Small Animal Adoption Application

Are you looking to adopt a small animal from the Brooklyn Cat Cafe?
Please fill out the form below.

Title
First Name *
Last Name *
How old are you? *
Tell us about yourself. *
Why do you want to adopt? *
Name(s) of co-applicant(s), if any, their age ranges, and their relationship to you.
Which animal(s) are you interested in?
Please tell us why you have chosen this particular (set of) animal(s). If you did not choose a particular animal, tell us a bit about what you might be looking for. *
Is everyone in the household prepared for new animals?
Contact Information
Email Address *
Phone Number *
Address *
City *
State *
Zipcode *
Neighborhood
Housing Information
What type of housing do you have? How long have you lived there? *
Do you own or rent? *	own rent
If renting, do you have permission to have pets?	yes no not sure
Landlord's Name & Contact Information
Household Information
Number of Adults in Household *
Do you have roommates?
Please list all roommates and their email addresses.
Please list the number of Children/Teens in the household & their ages. *
If there are children, have they been taught how to interact with animals? Will they be supervised?
Although we support children playing an active role in caring for your adopted pets, please confirm that you understand that the adults in the household are responsible for animal care.
Will you be teaching animal security in your home? (Teach the family to not leave doors open, etc.)
Is anyone in your home allergic to pet hair/dander? *
If you're not sure about allergies, please confirm with a physician before the adoption.
Other Pet Information
Do you have pets? How many? Please list type / breed / age / gender *
How long have you had the pet(s)? Where did you get the pet(s)?
How long have you been thinking about getting this type of animal? What research have you done in preparation?
Have you had previous pet(s)? Please list type / breed / age / gender
Have you ever had to give up a pet? Why and where did you bring them? *
What happened to the pet(s)? Where did you get the pet(s)?
Do you have a current vet? If so, please provide their name/contact info.
How much do you estimate it will cost to care for the animal(s) annually?
Are you willing to take the animal(s) to the vet should they become sick or injured? *
Supplies
Do you have a suitable cage? Where will the cage be kept?
How much exercise (out of cage time per day) will you allow the pet(s)? *
Do you have an exercise area or solid exercise wheel (hamsters, mice, gerbils)? Please describe.
Do you have proper bedding? An igloo or nesting box? (Please state type)
What type / brand of food pellets? What type of bowl (plastic, metal, ceramic)?
Please list any appropriate toys you will provide.
Do you have Timothy Hay or Orchard Grass (rabbits & guinea pigs)?
Employment Information
What is your current employment situation? *
List your occupation, employer name and address and number of years at your current job. If self-employed, please be very detailed. If you recently started a new job, please provide additional information. *
Looking Forward...
Where in your house will the pet(s) live? *
How often do you travel? How long are you usually away? *
When you travel, who will be caring for your pet(s)? Please give details of how often they will come over, or if you plan on boarding, where? *
What circumstance(s) would cause you to consider rehoming an adopted pet? Do you have friends or family who may help if that were to happen? *
If you are adopting with a partner, who will get custody if the relationship ends?
References Please note references should not be family members, current roommates or significant others.
Reference #1 Name *
Email Address *
Relationship to you *
Reference #2 Name *
Email Address *
Relationship to you *
Reference #3: *
Email Address *
Relationship to you *
And Finally... Note: There is an adoption donation required to cover vaccines and routine veterinary care that we provide. We also require a home visit as part of the adoption. Generally we bring the animal you chose to adopt at a time that is convenient, do the brief home visit, sign the adoption agreement, and collect the adoption fee.
Do you have any upcoming events that would prevent you from adopting right away? Including holiday travel.
Is there anything else you'd like to add?
By submitting this application, I certify that all of the above information is true and correct, and I authorize Brooklyn Bridge Animal Welfare Coalition to contact all persons listed above. (Please type your first and last name.) *

Small Animal Adoption Application

Contact Information

Housing Information

Household Information

Other Pet Information

Supplies

Employment Information

Looking Forward...

References

And Finally...