DivaPets Cat Rescue Adoption Application

Animal you are interested in adopting

Names of other cats or kittens of interest

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

State *

Apartment Number (if applicable)

Zip Code

Email Address *

Best Number for Contact *

Date of Birth *

How did you find out about us?

Have you adopted from Diva Pets Rescue before? *

Is this pet for you or someone else?

Do you own other pets at the current time?

If yes, please describe them including breeds and ages.

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

Have you ever turned your dog or cat into a shelter? *

If yes, please explain? *

Do you plan to declaw this cat, now or in the future? *

Have you declawed a cat in the past? *

If yes, please explain?

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:

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

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.

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 living inside, outside, or both? *

How will you handle destructive behavior?

Do you currently have a vet?

Veterinarian's Name and Phone Number

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:

Are you willing to take responsibility for this animal for the next 10-20 years? *

If no, please explain:

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 landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *