Cat application

Cat application

APPLICATION TO ADOPT
(Applicants must be over 18 years of age)
Completion of the application does not guarantee adoption.

Name:

Address:

City:

State:

Zip Code:

Date:

Home Phone:

Work Phone:

E-mail Address:

What cat are you wanting to adopt:

Why would you like to adopt a cat? Please answer in detail.

Do you have children?YesNo

Number of children:

Ages of children:

How many in your household?

What type of housing do you live in (i.e. House, condo, apartment, mobile home, etc.)

If you rent, is the cat allowed in the rental? YesNo

If renting, please give the Landlord's name and phone number:

Who will be responsible for the care and supervision of the animal?

Does anyone have an allergy to cats?YesNo

If so, please explain:

What will happen to this cat if you should move?

Are you prepared to accept the cost and care of this cat while in your home?YesNo

Do you have a veterinarian for your pet?YesNo

Veterinarian's Name:

Veterinarian's Number:

Do you have dogs in the home?YesNo

Are your dogs spayed or neutered?YesNo

If so, how many:

Are your dogs accustom to cats?YesNo

Where will the cat be kept?

Will the cat be kept inside or outside?

If applicable, how will the cat access the outdoors?

What potential problems do you feel unprepared for? (i.e. biting, scratching, allergies, furniture scratching, etc.)

Have you ever had a cat declawed?YesNo

Are you planning on having this cat declawed?YesNo

How many cats do you have at this time?

Are they spayed or neutered?YesNo

If not, why? (Please provide details)

Are they up to date on their vaccinations?YesNo

If not, why? (Please provide details)

Please list two personal references:

Personal Reference's Name:

Personal Reference's Number:

Personal Reference's Name:

Personal Reference's Number:

Application completed and signed by:
Date:

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(Typed signature is accepted by Yakima Valley Pet Rescue)

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(Please read, date and sign the following)
YAKIMA VALLEY PET RESCUE
Agreement for Adoption
Terms of Adoption
The following agreement specifies what we feel is required to provide an appropriate home for a cat. The conditions set forth are based on our experience and a continuing commitment to see that our rescued animals are well matched to a family/owner. If I am successful in the adoption of a Kitten/ Cat through Yakima Valley Pet Rescue, I herein promise and agree to the following conditions:

To keep this Kitten/Cat in my personal possession, provide proper and sufficient food, water, shelter, grooming, and humane treatment at all times.

Not to sell, trade, transfer ownership, abandoned, or dispose of this Kitten/Cat in any way, but to notify Yakima Valley Rescue if I must relinquish custody of the Kitten/Cat. This includes but is not limited to family members.

This Kitten/Cat will be maintained as a predominately indoor house pet and family companion. It will not be maintained outside at all times,as a yard cat or in a basement, garage, or outbuilding. I will not use the Kitten/ Cat for medical or any other experimental purposes.

To ensure that when outside and unattended, the Kitten/ Cat is in a secure area.

To procure any veterinary care at once if it becomes sick or injured and to keep current on all vaccinations against feline diseases. Follow through with continued flea/tick treatment.

To provide him or her with a current ID tag secured to a collar which will be worn at all times.

To obey all Animal Control regulations governing the area in which I live.

Yakima Valley Pet Rescue requires that the Kitten/ Cat be spayed/neutered before adopting. However if for some reason this cannot be done I agree to have this Kitten/ Cat spayed/ neutered at my expense following the requirements of having a pre paid receipt from my veterinarian. This must be agreed upon between Yakima Valley Pet Rescue and the adopters. I will not allow this Cat to breed or be bred under any circumstances.

Yakima Valley Pet Rescue reserves the right to an ongoing review of this adoption and to follow-up on any complaints or reports, including an examination of the Kitten /Cat and its living conditions, to protect welfare of the Kitten/Cat throughout its life. If the terms of this agreement are not satisfactorily upheld by the adopter(s), and/or any misrepresentations have been made in order to obtain this Kitten/ Cat, Yakima Valley Pet Rescue reserves the right to terminate this agreement and demand the surrender of the said Animal immediately.

I understand that YVPR is a referral service and is not responsible for the accuracy of information received about the habits, temperament, or physical condition of the dogs/cats available for adoption. I understand that it is my responsibility to evaluate the dog/cat for myself before agreeing to adopt it. I am in full agreement with these terms of adoption. YVPR shall not be liable for, and is hereby relieved from, all liability for any damage, expenses, causes of action, fines, suits, demands, judgments or claims of any nature whatsoever arising from or by reason of any damage to property or injury to any persons caused in whole or in part by the dog/cat placed in my home. I hereby accept and assume such liability and agree to protect, indemnify and hold YVPR harmless from and against all of the aforesaid. I agree to comply with these terms.

Application Agreement completed and signed by:
Date:
(Typed signature is accepted by Yakima Valley Pet Rescue)

Dog application

APPLICATION TO ADOPT
(Applicants must be over 18 years of age)
Completion of the application does not guarantee adoption.

Name:

Address:

City:

State:

Zip Code:

Date:

Home Phone:

Work Phone:

E-mail Address:

Please give the name of the animal you wish to adopt:

Why do you wish to adopt this animal? Please answer in detail.

Have you ever owned a pet before: YesNo

Do you currently have animals: YesNo

Number of cats:

Are your cats accustomed to having dogs near them? YesNo

Number of dogs:

If you have a dog, what breed of dog do you own and how old and are they male or female?

Are your dogs socialized, and friendly with other animals? YesNo

Are your pets Spayed/Neutered? YesNo

If no, please explain why not:

Are your pets up to date on all vaccinations? YesNo

If no, please explain why not:

Have you at any time had any pet related diseases in your household? (i.e. Parvo, Distemper, Kennel Cough) If so, please explain:

Have you ever had an animal euthanized? YesNo

If so, please explain why:

Have you ever given an animal away? YesNo

If so, please explain why:

What type of animal are you wanting to adopt? (One that is: calm, active, a protector, a lap dog, etc)

What age of animal do you prefer:

Will the animal be for Search & Rescue, Agility, Hunting, Herding, or as a Guard Dog? If so, please specify which:

Do you plan to take this animal through the basic Obedience Course? YesNo

Do you understand that changing environments with a new pet may cause the animal to have accidents for a time, in the early days of adoption? (i.e. such as marking their territory) YesNo

Since this would be an accident (if this arises) what steps will you take to work on the problem?

If the pet is not fully house trained, as a puppy, will you take the time to work with the pet on house training? YesNo

Will this pet be a family pet or a senior citizens companion?

If a senior companion, please explain the reasons for adopting for the senior:

What will you do with the pet, if you travel?

In the absence of the owner, at any time, and for an extended period of time who will care for the animal?

Will someone be home with the animal during the day? YesNo

How many hours will the animal be left unattended?

Where will the animal be kept when you are not at home? (Please provide details)

Where will the animal sleep? (Please provide details, i.e. inside, outside, kennel, etc.)

How many people in the house hold?

Do you have children? YesNo

Number of children:

Ages of children:

If your child is five years or under, are they accustom to being around puppies or older dogs? (Please expain in detail)

Often times we find puppies tend to take the backseat when young children are in the picture. Puppies just do not know their boundaries and we find it is not fair to put them in that environment.

Do you rent or own?

If you rent, is the pet allowed in the rental? YesNo

What type of housing do you live in (i.e. House, condo, apartment, mobile home, etc.)

If renting, please give the Landlord's name and phone number:

Do you have a fenced yard? YesNo

If your yard is fenced, what type of fence do you have and how high is it?

Where will the new pet be kept most of the time? Where does your currant animals spend most of their time? (i.e. home, yard, kennel, etc.)

What type of excercise and activites will be available for this pet? Is a doggie door available?

Do you realize that it will take time for the animal to bond, it will not take place in just a few hours, a few days, or even possibly a few weeks. Will you be willing to take the time to work with the animal, and make sure it is not traumatized by being returned in a short period of time? YesNo

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Please list two personal references including your veterinarian:

Veterinarian's Name:

Veterinarian's Number:

Personal Reference's Name:

Personal Reference's Number:

I authorize the Yakima Valley Pet Rescue and Adoption Center to check my references? YesNo

Be it understood if an animal is returned for any reason to Yakima Valley Pet Rescue, according to our agreement,(which you receive when adopting) the decision for a refund will be decided upon by the board of directors.

Yakima Valley Pet Rescue and Adoption Center reserves the right to refuse to adopt any pets to applicants we feel would not be in the best interest of the animal. We also reserve the right to refuse any adoption ,without justification, and not all applications or inquiries may receive a response.

I understand that Yakima Valley Pet Rescue is not responsible for the accuracy of information received about  temperament or habits of puppies / dogs available for adoption.  I understand completely that it is my responsibility to evaluate  the dog for myself before agreeing to adopt it.  Yakima Valley Pet Rescue is in no way liable or responsible for any damage, accident, or injury resulting from the placement  of a dog into a household.

Adoptee's also need to pick up the dog (if your application has been approved) in a timely manner, as we need to free up our foster home space to take in more homeless pets is crucial.

Agreed upon:

Application completed and signed by:
Date:
(Typed signature is accepted by Yakima Valley Pet Rescue)

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YVPRAC ONLY

Application reviewed by:   

2nd letter follow up;

Adoption completed;

Other notes;

Instructions

If you are interested in adopting one of our wonderful pets, be sure to fully complete the proper adoption application for either a dog or a cat.  If you have any questions about this process please e-mail