EmailMe Form - CATS - Big Hair Rescue Adoption Application Form

Date Time

MM / DD / YYYY

Applicant's Name *

First Last

Applicant's Age *

Occupation *

Email *

phone # *

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

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

What type of home do you live in? *

- house, condo, apartment…

How long have you been at this address? *

Are you planning on moving in the next year?

Do you own or rent? *

own

rent

If so, where and to what type dwelling?

Landlord's Email *

Landlord's phone # *

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

Spouse or Partner

First Last

Occupation

Spouse or Partner's Age

Are you planning on traveling in the next month?

List sex and ages of other adults in home *

List sex and ages of children *

What type experience do you have owning cats or kittens? *

Which cat(s) are you interested in adopting? *

What is your main reason for adopting a cat or kitten? *

How soon are you looking to add a cat or kitten to your household? *

Do you believe in declawing a cat? *

Yes

No

Is anyone in the family allergic to animals? *

Yes

No

If yes, to what animal(s) and how is the allergy managed?

Have you ever surrendered a pet before? *

Yes

No

What do you consider to be a valid reason for surrendering a pet? *

How many hours a day will your cat be left alone? *

What do you think is a reasonable annual budget for a cat for vet care? *

What do you think is a reasonable annual budget for a cat for food, toys, and household needs? *

Do you currently have pets in your home? *

Yes

No

Pet 1: Name & species

Sex and Age

Breed

Spayed or Neutered

Year obtained, from where

Primarily indoor or outdoor; explain

Pet 2: Name & Species

Sex and Age

Breed

Spayed or Neutered

Year obtained, from where

Primarily indoor or outdoor; explain

Other Current Pets: please list name, species, sex, age, breed, spayed/neutered, yr. obtained, from where, indoor or outdoor.

Name of Vet Clinic *

Vet Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Please call your vet and give them permission to provide information to our representative.

vet phone # *

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

Human name for records *

Names of pets seen by this vet *

# of years at this clinic *

Please provide at least 3 years of vetting history if possible; additional vets may be added in comments at the end.

Where will your cat live? *

Inside

Outside

Both

Personal Reference 1 *

-list someone who is familiar with your home
-name, relationship, phone #, email address
-please let them know they may be contacted

Personal Reference 2 *

-name, relationship, phone #, email address
-please let them know they may be contacted

Personal Reference 3 *

-name, relationship, phone #, email address
-please let them know they may be contacted

Additional Comments *

-please provide any other information you think is important including additional vets if you didn't provide vet contact that would have at least 3 years of vetting history.

Where did you hear out Big Hair Animal Rescue? *

The final step in our adoption process is a home visit. Will you allow a home visit (set by appointment)? *

Yes

No

Electronic Signature

Unique ID

Email