Adoption Application - One by One Cat Rescue

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One by One Adoption Application

Please answer all questions fully to help avoid delays in processing your adoption form.

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Step 1 of 6

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Your Information

Name 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 State ZIP Code

Home Phone*

Cell Phone*

Work Phone

Email*

Place of Employment

Occupation

Do you own your own home?*

Yes

Is your name on the deed?*

Yes

Type of residence*

House

Condo / Apartment

Mobile Home

Student / Military

How long have you resided at your current address?*

Please include years & months

How 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

Has anyone in your home been told they are allergic to cats?*

Yes

Please explain why not:*

Renter Information

Complete this section if you rent (if not applicable, please skip)

Landlord's Name

First Last

Landlord's Phone

Does your apartments / condo allow pets?

Yes

How much is the pet deposit?

Current Pet History

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do 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 Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Do they have health or behavioral issues? If so, please list:

Former Pet History

Have you ever surrendered an animal to a shelter in the past? If yes, why?*

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Reason you no longer own / Date deceased

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Reason you no longer own / Date deceased

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Reason you no longer own / Date deceased

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Reason you no longer own / Date deceased

Pet's Name

Type of animal & breed

Age

Sex

Spay / Neutered?

Declawed?

How long you've owned them

Reason you no longer own / Date deceased

Veterinary Information

Who 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

Unsure

When?*

Result?*

Do you plan on declawing this cat / kitten?*

Yes

Do you plan to keep this cat / kitten indoors?*

Yes

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

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

Final Confirmations

Please 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*

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Type your full name*

Date of Signature*

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