Bossy Paws Rescue Adoption Application for Cats

Animal you are interested in adopting *
Applicant's First Name *
Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Phone Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Are you interested in multiple animals or pairs? (list the name of additional animals of interest) *
How did you find out about us?
Is this pet for you or someone else? *
Please list any current pets by providing names, breeds, and ages. *
Are all of your pets spayed/neutered/fixed? *
Are your pets current on their vaccinations? *
Please list your current veterinarian's Name, Address, City, State, Zip Code, and telephone number. Again if you have never owned a pet please list where you would go
Have you ever had a pet euthanized? If yes, please explain *
What preventative care do you prefer? (Flea and tick, heartworm, vaccinations) *
Please check the main reason you plan to adopt a pet: *
If you answered "other" above, please explain here:
Do you own or rent your home? *
Please select your current residence type. *
If you answered "other" above, please explain here:
How long have you lived at this address? *
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home (including yourself). *
Is everyone in your household aware that you are planning to adopt a pet? *
Does anyone in your household have allergies to dogs/cats? *
On average, how many hours per day will your pet be left alone? *
How much do you think the annual medical bills will be for your pet? *
What would you do if the bills went over this amount? *
Will this pet be predominantly living inside, outside, or both? *
How will you handle destructive behavior? *
Have you ever been convicted of domestic violence/abuse or neglect of a child or animal? *
If yes, please explain:
What will you do with the animal when you go on vacation? *
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal? *
If you answered "other" above, please explain:
Is anyone in the home allergic to cats, dogs, or small animals? *
Are you willing to take responsibility for this animal for the next 10-20 years? *
Please provide the name and phone number for a reference that is not related to you. *
Please provide the reference name and contact telephone number. *
Please provide the name and phone number for a reference that is not related to you. *
Will you allow us to perform a virtual home check? *
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact references, landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *