Feline Adoption Application

Pet ownership is a serious commitment that the entire household needs to consider and agree to before the animal is adopted. We want to ensure that each adoptive household is aware of, and willing and able to accept, the physical and financial responsibilities of pet ownership. Not everyone who desires to own a pet is ready to properly care for one. This questionnaire will assist both you and us in determining if your household is prepared to assume the role of responsible caretaker for a rescued animal. Thank you for taking the time to fill out this application.

Please allow our volunteers time to carefully review and process all applications (this can take several days and we will contact you once a decision has been made). If your application is received on a weekend or holiday, it may take longer for us to reach your veterinarian. We typically do not respond until we've had a chance to speak to all of your references. Thank you so much for considering a rescue!

(Fields with a red asterisk are required.)

Applicant info

Is there a particular cat of ours that you are interested in? If so, provide name and description:

Applicant's First Name *

Applicant's Last Name *

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

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

Street Address *

City *

State *

Apartment Number (if applicable)

Zip Code *

How long have you lived at this address? *

Home Phone Number *

Mobile Phone Number

Email Address *

Employer

Work Telephone Number

Student? *

Out of State Student? *

If "Yes" please share contact information for your counselor or sponsor. Please include sponsor's name, phone & email

When school is not in session, where will the cat reside (e.g. family home, friend's apartment etc.)?

Please provide contact information for this location (name, relationship, phone, email)

Environment info

Does anyone in your household have allergies to animals? *

If yes, to what kind(s) of animals?

Does your entire household know that you are considering adopting a pet? *

If no, why not?

Household setting *

Do you live in a:

If "Other" please explain

Do you own, rent, other your home? *

If "Other" please explain

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

If you rent, you MUST provide proof of permission to have a cat on the premises. Please provide your landlord's name and telephone number.

Will this pet be predominantly living inside, outside, or both? *

If outside or both, how long after adoption would you start letting the cat go outside?

Where will the cat spend the night? *

Are you prepared to care for this cat for the next 15-20 years? *

On average, how many hours per day will your pet be left alone? *

Please check the main reason(s) you plan to adopt a cat: *

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

Adoption preferences

Gender *

Age range (select all that apply) *

Other preference(s)

Where did you hear about this cat? *

Animals can be expensive to care for. What would you estimate the annual cost of feeding, housing and providing medical care for this animal to be? *

What problem(s) would make you return a cat? (Please select all that apply.) *

If "Other", please describe:

Would you be committed to work with the cat to correct any of these and most other problems? *

Would you ever consider declawing a cat? *

If yes, please describe the circumstance

Problem resolution

Have you or anyone in your household ever taken a pet to Animal Control or to a shelter? *

If yes, please describe the circumstance?

Would you return the cat due to any of the following circumstances (please select all that apply) *

Describe your home’s activity level (please select all that apply)

If other, please describe

Current pets

Do you feel that a pet should be spayed/neutered?

If "No," why not?

Please list all animals that you presently own, listing type of animal (cat, dog, other), breed, how long you have owned the animal, animal’s name, age, gender, whether the animal is spayed/neutered, and whether the animal is up-to-date on vaccines:

Who is responsible for the daily care of the above?

Who is responsible for care when you are on vacation?

Veterinarian info

Name and telephone number of current veterinarian, if any: *

If less than two years, name and telephone number of previous veterinarian or enter "N/A". *

References

Please list names and email addresses and phone numbers for three personal references, other than relatives. If you’ve had pets, include references who know the pets you have or have had, and the care that you provide for your pets:

Reference 1 *

Reference 2 *

Reference 3 *

Please list animals you previously owned and describe what happened to them.

Provide further information here.

Closing questions

I consent to a representative from FCHS calling my personal and veterinarian references. *

Have you ever been charged or convicted of animal cruelty, neglect, or abandonment? *

Please describe the nature of the charge(s)

Declawing is strictly forbidden.

Individuals who adopt a Floyd County Humane Society (FCHS) cat are contacted periodically for an update to help ensure that the cat successfully adjusts to its new life. If you adopt an FCHS animal, do you consent to home visits before and/or after adoption? *

What is the best time to call you at home to check on how the adopted cat is adjusting? *

If at any time an adopter cannot keep the cat, it must be returned to the Floyd County Humane Society. If the cat is not spayed or neutered at adoption, the adopter is required to alter the cat and provide a veterinary certification of altering to the Floyd County Humane Society by the date specified in the adoption contract. Cats unaltered by the contractual date may be seized. Applicants may be subject to a background check. By signing below, I acknowledge that I have completely read this questionnaire and comprehend it fully. I know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the adoption contract can result in the forfeiture of any Floyd County Humane Society animal adopted by me.

Please Initial Here & Date *

The adoption fee includes the spay/neuter at the veterinary office of FCHS choice and any age-appropriate vaccines at the time of adoption, it may also include flea treatment and dewormer if necessary.