Adoption Application - Holisticat Rescue and Rehabilitation

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In order to be considered for adoption, you must:

Be 21 years of age or older
Have identification showing your present address
Have the knowledge & consent of your landlord
Be willing & able to spend the time & money neccesary to provide medical treatment & proper care of the cat

I understand that Holisticat Rescue and Rehabilitation is its own entity and is solely responsible for all adoptions and adoption processes.

Cat Adoption Application

Pet you are interested in: *

* Indicates required field

How did you find out about this pet? *

Contact and Personal Information

Name *

First

Last

[object Object]

Birthdate (mm/dd/yy) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Occupation *

Employer *

Does your job require extensive travel? *

Yes No

Are you a renter? *

Yes No

If yes, does your lease allow pets? *

Yes No

How long have you lived at this address? *

Landlord Name *

Landlord Address *

Line 1

Line 2

City

State

Zip Code

Country

Landlord Phone *

If you rent, may we contact your landlord? *

Yes No

How many adults 18+ live in your household? *

How many individuals under the age of 18? *

What are their ages? *

Do all adults in your household know you plan to adopt? *

Yes No

Are you adopting for yourself or for someone else? *

Do any members of your household have an allergy to cats? *

Yes No

Living Situation and Lifestyle

Cat's living situation will be: (Please check ALL that apply) *

Cat will be a housepet, living inside with family. Cat will live in basement or garage. Cat will live outdoors, appropriate shelter provided. Cat will have access indoors and outdoors.

Why do you want to adopt this cat?: (Please check ALL that apply) *

Companion Companion for another pet House pet Barn cat Mouser

Other Pets and Experience

What pets do you currently have in your home? (Include age, name, sex and breed.) *

Are all pets spayed and neutered? *

Yes No N/A

Are all pets up to date on vaccines? *

Yes No N/A

Are all cats FelV/FIV tested negative? *

Yes No N/A

What pet food brand do you feed? *

Are you interested in learning about better quality pet foods? *

Yes No

What kinds of pets have you had in the past? *

If you have had cats in the past, let us know what happened to them: (Please check ALL that apply) *

Died of old age Died of fatal disease Gave away to friend or relative Gave to a shelter Sold Was hit by car Lost/Disappeared I have never owned a cat.

If you go on vacation, who will take care of the cat? *

What arrangements will you make for the care of your pets in case of an emergency, or if you become unable to care for him/her? *

If you move, will you take the cat with you? *

Yes No

Will you allow a rescue representative to see where the cat will be living? *

Yes No

Are you aware that cats can live 15 to 20 years and are you willing to take responsibility for this cat for the duration of its lifetime? *

Yes No

Under what circumstances would you have the cat declawed? *

What will you do if you are having issues at home with your new cat? *

Veterinarian Reference

Office Name: *

Primary Doctor *

Office Address *

Line 1

Line 2

City

State

Zip Code

Country

Office Phone *

Names of pets in their care? *

Any alternate names this account may be listed under? *

I certify that all information provided is true and complete to the best of my knowledge. I understand that the right is reserved to refuse adoption to anyone, for any reason. *

Required

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