Adoption Application

Whiskers Rescue

Individual or Couple *
Primary First Name *
Primary Last Name *
Primary Cell Phone *
Home Phone (if any)
Primary Email * Please enter correctly as this is the main way we will contact you
Confirm email
Secondary First Name *
Secondary Last Name *
Secondary Cell Phone *
Secondary Email
Street Address
City
State *
Zip Code
Age *
Drivers License Number *
Name and phone number of one reference *
Animal you are interested in adopting
If not interested in a particular cat, what type of personality are you looking to adopt?
Including yourself, how many people live in your household? *
Ages of ALL members in household *
List the animals that you currently own, including species, age, and whether they are spayed/neutered * Type N/A if no current pets.
Are all of your animals current on vaccinations? *
Name and phone number of veterinarian or clinic * I AUTHORIZE WHISKERS RESCUE TO CONTACT MY VETERINARIAN AND OBTAIN MY ANIMAL'S MEDICAL RECORDS
List the animals you previously owned in the last 2 years, and where they are now * (still living with you, rehomed, deceased, etc)
Do you rent or own?
List the complex and/or landlord's name and phone number *
Where will your new pet be during the day? *
If Other, where will it stay? *
Do you have a pet door and, if yes, where does it lead? *
Why do you want to adopt? *
If Other, why do you want pet? *
Do you intend to declaw? *
What is the plan for who will care for your animal(s) if something should happen to you? *
Please attach picture of Driver's License *
I UNDERSTAND THAT THIS APPLICATION DOES NOT RESERVE THIS ANIMAL. I UNDERSTAND THAT THE ADOPTION AGENT HAS THE RIGHT TO DENY OR POSTPONE ANY ADOPTION, WITH OR WITHOUT CAUSE. ALL INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE WHISKERS RESCUE TO VERIFY ALL INFORMATION PROVIDED ON THIS APPLICATION.
Please sign to confirm the above. *