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:

This test prevents automated submissions Enter the text that appears in above image:

(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)