TEXAS BLESSING RESCUE
Cat Adoption Application
Filling out this application in no way guarantees that you will be approved for adoption. In all cases, the final placement decision is based on the suitability of each pet to the adoptive home. It is our goal to place each animal into the home that is best able to provide for that animal’s specific needs, to provide the adoptive family with the pet that will best fulfill the expectations of that family and to ensure the physical safety of both pet and adoptive family.
Your signature on this form constitutes permission for us to contact personal and veterinary references and to verify information provided, including but not limited to the containment area of the animal.
Signature ______
════════════════════════════════════════════════════════════════════════════
Name______
LastFirstMiddle Initial
Address______
StreetCity, State, Zip Code
E-Mail______Drivers License______
Phone Numbers ______
HomeCell / FaxEmergency
Employer______Work Phone ______
Spouse or Co-Owner’s Name______
Employer______Work Phone ______
Ages of children in the household: ______
Are you 18 years of age or older? Yes No
═══════════════════════════════════════════════════════════════
Have you considered?
1.Have you considered that this cat may live for 15 years or more? Yes No
Are you prepared to commit to its care for the rest of its life? Yes No
2.If the cat will be around children, have you considered the temperament of the cat and how it may affect small children? (Is anyone in your household allergic to cats, etc)?______
3.What will you do if the cat is destructive (sharpens its claws on rugs, furniture, other valuable things in your home)?______
4. When cats are de-clawed, they have not only the nail but the entire first joint of each toe removed and often become ”biters” to protect themselves? Will you de-claw this cat? ______
5.Are you comfortable that you have the knowledge regarding the needs and keeping of this cat? Litter box training, behavior training, grooming, necessary veterinary care? (If not, please discuss these issues with
shelter staff / volunteers. They will be happy to provide you with information.) Yes No
6.Do you feel your are financially capable of caring for this animal – proper nutrition, vaccinations, flea control, medical treatment? Yes No
TEXAS BLESSING RESCUE
Adoption Application Page 2
Name / Breed of cat you wish to adopt: ______Today’s Date ______
TBR vet care, feed, medical supplies, etc. are paid for out of the owner’s pockets each year with a loss to them of over $20,000.00 annually. The only assistance with those expenses is through adoption donations.
Donation you’re willing to make toward adopting this pet $______
1.Please list all pets residing in your household during the last five years:
On
Spayed / Vaccinations Heartworm
Type Name Neutered? Where kept? Breed Sex Age Years had? Current? Prevention?
Dog / Cat ______ Yes No In / Out ______ Yes No Yes No
Dog / Cat ______ Yes No In / Out ______ Yes No Yes No
Dog / Cat ______ Yes No In / Out ______ Yes No Yes No
Dog / Cat ______ Yes No In / Out ______ Yes No Yes No
Dog / Cat ______ Yes No In / Out ______ Yes No Yes No
Dog / Cat ______ Yes No In / Out ______ Yes No Yes No
2.Veterinarian name, city and phone: ______
3.Have you taken anyone’s pets other than your own to this vet?______
4.What happened to your previous pets? (Please list and explain) ______
______
______
______
5.Have you ever turned over an animal (other than a stray) to an animal shelter or an animal control officer? Yes No
If so, please describe the circumstances. ______
______
For what reason(s) would you give up or get rid of a cat? ______
______
If it were necessary for you to move, what would you do with your cat? ______
6.How will you control fleas and ticks? ______
7.Why do you want to adopt this particular cat? ______
______
______
Is anyone in your family hesitant about adopting this pet? Yes No
Is anyone in your family allergic to cats? Yes No If yes, how will you accommodate? ______
______
Are you familiar with the breed characteristics of the animal you wish to adopt? Grooming needs, routine health care? Please explain: ______
8.Will this be an indoor pet or outdoor pet? Indoors Outdoors Both
Indoor cats live, on average, twice as long as outdoor cats which may be hit by a car, killed by wildlife, disposed of by angry neighbors, etc. We do not require that all adopted cats be kept strictly indoors (but may require it for some) but want you to be aware that most County’s and City’s leash laws DO apply to cats as well and you can be held responsible if they leave your property.
9.Are pets allowed where you live? Yes No
If renting, give landlord’s name and phone number: ______
10.What will you do with the cat if you have to be gone for an extended period of time? ______
______
12.Personal reference (not a relative) Name: ______Phone: ______
By signing below, I agree that if I adopt an animal from Texas Blessing Rescue, I will keep it for its entire natural life or turn it back in to TBR. All animals adopted through TBR are microchipped for permanent identification, and the adopter agrees that if TBR learns that an animal has changed ownership (sold or given away) or been neglected (starved or denied medical care) TBS may confiscate and repossess the animal at the adopter’s sole expense.
Adoption fees are refundable for two weeks from the initial adoption date in an effort to assure the adopted animal fits into its new family. After the two week trial period, fees are not refundable but adopted animals must still be returned if the adopter doesn’t want to continue keeping them.
After the animal is adopted from TBS, all expenses for its care and all liability for its behavior become the adopter’s. If an adopter wishes to have the animal vet checked after adoption, we encourage them to do so, but the expense incurred is the adopters. If a previously undiagnosed health problem is found within the two week trial period, TBS will gladly take the animal back and refund any adoption donation but will not cover any other expenses.
I WILL KEEP THIS ANIMAL FOR ITS ENTIRE NATURAL LIFE OR TURN IT BACK IN TO TEXAS BLESSING RESCUE IF I AM NOT ABLE TO DO SO. I WILL NOT GIVE IT AWAY TO ANYONE (INCLUDING CLOSE FRIENDS OR FAMILY) UNDER ANY CIRCUMSTANCE.
THIS IS A LEGAL CONTRACT EXECUTED IN THE STATE OF TEXAS, AND IS ENFORCABLE IN A COURT OF LAW.
Signed______adopter ______date
Approved______TBS rep______date