rescue » Adoption Application

Cat(s)/Kitten(s) Desired:

First Name, Middle Initial, Last Name:

Address:

City/State/ZIP:

E-mail:

Primary Phone/Cell:

Birthdate:

Occupation/Employer Name:

Household Information:

Ownership Information:

If you rent, please provide your landlord's contact info here:

How long have you lived at this address?

Names/Ages of other adults/children living with you:

Have you owned a companion animal before? If so, please list names and ages of pets you've owned in last 10 years, and if they were spayed/neutered and/or declawed, here:

Veterinarian(s): Please list your current/previous Veterinarian(s). Valley Cats will contact them to verify your current pets are up to date on shots and altered. Please call their office to authorize release of information to Valley Cats.

Who is this cat for?

Is anyone in your home allergic to cats? If so, please describe how you will control this:

Where will the cat be kept?

Are you planning to declaw the cat?

In an average year, how much do you estimate spending to provide care for your cat?

Are you financially prepared to incur emergency expenses should your cat need urgent care?

Yes
No

As your new cat transitions to your routine, it may take a month (or more) to adjust. Are you willing to devote time to the transition process?

Yes
No

How did you hear about Valley Cats?

Please read and check all boxes below:

By submitting this adoption application, I agree to provide annual vaccinations, annual health check-ups and any additional veterinary care, by a qualified veterinarian, as needed.
When picking up my new friend(s), I will bring a secure cat carrier for each cat I am adopting.
By submitting this adoption application, I/we acknowledge that the information on this form is true and correct. I/we agree to all provisions indicated on this form. I/we understand that any misrepresentation of fact may result in Valley Cats Cat and Kitten Rescue, Inc. refusing adoption privileges to me/us. If my/our request for adoption is approved and later Valley Cats Cat and Kitten Rescue Inc. discovers that the information on this application is not true or correct, this application becomes null and void. Because of my breach of contract, Valley Cats Cat and Kitten Rescue Inc. reserves the right to remove the adopted pet from my home, and I will be held responsible for any associated legal costs incurred as part of said reclamation process. I understand that in order to ensure the best homes for its rescued pets, it reserves the right to deny any adoption application for any reason.

Comments/Questions

Please list anything else you’d like us to know above. PLEASE NOTE THAT AFTER YOU HIT THE SUBMIT BUTTON IT MAY TAKE 5-10 SECONDS TO GO THROUGH. Thank you!

Adoption Application

Valley Cats Cat & Kitten Rescue