Rescue Angels Adoption Application

Rescue Angels Adoption Application
Thank you for taking the time to complete our application questionnaire. If you have any question, please visit our website at www.rescueangels.ca or email us at rescueangels@mail.com
Adopter's General Information
Cat's name(s)
Your name *

First Name Middle Initial Last Name

Address *

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

Home Phone *

- Area Code Phone Number
Cell Phone

- Area Code Phone Number
E-mail *
Property / Household Information
Residence

House / Semi / Townhouse Apartment without Balcony Apartment with Balcony
Do you own or rent?

I own I rent
How long have you lived at this address?
How many people live in your household?
Occupation(s) of adopter(s):
Age(s) of adopter(s):
Ages of Children in household:
Is everyone in the household interested in having a new animal in the home?

Yes No
Does anyone in your home suffer from allergies to cats or other animals?

Yes No
Pet Information
Why do you want a cat?
Who is this pet for?

Myself My Family Someone else (gift)
Pet will be kept:

Indoors Outdoors Both Indoor and Outdoor (Explain below)
Explain indoors & outdoors:
What arrangements would you make for your pet if you were away for 2-3 days or away for over a week or more?
On work days, how many hours would your pet be home alone?
Pet Ownership History
Do you presently have pets?

Yes* No
*If yes, are they cat friendly?

Yes No
*If yes, what kind of pets, how many and ages of pets?
Have you had pets in the past?

Yes* No
*If yes, explain what happen to them
e.g. deceased, given up, euthanized etc
What issues have you had during past experiences with animals that have cased you difficulty?
Did you have any of your past pets altered (spayed / neutered)?

Yes No*
*If no, how many litters of puppies or kittens have they had?
Have you ever given up a pet?

Yes* No
*If yes, where did the pet go?
Caring for Your Pet
Are you aware of the basic requirements for the care of a cat? Please specify:
What cat behaviour is unacceptable to you?
How would you react if your cat did something you find unacceptable?
What food would you feed your cat?

Canned (wet) Dry Both
Brand(s) of food:
Will you declaw your cat?

Yes No Undecided
If you are looking to adopt a kitten(s), have you dealt with kittens before?

Yes No
How would you kitten proof your home?
How much have you budgeted MONTHLY for this cat's general AND veterinary care?
Considering, like people, pets sometimes have medical emergencies; will you be able to meet an unexpected expense that may arise?

Yes No
Briefly, in your own words, explain what makes a "Responsible Pet Owner"
What provision would you make, in the event you are no longer able to care for your pet?
Is there anything else you would like us to know?
Veterinarian Information
Please list your CURRENT / PREVIOUS veterinarian(s). Please contact their office(s) to authorize release of information to Rescue Angels.
Vet Clinic Name #1
Vet Phone

- Area Code Phone Number
Name of pet(s)
Client Name on File
Vet Clinic Name #2
Vet Phone

- Area Code Phone Number
Name of pet(s)
Client Name on File
Additional Information
How did you hear about us?

Official Website Adopt-a-pet Petfinder Facebook Adoption event* (list store location below) Referral* (list name below) Other* (specify below)
*Store location / Referral name / Others
Agreement *

By clicking this box, I affirm that what I have submitted is true and complete.
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Rescue Angels Adoption Application

Adopter's General Information

Property / Household Information

Pet Information

Pet Ownership History

Caring for Your Pet

Veterinarian Information

Additional Information