CAT - 3 DOGS RESCUE ADOPTION APPLICATION

Please review the INFORMATION section of our website, www.3dogsrescue.com, for a breakdown of adoption fees.

Submission of an application does not guarantee adoption, but merely alerts the rescue to a serious inquiry and begins the approval process.

Name of cat you are interested in: *

ADOPTER INFORMATION

Applicants full name *

Applicants email address *

Applicants PHYSICAL address *

City, State *

Zip code *

Applicant's MAILING address

City, State, Zip code

BEST contact phone number *

Alternate contact/secondary phone number *

Best time to call *

Applicant date of birth

Co-applicant full name, if applicable

Co-applicant email address

Co-applicant phone number

Co-applicant PHYSICAL address

City, State and Zip code

REFERENCES

Application will NOT be processed unless TWO references are able to be contacted and have knowledge of applicants handling and care of animals.

Current Vet Name (Please contact your vet and provide permission for them to speak with the rescue) *

Name vet records under

Vet address *

Vet phone number *

Current pet names: *

Personal reference name (not a relative, significant other, or co-applicant) *

Best phone number for personal reference *

If NO vet reference, a second personal reference may be listed

Best phone number for second reference

Have you ever fostered or volunteered for another rescue/shelter? If so, please list.

HOUSEHOLD

Number of adults in home *

Number of children under 18 *

Ages of children under 18

What type of home do you live in (single family, multi family/shared, with extended family, townhouse, apartment, working farm, etc) *

Please describe your household activity level *

Do you or anyone in your household have, or ever had (you may choose more than one) *

None listed below

Known allergy to cats

Fearful of cats

Have an unfavorable experience with a cat. Please explain Have an unfavorable experience with a cat. Please explain

Is everyone in the household in agreement with the decision to adopt a rescue cat *

Yes

No

Do you currently own cats *

Yes

No

Name, breed, age, gender and personality of current cat(s), or "no current cats" *

Are all current cat(s) spay or neutered

Yes

No. Reason No. Reason

Current cats are (you may choose more than one) *

Do you currently own dogs *

Yes

No

Number of dogs and their name(s).

Dog(s) and cat(s) on monthly flea/tick preventative

Yes

No. Reason No. Reason

Have you ever surrendered or euthanized a pet *

No

Yes. Reason Yes. Reason

Every effort is made for cats adopted through 3 Dogs Rescue to be spayed or neutered prior to adoption. Adopters shall be advised if animal is NOT spayed and agree to do so as outlined on adoption contract and per State law. Do you have any reservations with this policy *

Yes

No

Do you own any other small pets (hamsters, guinea pigs, ferrets, rabbits, etc) *

No

Yes. List Yes. List

Where and how are small animals contained

Do you have fowl or livestock on your property

Yes

No

If yes, please list

Where and how is the fowl or livestock contained *

Are all your current pets vaccinated per state law *

Yes

No

NA. Reason NA. Reason

Use this space for vetting notes and explanations (if necessary)

Do you own your home *

Yes

No

Application will NOT be processed unless current landlord or managment company are able to be contacted and have knowledge of applicant, property and lease/rental agreement (if applicable).

If you rent, do you have permission from your landlord to have a cat *

Yes

No

NA/Own home

Landlord or management company name

Landlord or management company phone number

Landlord or management company email address

FINDING YOUR CAT

Is this cat being adopted as a 'gift' for a family member; child(ren), parents, etc *

No

Yes. Whom Yes. Whom

Traits of an ideal cat

Breed(s) you would NOT adopt

Are you willing to adopt (you may choose more than one) *

What are your plans to exercise and contain a cat *

Would you rather adopt a *

Female cat

Male cat

No preference

What age cat are you seeking to adopt *

Who will have primary responsibility for this cats daily care *

Use this space to note anything you would like to add to this application

By entering your name in the signature block below, you attest that the information provided herein is accurate.

You are also granting permission for vet checks on current and past pets, as well as personal reference checks.

You understand that the adoption fee of $215. covers all vetting to date and age of the cat. The adoption fee funds all medical care, shelter, transport and food, not solely for the cat you are applying to adopt, but for all the animals in the rescue.

You consent to the scheduling of a home visits as part of the adoption application process.

You understand that if falsified information is discovered, your application will be denied.

You understand that should you adopt from 3 Dogs Rescue, this application becomes part of the contract and file of adoption.

Signature: *

Date: *

No cat	Cat thinks its a dog	Dog friendly	Dog savvy
Dog cautious/curious	Afraid of dogs	Dog aggressive	Example Example

Outgoing cat	Cat in need of regular medication	Cat in need of extensive grooming
Timid/shy cat	None of the above	Other Other

Baby/Puppy up to 4 months	Kitten/Young 4 months to 1 year
Adult cat 1 to 8 years	Senior cat over 8 years
Special needs cat