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LINDA’S FERAL CAT ASSISTANCE

Foster/adoption application

718-205-1792

We reserve the right to approve or disapprove any adoption

DATE

TIME

In order to be considered for an adoption, you must:

Be at least 21 years of age.

FIRST CHOICE – Cat Name:

Have

the knowledge and consent of all adults living in your household.

SECOND CHOICE – Cat Name:

Have

landlord’s consent to bring an animal onto the property.

Shelter Cat Impound Number:

NAME

SPOUSE/PARTNER

BIRTH

DATE

ADDRESS

CITY

STATE

ZIP

PHONE #: Home

Work

Cell

E-MAIL ADDRESS:

PLACE OF EMPLOYMENT

Occupation:

Have you ever owned a cat?

Are they neutered/spayed? Vaccinated? FelV/FIV tested (cats)? Declawed?

If not, what happened to the cat?

Have you ever owned or had a cat declawed?

Do you plan to declaw this cat? Yes

Why do you want to adopt a cat/kitten?

Why did you choose this particular breed/mix of cat?

YES

NO

If yes, do you still have it?

If yes, reason:

Maybe

No

Under what circumstance?

Will adopted cat be:

Indoor only

Outdoor only

or, an Indoor/Outdoor cat

Are your windows completely screened in?

YES

NO

Do you a terrace?

Where in your home, what room, will the cat be left in when there is no one home?

Do you have any dogs?

Cats can live 15 years or longer. Can you commit to caring for this pet that long?

What will you do with the cat if you have to move?

What will you do with the cat if you have a baby?

balcony? deck? backyard? interior elevator? washer dryer?

If so, how many?

Have they lived with a cat before?

Properly cared for cats can cost north of $1,000/year. This includes yearly vaccinations, vet checkups, cat supplies, potentially needed training, possible boarding, good quality food and unforeseen medical expenses.

Are you FINANCIALLY ABLE to spend this kind of money on this cat if required?

YES

NO

Are you COMMITTED to spend this kind of money on this cat if required?

YES

NO

What type of food will you feed this pet?

Is any household member allergic to animals?

How many adults in your home?

If yes, how will you deal with reactions to this pet?

Ages:

How many children?

Do you own or rent your home?

How many years have you lived at your current address?

Do you live in a: House

If you RENT, provide name and telephone number of your landlord - (REQUIRED)

Name:

Apartment

Condo

Townhouse

Other (name)

Telephone:

Owners of condos or townhouses

must also provide a copy of the condo association’s by-laws

indicating pets are allowed, the number allowed and any limitations in size or weight, if any. WE WILL ALSO CONDUCT A HOME VISIT BEFORE THE CAT IS ADOPTED OUT TO IT’S NEW HOME.

Please provide references of two people who have known you for 5 years or more, not in your immediate family:

Personal Reference:

Phone #

Personal Reference:

Phone #

Present and Former Veterinarians

Name of your PRESENT Veterinarian & Hospital:

City and phone number (Present Vet):

Name your pet’s records are under at your present vet (if different than applicant):

Name of your FORMER Veterinarian & Hospital:

City and phone number (Former Vet):

Name your pet’s records are under at your former vet (if different than applicant):

Give us information about all the animals alive and currently living in your household -

Name of Pet: Dog/Cat/Other Breed: Sex Altered? Age: Weight: Vaccinated? Dog-licensed? Give us information about
Name of Pet:
Dog/Cat/Other
Breed:
Sex
Altered?
Age:
Weight:
Vaccinated?
Dog-licensed?
Give us information about the last 3 animals that you no longer have (deceased or otherwise) -
Name of Pet:
Dog/Cat/Other
Breed:
Sex
What happened to pet?
If dead, how did it die?
If dead,
age at death:
Date of death:

Where did you hear about this facility and cat/kitten for adoption?

Are you familiar with local animal control laws? Yes

No

PLEASE READ CAREFULLY BEFORE SIGNING

FEES

UPON ADOPTION APPROVAL, THE ADOPTION CONTRACT IS EXECUTED AFTER A $100 NON- REFUNDABLE FEE HAS BEEN RECEIVED IN CASH OR CHECK BY THE RESCUE GROUP. THE $100 COVERS THE ADOPTION FEE, THE SPAY/NEUTER SURGERY 1 , RABBIES AND DISTEMPER VACCINES, FIV/FEL TESTING AND DEWORMING. FOR CATS WHOSE ARE NOT SPAYED/NEUTERED AT THE TIME OF ADOPTION A SURGERY DATE WILL BE SCHEDULED FOR YOU AND YOU ARE RESPONSIBLE FOR BRINGING THEM IN.

MULTIPLE APPLICATION CASES

WHEN A CAT HAS MULTIPLE APPLICATIONS, WE WILL GO THROUGH THEM ON A FIRST COME, FIRST SERVE BASIS AND WILL GIVE THE ADOPTION OPTION TO THE FIRST APPROVED 4 APPLICATION.

COPY OF DRIVER’S LICENSE (or other form of ID) IS REQUIRED

This application is designed to help us determine if the adoption is in the cat’s best interest, and to assist you in finding a pet compatible with your lifestyle. An unwise adoption can result in an unpleasant experience for adoptive families and may ruin the pet for further adoptions. We hope you will agree that the pet’s welfare must be our foremost concern.

I understand the above questions and I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for denial of adoption. By signing this application, I am stating that the above mentioned is true.

Your Signature

Date:

that the above mentioned is true. Your Signature Date: For RESCUE use only: Processing notes: Comments:

For RESCUE use only:

Processing notes:

Comments:

Approved

Denied

By

Date

Rev 7/30/10