UCAT Rescue
Jenn O'Guin
PO Box 1008
Hardwick, VT 05843

ADOPTION APPLICATION



NAME:

HOME ADDRESS:



MAILING ADDRESS (IF DIFFERENT FROM HOME ADDRESS):



HOME PHONE:

OTHER PHONE:

EMAIL ADDRESS:

WEBSITE ADDRESS (IF YOU HAVE ONE):

OCCUPATION (OR SOURCE OF INCOME FOR CAT CARE):

DO YOU LIVE IN A HOUSE OR APARTMENT?

DO YOU OWN OR RENT?

IF YOU RENT, DO YOU HAVE YOUR LANDLORD’S PERMISSION TO HAVE PETS?

HOW LONG HAVE YOU LIVED AT THIS ADDRESS?

ARE THERE CHILDREN OR TEENAGERS IN THE HOUSEHOLD?

DO YOU HAVE CHILDREN OR TEENAGERS THAT VISIT FREQUENTLY?

AGE OF CHILDREN (IN THE HOUSE AND VISITING):





HAVE ANY CHILDREN OR TEENAGERS EVER SHOWN ANY BAD BEHAVIOR INVOLVING ANIMALS? IF SO, PLEASE EXPLAIN IN DETAIL WHAT HAPPENED, AND HOW THE CHILD WAS PUNISHED, ALONG WITH ALL MEASURES TAKEN TO ENSURE IT WILL NOT HAPPEN AGAIN:







ARE ALL MEMBERS OF YOUR HOUSEHOLD IN AGREEMENT IN REGARDS TO THE ADOPTION OF THIS CAT AND IT'S CARE?

WHO WILL BE PRIMARILY RESPONSIBLE FOR THE CARE OF THIS CAT?

IF ANY FEMALE SHOULD BECOME PREGNANT IN YOUR FAMILY, DO YOU INTEND TO KEEP THIS CAT? WHO WILL CHANGE THE CAT LITTER DURING THE PREGNANCY?

IF ANYONE IN YOUR HOUSEHOLD DEVELOPS ALLERGIES TO THIS CAT, WHAT ARE YOU GOING TO DO?

CAN YOU THINK OF ANY CIRCUMSTANCES UNDER WHICH THIS CAT MAY NEED TO BE REHOMED AFTER YOU ADOPT HIM/HER? IF YES, PLEASE EXPLAIN:





DO YOU OWN ANY DOGS?

ARE THE DOGS ALLOWED IN THE HOUSE?

DO YOU OWN ANY OTHER CATS?

IF YES, HOW MANY?

HAVE THEY GONE TO THE VET FOR ANNUAL EXAMS THIS YEAR? PLEASE PROVIDE THEIR NAMES AND THE DATES OF THEIR LAST EXAMS.











HAVE THEY BEEN FECAL TESTED, AND DEWORMED IF NEEDED?

DO THEY GET ALONG WITH OTHER CATS?

ARE ALL OF YOUR CATS INDOORS ONLY?

IF YOUR CATS GO OUTSIDE, DO YOU HAVE A SAFE CAT FENCE TO KEEP THEM ON YOUR PROPERTY? PLEASE DESCRIBE YOUR OUTDOOR CAT FENCING/CONTAINMENT IN DETAIL.





DO YOU OWN ANY OTHER ANIMALS? WHAT KIND?



HOW MANY PETS HAVE YOU OWNED IN THE PAST?

IF YOU DO NOT STILL OWN THE PETS, PLEASE DESCRIBE WHAT HAPPENED TO THEM. PLEASE BE SPECIFIC (DIED OF OLD AGE/DISEASE, GAVE AWAY, HIT BY CAR, DIVORCE CHANGE OF CUSTODY, CHILDHOOD PET THAT STAYED WITH PARENTS, ETC).







HAVE YOU EVER HAD TO GIVE UP A PET? PLEASE DESCRIBE THE SITUATION:







WHAT IS THE NAME(S) OF THE CAT(S) YOU WISH TO ADOPT?

WHY DO YOU WANT TO ADOPT THIS CAT?



WHERE WILL THE CAT SLEEP?



DO YOU OWN AND USE A LITTERMAID AUTOMATIC LITTER BOX?

DO YOU HAVE A REGULAR VETERINARIAN?

IF SO, PLEASE PROVIDE CONTACT INFORMATION FOR YOUR VETERINARIAN (NAME, ADDRESS, AND PHONE. WE WILL CHECK THIS REFERENCE).





ARE YOUR CURRENT (OR PAST) PETS TAKEN FOR REGULAR VET CARE ON A YEARLY BASIS? THIS INCLUDES A PHYSICAL, RABIES VACCINE, FECAL TEST, AND DEWORMING IF NEEDED.

DO YOU ROUTINELY GIVE ANNUAL VACCINES TO ALL OF YOUR CATS?

ARE YOU AWARE OF VACCINE ASSOCIATED SARCOMAS, AND THE NEW STANDARDS OF VACCINES ON AN AS NEEDED BASIS, OR EVERY THREE YEARS?

IF THIS CAT EVER CONTRACTS FELINE LEUKEMIA OR FELINE IMMUNODEFIENCY VIRUS, DO YOU AGREE TO NOT HAVE THEM EUTHANISED, EVEN AT THE ADVICE OF YOUR VET, WITHOUT FIRST CONSULTING WITH US?

DO YOU HAVE A REGULAR GROOMER YOU TAKE YOUR CATS TO?

IF SO, PLEASE PROVIDE CONTACT INFORMATION FOR YOUR GROOMER.





PLEASE PROVIDE 3 PERSONAL REFERENCES (NO RELATIVES), AT LEAST ONE OF WHICH THAT HAS BEEN INSIDE YOUR HOUSE, AND MET YOUR CURRENT PETS, IF YOU HAVE ANY:











ARE YOU PREPARED TO PAY AN ADOPTION FEE OF UP TO $100?

ARE YOU WILLING TO ALLOW SOMEONE FROM OUR GROUP COME TO YOUR HOME FOR A HOME INSPECTION?

DO YOU AGREE TO NEVER SELL, GIVE AWAY, OR PUT DOWN ANY CAT ADOPTED THROUGH US, WITHOUT FIRST CONTACTING US (UNLESS IT IS A MEDICAL EMERGENCY AND THE CAT NEEDS IMMEDIATE HUMANE EUTHANISA)?

DO YOU AGREE TO KEEP UPDATED RECORDS OF YOUR ADDRESS AND PHONE NUMBER ON FILE WITH US FOR SO LONG AS YOU OWN THE CAT?

DO YOU AGREE TO PAY A SMALL ANNUAL FEE TO KEEP YOUR CAT'S AWOLPET.COM MEMBERSHIP ACTIVE, AND AGREE TO KEEP ALL THE RECORDS FOR AWOLPET AND THE MIRCOCHIP REGISTRY UPDATED AT ALL TIMES?

SIGNATURE: ______________________________________________ DATE: ___________

BY SIGNING THIS ADOPTION APPLICATION BELOW, YOU ARE STATING THAT THE INFORMATION GIVEN HERE IS COMPLETELY HONEST AND ALL QUESTIONS WERE ANSWERED TO THE BEST OF YOUR ABILITY.