Cat Adoption Application Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Today's DateMM/DD/YYYYName of cat(s) you wish to adoptYour AddressStreet, city, state, ZIPPhone NumberPlease include area codePlease tell us why you would like to adopt this pet?Do you have other pets?YesNoIf you have other pets, please list what type and how manyHow many adults in the household?How many children in the household?Please list their age(s)Does anyone in your home have allergies to animals?YesNoDo you have previous experience with animals this age & species?How often will the animal be left alone?Are all of your current pets up to date on their rabies vaccination?YesNoAre all of your current pets spayed/neutered?YesNoIf no, please explain why not to this If Veterinarian's NameVeterinarian's phone numberWhat type of home do you live in?ApartmentSingle Family HomeTownhouseCondoMobile HomeOtherIf you rent, does your landlord allow pets?YesNoN/ADo you have authorization from your landlord to have a pet?YesNoN/ALandlord ContactPlease provide the name and phone number of your landlord for verificationIf rental, is the pet deposit paid?YesNoN/AIf you become ill or need to travel, who will care for the animal?Reference #1Please list name, phone number, and relationship to youReference #2Please list name, phone number, and relationship to youReference #3Please list name, phone number, and relationship to youAdditional CommentsIs there any other information you’d like to share with us?PLEASE READ CAREFULLY BEFORE CHECKMARKING EACH BOX! Statement of understanding:I agree to maintain the pet on monthly flea/tick preventativeI am financially and physically able to care for the animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements.I agree to provide adequate shelter for the animalI agree to provide adequate food/hygiene/companionship to the animalI understand that submitting an application does not guarantee that I will be approved for adoption. Tri-County Animal Rescue Center and/or their authorized representative(s) reserve the right and authority for the final approval and disposition on the placement of animals under their careI certify that the information provided on this form is true and correctI understand that any adoption fee paid is nonrefundableBy electronically signing below, I acknowledge that I have completely read this questionnaire and comprehend it fullyI agree that, if at some point in time, I am unable to care for this animal, I will return this animal to Tri-County Animal Rescue CenterI understand that by signing this form I authorized my veterinarian’s office to verify that my other pets are current on vaccinations and clients of the veterinary practice.I will provide the animal with all necessary medical care if it becomes sick or injured. I will take the animal to a veterinarian for routine exams and vaccinationsShould any behavioral problems arise with this animal (e.g. improper scratching or elimination), I will work with the animal and/or a veterinarian/behaviorist to resolve the issue.The animal will live indoors only. I am aware that cats who live outdoors some or all the time have significantly shorter life expectancies and face many more health risks than cats kept indoors at all times.I understand that if any of the terms of this contract are broken at any point in the future, Tri-County Anial Rescue Center reserves the right to remove the adopted animal from my home.I will not have this feline declawedI herby understand and agree that Tri-County Animal Rescue Center (TCARC) makes no representations or warranties, expressed or implied, about the above mentioned animal’s temperament and is hereby absolved from any liability for future damages or injuries caused by said animal. I also understand that TCARC further gives no guarantees, expressed or implied, of the suitability of the animal to the adopter and/or their family. I hereby understand and agree that TCARC shall NOT be responsible (unless approved in writing) for any fees or expenses for veterinary costs after the adoption date.I affirm that everything I have stated is trueElectronic SignatureBy typing your name, you agree that this typed entry constitutes your legal electronic signatureDateMM/DD/YYYYSubmit
