Animal Companion Rescue Foundation

Adoption Application - Cat

Name:
Address:
City:	State:	ZIP:
Home phone:	Work phone:	Cell phone:
E-mail:

Employer Name:
If leasing, complex name:
and/or Management Co. & Office Phone:
How long have you lived at the above address?
Current housing: House Apartment Mobile Home Townhouse Condo
Do you own or rent your current residence? Own Rent
If renting, does your lease allow cats? Yes No
May we contact your landlord? Yes No
Do you forsee moving in the near future? Yes No

How many people live in your household?
Do all members know that you plan to adopt a cat? Yes No
Are you and/or your spouse currently employed? Yes No
Do you live with your parents or relatives? Yes No
Are there children in the household? Yes No
What are their ages?
Does anyone have pet allergies? Yes No
What kind?
You are interested in adopting for: Self Family Someone Else
Why do you want a cat? Companion for self Companion for other pet Gift Child's pet Family pet

What type of cat are you looking for?
Size:
Age:
Sex: Male Female
Hair length: Short Medium Long

Please list any pets that currently live in your household:

Gender	Spayed/Neutered	Gets along with dogs/cats
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N

Where do your present pets live? Indoor Outdoor Indoor/Outdoor
Where will your new cat live? Indoor Outdoor Indoor/Outdoor Basement Garage
Are your current pets up-to-date on all of their vaccinations? Yes No
Are your current pets all spayed or neutered? Yes No
Do you object to spaying and neutering? Yes No

Vet or veterinary clinic name:
Phone:
What do you think annual preventative veterinary care for a cat would cost?

What do you plan to do with your cat when you go on vacation? Take on vacation Board at Vet Board at Kennel Pet sitter Other
If ``other'', specify:

What procedures will you use for destructive behavior?

Do you believe in de-clawing? Yes No
What would you use for flea and tick prevention?
Would you object to an ACRF representative conducting a home visit before and after the adoption? Yes No

Have you ever taken a pet to the shelter before? Yes No
If ``yes'', why?

Personal Reference

Name:
Address:
City:	State:	ZIP:
Phone:

Please note: ACRF is an independent non-profit organization. We will in no way be held responsible for any adult, minor child, and/or their property during the viewing process. In submitting this form, you attest that you agree to release ACRF and its representatives from all liability for any injury or damage that may be caused by the dog to any person or property in your party while in the adoption area.

Animal Companion Rescue Foundation (ACRF) reserves the right to refuse any adoption for any reason.

This application is property of ACRF.

By checking this box, you affirm that all information entered here is true to the best of your knowledge:

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