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 *

Email Address *

Date of Birth *

How did you find out about us?

Have you applied anywhere else for a pet? *

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? *

How many pets have you owned in the last 5-10 years? *

What happened to any pets that are no longer in your care? *

Are your pets current on their vaccinations? *

Have you ever surrendered your animal into a shelter? If yes, please explain? *

Please list your current veterinarian's Name, Address, City, State, Zip Code, and telephone number.

Have you ever had a pet euthanized? If yes, please explain *

What preventative care do you prefer? (Flea and tick, heartworm, vaccinations) *

If you have pets, will they adjust to a new pet in the house?

Were any of your pets obedience trained? *

Please check the main reason you plan to adopt a pet: *

If you answered "other" above, please explain here:

Please describe in detail the pet you are looking for. *

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? *

If you rent, does your landlord and lease allow pets? *

Including yourself, how many people live in your household? *

Please list the ages & relationship of those who live in your home. *

Is everyone in your household aware that you are planning to adopt a pet? *

Does anyone in your household have allergies to dogs/cats? *

Employment Status *

If you chose "other" above, please explain:

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? *

Please provide a description of this pet's living conditions. *

Where will the animal sleep? *

If you answered "other" above, please explain:

Will the animal spend any time in the garage? *

If the animal will spend time in the garage, please explain when/why:

How will you handle destructive behavior? *

Will you keep the animal up-to-date on vaccinations and heartworm preventative? *

If no, please explain:

Have you ever been convicted of domestic violence/abuse or neglect of a child or animal? *

If yes, please explain:

What arrangements will you make for the care of your pets in case of an emergency? *

If you answered "other" above, 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? *

What would you do with your animal if you had to move? *

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 names and phone numbers for 3 references that are 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. *