EmailMe Form - RPAW Cat Adoption Application

Name *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code

Email *

Phone *

### - ### - ####

Alternate Phone

### - ### - ####

Birth Date *

MM / DD / YYYY

Drivers License #

ABOUT YOUR DECISION

Which cat(s) are you interested in? *

Have you ever had a cat/kitten before? *

Yes

No

Are you at least 21 years of age? *

Yes

No

You must be 21 to adopt an animal from RPAW

Have you ever surrendered a pet? *

Yes

No

Have you ever lost a pet that you never recovered? *

Yes

No

If you answered yes to either of the last two questions, please explain what happened.

Are you aware that the animal may have or develop problems with potty training, scratching, etc.? *

Yes

No

What will you do if the cat has a potty accident in your home? *

What if the accidents continue? *

Are you 100% ready and willing to make a commitment to this cat for its entire lifetime? *

Yes

No

What if the cat destroys something? *

What if the cat becomes aggressive toward people or other animals? *

ABOUT YOUR LIVING SITUATION

Do you own or rent? *

Own

Rent

Written approval from landlord required if renting

If renting, landlord's name

If renting, landlord's phone number

### - ### - ####

Type of dwelling *

Do you belong to a neighborhood or mobile home association? *

Yes

No

Are you willing got take the steps necessary to recover the cat if it runs away? *

Yes

No

ID tags, newspaper ads, flyers, etc.

Name and address of current vet (if applicable)

Do you currently have pets? *

Yes

No

If yes, how many? What types?

Are your cats/dogs up to date on vaccinations and spayed/neutered? *

Yes

No

If no, why not?

Are there children in the household? *

Yes

No

If yes, how many and how old are they?

Does anyone in your home have allergies to animals? *

Yes

No

If yes, please describe the allergies.

Are you willing to assume ALL veterinary costs for this animal from the date of this adoption forward? *

Yes

No

Are you willing to give the cat the time it needs to adjust to its new home? *

Yes

No

Are you aware that it may take as long as 6 months to 1 year for the cat to bond with your family? During this time, the animal may hide or run from you. These animals come from a variety of situations and their adjustment periods may be considerable.

Rescued Pets Are Wonderful reserves the right to determine whether or not it is in the best interest of the animal to be adopted by any individual, and if not, to refuse the adoption.