Cat Adoption Application CAT Application Form Completely fill out and submit the application. If you do not hear back within 10 days, please assume that your application was not selected. Applications that are selected are vet-checked, and personal reference checks will be done as well. If the adoption is approved, an adoption contract will be signed, an adoption fee will be paid, and you take your new pet home. Please give careful consideration to adopting a cat. Be sure that your lifestyle allows the time, patience and expense this pet will need over the years. Be ready for a 15-20 year commitment. Animals are not toys or short-term commitments, and they are NOT disposable. Name* First Last Year Born*Email* Enter Email Confirm Email Primary Phone*Secondary PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Current Residence Type*Please ChooseHouseCondoApartmentMobile HomeTown HouseOtherIf you selected "Other", please explain:Housing Arrangements*Please ChooseOwnRentLive with parent(s)Live with friend(s)OtherIf you are renting, please list your landlord's name and phone number:If you rent and have been at your current residence less than 2 years, please list your previous landlord's name and phone number:If you selected "Other", please explain:Please list the names and ages of all family members living in your home:NameAgeRelationship to you Click + to add more rows.Employment and Location:*Are you interested in a particular cat? If so, which one(s)?Will a co-applicant be present? If so, please list their name, age, address, phone number, and e-mail.Do you currently own any pets?*Please ChooseYesNoFor each pet, please list their breed, age, name, year and method they were acquired, vaccine status, if they are declawed, whether they are inside or outside, spayed or neutered, and their vet's name and phone.Have you owned any pets in the past? If so, what happened to them?*Have any of your past pets been killed?YesNoExplain:If you own a dog, has it been with cats before?YesNoPlease list any Veterinarians you currently use or may have used within the past 10 years:*NamePhone Use + to add more rowsWill you use the same vet for your new cat?*Please ChooseYesNoHave all household members met and agreed on the cat?*Please ChooseYesNoPlease explain the agreement:*What would happen to the cat if you were to move unexpectedly, or have a baby?*Have you ever owned a declawed cat, or had a cat declawed?YesNoWhat was the reason?Do you plan to declaw this cat?YesNoWhere will the cat be spending the majority of its time?*Who will be at home during the day and night? If there are periods of time when nobody is home, how many hours will the cat be left alone, and what provisions will be made?*If you travel, where will your cat stay?*If any behavioral issues should be encountered with your new cat, what actions would you take? If you would be willing to use a trainer, please list their name and number:*Are you aware of animal control laws in your area?YesNoAre any particular activities planned for the cat? If so, which ones?Have you considered the extra expenses that will come with owning a cat?*Please ChooseYesNoThe cost of owning a cat typically runs from $200 to $700 per year for basic food, cat litter, routine veterinary care, vaccinations and boarding -- but not including grooming. If a cat is injured or gets seriously ill, extra veterinary care can cost hundreds to thousands of dollars. Other unexpected costs include replacing items a cat has scratched or soiled and cleaning the carpet or furniture more frequently. Grooming costs can range from $10 per year for the cost of grooming tools to $300 per year and up for a long-haired cat. Can you take care of a cat that lives up to 15-20 years?YesNoWhat type of food would you give to your cat?Do any of your family members have allergies, or asthma?*Please ChooseYesNoPlease explain:*Why do you want to rescue a cat?*Any additional interests, or requirements?How did you hear about Rose Hope?Please provide additional information you would like us to know about yourself (breed / rescue experience, etc.):By submitting this application I attest that the information provided is true and accurate and understand false information will result in denial of adoption. Also, if an omission or untruth is discovered after an adoption takes place, the Rose Hope Animal Refuge and Rescue reserves the right to annul the adoption and reclaim the animal. I give permission to fully investigate the information provided as well as contact veterinarians and related officials. The adoption decision is dependent on many factors, including but not limited to the compatibility of the family to the individual animal. I understand it is the Rose Hope Animal Refuge and Rescue prerogative to decide which home is most appropriate and that their decision is final, and therefore I will not argue with the decision. Unless otherwise indicated I am free to apply and undergo the application process in the future. I, the undersigned, hereby specifically and forever release, discharge and hold harmless the Rose Hope Animal Refuge and Rescue, its agents, and any other person, firm or corporation charged or chargeable with liability, their heirs, administrators, executors, successors and assigns, from any and all claims, damages, costs, expenses, loss of service, actions and causes of action in relation to adoption of the cat. I hereby authorize the Rose Hope Animal Refuge and Rescue the right to receive information from Veterinarians and others listed on this application. MY INITIALS:*By checking this box you have read and agree to the above statements.* I agree NameThis field is for validation purposes and should be left unchanged.