Fields marked with * are required. One by One Adoption Application Please answer all questions fully to help avoid delays in processing your adoption form. "*" indicates required fields Step 1 of 6 16% Your InformationName of the Cat(s)/Kitten(s) or type of cat(s) you are looking for:*Your Name* First Last Date of Birth*Address* Street Address Apartment, Suite, etc. City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell Phone*Work PhoneEmail* Place of EmploymentOccupationDo you own your own home?* Yes No Is your name on the deed?* Yes No Type of residence* House Condo / Apartment Mobile Home Student / Military How long have you resided at your current address?*Please include years & monthsHow many times have you moved in the last 5 years?*List all of the people in your home and their ages.*Are all of the members of your home aware of your plans to adopt this cat?* Yes No Has anyone in your home been told they are allergic to cats?* Yes No Please explain why not:* Renter Information Complete this section if you rent (if not applicable, please skip)Landlord's Name First Last Landlord's PhoneDoes your apartments / condo allow pets? Yes No How much is the pet deposit? Current Pet HistoryPet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Do you have more pets you need to list? Check this box for more fields Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list:Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themDo they have health or behavioral issues? If so, please list: Former Pet HistoryHave you ever surrendered an animal to a shelter in the past? If yes, why?*Pet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themReason you no longer own / Date deceasedPet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themReason you no longer own / Date deceasedPet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themReason you no longer own / Date deceasedPet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themReason you no longer own / Date deceasedPet's NameType of animal & breedAgeSexSpay / Neutered?Declawed?How long you've owned themReason you no longer own / Date deceased Veterinary InformationWho is your current Veterinarian?*Veterinarian's Phone*How many years have you been a client?*Who was your previous Veterinarian?*Has your cat(s) been tested for Feline Leukemia / Aids virus or FeLv/FIV?* Yes No Unsure When?*Result?*Do you plan on declawing this cat / kitten?* Yes No Do you plan to keep this cat / kitten indoors?* Yes No What BRAND of foods do you feed your cat(s), or plan to feed this cat / kitten?*Are you willing and able to pay an average of $250.00 per year for basic veterinary care?* Yes No Should you cat become injured or ill, how much are you prepared to spend?*How long will the cat be alone every day?*Who will care for this cat if / when you go out of town?*Do you agree to a home visit and understand it might be required prior to adoption?* Yes No Final ConfirmationsPlease read and agree by checking all of the following carefully:* I / we will return the cat(s) to One by One if unable to keep the cat(s), regardless of reason without expectation of a refund. I / we will advise One by One of any address or phone number changes during the life of the cat(s). I / we will not declaw this cat / kitten and will promise to keep this cat / kitten as an indoor only companion pet. I / we will notify One by One if the cat(s) becomes seriously ill or a decision is made to euthanize. Please list the name & phone number of a person who will always be in contact with you (besides yourself).Name* First Last Relationship to you*Phone*How did you hear about us?* Social Media PetFinder Internet Search Friend or Family Other Were you referred to us by anyone?Please specify. We would love to know how to spread the word!*I am donating an adoption fee to ONE BY ONE CAT RESCUE to help defray partial costs involved in the vetting of this cat / kitten. I / we the undersigned adopting party, realize that One by One can make no warranty or representation as to the continued good health and disposition of this animal and from this date forward, I / we assume all expenses in connection with the maintenance and health of this animal. I / we acknowledge all future veterinary bills are solely the responsibility of the pet owner. Further, I / we understand that One by One will have the right to ascertain that the conditions of this agreement are being complied with on a continuing basis. We may do this through home visits (we will call first for a convenient time) and by phone calls to verify vet check ups for ongoing care of this cat. If I / we violate any of the above terms, One by One will have the right to immediately reclaim the animal. I / we understand the spirit of this contract is for the protection of this cat / kitten, and I / we will take care of it to the best of my / our ability. I / we understand and agree to pay any and all expenses, including court costs and reasonable attorney fees, necessary to enforce this contract.* My signature below shows that I / we are in agreement with the above terms: Driver's License #:*Signature*Use your mouse, stylus, or finger to sign on your device!Type your full name*Date of Signature*CAPTCHACommentsThis field is for validation purposes and should be left unchanged.