Gainesville Pet Rescue, Inc

Gainesville Pet Rescue, Inc.

5403 SW Archer Rd Gainesville, Florida32608

Phone:(352) 692-4773 Fax: (352) 692-4776

CAT Adoption Application

We appreciate your interest in giving one of our rescued pets a loving home. Our goal is to match your personality & lifestyle with your future pet.

Since we rescue the majority of our pets from Alachua County Animal Services, some of our animals were neglected and some were abused unfortunately, most of them just didn’t quite fit into their old homes, at least not well enough to ensure they would stay there forever.

While we know that you plan to give your new pet the best home ever, your answers will help Gainesville Pet Rescue ensure that our pets are adopted into forever homes.

All of our animals are examined and their health is routinely monitored while in our foster care, but there is always a chance that an animal is incubating a disease without showing any clinical signs. This is why it is important for you to take your new pet to your veterinarian within 8 days of adoption. Once an animal is adopted, they become the sole responsibility of the adopter.

The pet you adopt today has received a well care package worth $200 to $300 dollars, including examination by a veterinarian, spay/neuter, microchip, age-appropriate vaccinations, de-worming, feline leukemia/aids testing for cats, occult heartworm testing for dogs, heartworm preventative, and flea control. You will also receive a voucher for a free veterinary examination, to be used within 8 days of adoption, at any veterinary clinic in AlachuaCounty, as well as other special offers.

To be considered an adopter, you must:

Be at least 18 years of age and show your current driver’s license.
Be prepared to provide written consent from landlord on management letterhead if you rent your home/apartment. If you own your home please bring proof of address, i.e. utility bill in your name.
Be prepared to provide copies of vet records of current pets in household (with proof of vaccinations, heartworm prevention, and date of spay/neuter). If you do not bring a medical record with you, GPR may contact your vet directly.
Be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet.
Complete this application and interview with an adoption counselor.

Name of applicant:______

Street Address:______Apartment #: ______

City: ______State: ______Zip Code: ______

Phone Number (One microchip will be registered to):______

Alternate Phone Number(s): ______

Email: ______Age: ______

How long have you lived at this address: ______

Place of Employment: ______

How long have you worked at current job: ______

Does your job require extensive travel? Yes No

Driver’s License Number: ______

Are you adopting this animal for yourself or someone else? ______

Will this pet be a surprise for any household members? Yes No

If yes, who? ______

Adopting

What is the name of the cat you are interested in adopting today? ______

List any general questions you would like to have answered about this particular cat

If necessary are you willing to allow a representative from Yes No
Gainesville Pet Rescue to visit your home by appointment?

Please check any of the following reasons for adopting this pet: / Family pet
Child's pet
Companion
Companion for other pet
Gift
Other - please specify: ______

Will this be your first cat? Yes No

Have you ever adopted from us before? Yes No

If yes, when? ______

Have you ever adopted from another rescue group? Yes No

If so, what was the name of the group? ______

Home

Please indicate where you live: / Apartment
House
Condo/Townhouse
Trailer/Mobile home

Do you…. Rent Own

What is the name of the apartment complex? ______

If you rent, do you have the landlord’s permission to adopt a cat? Yes No

Do we have permission to contact your landlord for confirmation? Yes No

If yes, what is the landlord’s name and phone number? ______

Are there any restrictions? (Breed, size, age, number of animals?) Yes No

If yes, please specify: ______

Are there any pet fees or deposits? Yes No

If yes, please specify: ______

Moving

How many times have you moved in the past 5 years? ______times

If you move again, will your pet go with you? Yes No

Would you consider moving somewhere that does not allow pets? Yes No

The Future

Which of the following changes do you foresee in your life within the next 10 to 15 years? (average lifespan of a cat) / Marriage
Childbirth
Going away to College
Relocating
Other

Please explain:

Do you feel that you can provide a permanent home for this cat for 10-15 years? Yes No

What provisions will you make for the cat should you become unable to care of him/her?

______

People in Household

Who will be primarily responsible for the dailycare and training of your new pet? ______

How many adults are in the household? ______

Relationship(s): / Spouse
Roommate(s)
Life partner
Other - please specify: ______

Do any children live in the house? Yes No

If so, what are their genders and ages? ______

Do any family members have allergies to cats? ______

Current Pets

Name, breed and age of pets currently in household?

Do any of your current pets live primarily outdoors? Yes No

If yes, please describe living environment: ______

Are all currents pets spayed/neutered? Yes No

Are all current pets up to date on necessary veterinary care? Yes No

Have current cats been tested for feline leukemia and FIV? Yes No

If so, when was the last test done? ______

Are any of your current cats declawed? Yes No

If yes, where? Front paws All four paws

Are all current pets on heartworm prevention? Yes No

If yes, how often do you give the heartworm prevention? ______

What brand do you use? ______

Are all current pets on flea prevention? Yes No

If yes, how often do you give the flea prevention? ______

What brand do you use? ______

Where do your current pets stay when home alone during the day? / Outside, in fenced area
Outside, free run
Outside, in dog pen
Outside, on chain or tie-out
In the garage
Inside, free run of house
Inside, in one room of house
Inside, in crate
Other, please describe:
______
Where do your current pets sleep at night? / Outside, free run
Dog house in fenced area
Dog house in dog pen
Dog house near tie-out
In the garage
Inside free run of house
Inside in one room of house
Inside in crate
In my bed
Other, please describe:
______

Will your current pets adjust to a new cat in the household? Yes No Don’t know

Pet History
How many pets have you owned in the past?
(Please do not include family pets who were your parents' responsibility) / ______
If any, please describe what happened to each of them (put to sleep, run over, died of old age, sold, gave away, ran away, etc.)

Have you ever had a serious behavioral problem with a pet? Yes No

If so, please explain the circumstances and how you dealt with it: ______

______

Have you ever given up a pet? Yes No

If yes, please explain: ______

Have you ever turned an animal into the animal shelter? Yes No

Veterinary Care

What is your veterinarian’s name and phone number? ______

Do you give us permission to contact your vet to get confirmation on current pets’ medical history? Yes No

What do you expect pet care (vet care, medication, heartworm prevention, etc.) to cost?

______per month ______per year

How do you plan on preventing/treating fleas and ticks? ______

If your pet develops a medical problem that becomes expensive, what would you do? / find another home for him
pay whatever it takes
have him put to sleep
give him to a rescue group or shelter
other - ______

General Care

Are you familiar with heartworm disease in cats? Yes No

Will this cat/kitten be allowed outdoors? Yes No

Please describe when and where: ______

Do you have a dog/cat door? Yes No If yes, is it unlocked at all times? Yes No

If yes, where does it lead to? ______

Do you plan to declaw this cat/kitten? Yes No Not sure

If yes, when do you plan on having the procedure done? ______

If you are not sure, under what circumstances would you have it done? ______

______

Are you aware of the potential side effects of declawing a cat? Yes No

How many hours will your new pet be home alone on a typical day? ______

Where will your new pet stay when home alone during the day? / Outside
Inside in one room of house
In the garage
Free run of house
Other, please describe:
Where will your new pet sleep at night? / Outside
Your bed
In the garage
Free run of house
Inside in one room of house
Other, please describe:
______

If you are considering a long-haired breed, are you prepared to groom him/her? Yes No

What type and brand of food will you feed? ______

If you go away for a few days or on a vacation, who will take care of the cat? ______

______

If your cat starts urinating inappropriately in the house, what will you do? / Seek veterinary attention
Clean it up and not worry about it
Put the cat outside
Give cat away
Other ______

Giving up a Pet

If you are unable to keep your new dog for any reason at any time will you agree to return the cat to GPR? Yes No

Which of the following circumstances might cause you to give up your pet? / Moving
New baby
Not getting along with other pets
Divorce
Behavioral problems
Children lost interest
Too time consuming
Shedding
Allergies
Not using litter box
Medical problems
Want to travel
None
Other - please explain:
______
GPR
How did you hear about Gainesville Pet Rescue? / website
newspaper
word of mouth
radio
friend or family adopted from GPR
other - please specify:
______
THANK YOU
Thank you for completing your application with Gainesville Pet Rescue, by signing below I am attesting to the truthfulness of my answers. Falsification or misrepresentation of the above information will result in rejection of this application or possible removal of adopted pet from my home.
Gainesville Pet Rescue reserves the right to refuse any applicant.

______

Adopter SignatureDate

______

Adoption Counselor