Cats Name: ID Number: Breed: Color: Age: Sex: Name: Date: Spouse / Roommate: Address: City: State: Zip: Phone (Home): Cell Phone: E-Mail: Occupation: Employer: Work Phone: Spouse’s Occupation: Spouse’s Employer: Spouse’s Work Phone:
Requirements to adopt a cat from Dreamland Animal Rescue
A successful adoption depends on both the selections of the right cat for your household and the understanding of his/her care taking needs. So that we may assist you with this selection, please answer the following questions as completely as possible. Your confirmation and answers to these questions help us to know that you completely understand the responsibility you take on when you adopt a rescue cat.
1. Do you live in a: House Apt. Mobile Home: Other (please specify):
2. How long have you lived there: If less than 2 years, give previous address:
3. Do you rent? Yes No 4. If “Yes” Do you have your landlords permission to have a cat? Yes No 5. May we contact your landlord? Yes No Landlords Name: Phone: Date to contact: 6. Name of veterinarian / hospital: Vet Phone # Estimated annual cost for medical care 7. Would you object to an inspection of your premises by a DLR representative? Yes No 8. If for any reason you cannot keep the cat, do you agree to return the cat to Dreamland Animal Rescue? Yes No 9. Do you agree to phone calls to check on the welfare of the cat? Yes No 10. Do you plan to put an I.D. Tag on this cat? Yes No 11. Will this cat be kept:Indoors: Outdoors: Both: 12. Is anyone in your household allergic to animals? Yes No 13. Have you owned a cat before? Yes No if yes, what happened to them? (if deceased, please state cause of death and how long ago): 14. What other animals do you currently own? # of dogs: # of cats: 15. Give breed, sex, ages and if they have been spayed / neutered for all pets: 16. When were they last vaccinated?
17. List the names and ages of all children living at home:
> 18. Who will be responsible for feeding, grooming and training your new cat? 19. Are you aware that cats / kittens often take an extended period of time to adjust to a new environment? Yes No 20. Are you willing to give your new cat / kitten days, weeks, or possibly even longer to adjust to it’s new surroundings, housemates, etc.? Yes No 21. Cats have been known to claw furniture, carpet, and drapes, dig in potted plants, etc… How do you plan to deal with these potential problems? 22. Are you aware that kittens need a series of vaccinations that you would be responsible for making sure the kitten gets? (Note: Kittens will be up to date on vaccinations at the time of adoption, but may require boosters depending on age) Yes No Not Applicable 23. Under what circumstances would you not keep this cat? Divorce: Move: New baby: New Job: Illness: Other: 24. Why do you want a cat? (please number as many choices as apply in order of importance :1,2,3) For children: Companion: For spouse: Mouser: ; As a gift: For other pet: Other: 25. Do you plan to declaw this cat? If so, why? 26. How did you learn about this cat? Website Radio Petfinder TV Channel Newspaper Other: 27. Cats can live longer than 15 years and their care can amount to over $400.00 per year. Are you prepared to accept this kind of responsibility for his/her life? Yes No All of the information I have provided on this application is to the best of my knowledge, true and complete. I understand that falsifying answers on this application, or at any other time during the adoption process, disqualifies me from adoption. Signature: Date