Cat Adoption Application

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Please fill out this form honestly, and email RrrrescueMaria@gmail.com with any questions.

Email *

Please add Rrrrescuemaria@gmail.com to your contacts so that our response does not go to spam.
*

Name *

Age *

Street Address *

City *

State *

Zip Code *

Phone Number *

Which cat would you like to adopt? *

We sometimes require home visits. May we visit your home? *

Yes

Do you rent or own? *

Rent

Own

Live with Parents

Please provide your landlord's name and number. *

Who will be the primary caregiver for the cat? *

Does anyone in your home have allergies or asthma? *

Where did you find this cat? *

Petfinder

Craigslist

Facebook

Word of Mouth

AdoptAPet.com

Adoption Event

Other:

What would cause you to give up a cat? *

Excessive Scratching

Allergies

Pressure from significant other or family member

cat related expenses

nothing

Litterbox Issues

Other:

Required

Occupation and Employer? *

Who is your current Veterinarian? *

Are you able to afford yearly vet visits for vaccinations and checkups? *

Yes

Are you aware that cats can live up to 20+ years? Can you care for a cat for that long? *

If something were to happen to you, who would take care of this cat? Please list name and number. *

Are you able to afford emergency medical attention if needed? *

List any other pets in your home, their name, species, breed, and age. *

Do you have children? What are their ages? *

Where will this cat live? *

Inside

In the garage/laundry room

Inside/Outside

Outside

Other:

When was your last visit to the vet and why? *

Have you ever had a cat declawed? Would you? *

Have you already gotten supplies for this cat?

How will you deal with behavior problems? *

If you have other pets, how will you introduce your new cat to your household? *

Contract *

I agree that the Adopted Pet is being adopted for myself and will not be sold, adopted or given to another party.

I agree that the Adopted Pet will not be allowed outdoors without proper supervision, unless the Adopted Pet is in a secure fenced in area. When taking my Adopted Pet outdoors not within a secure fenced in area, Adopted Pet will be on a secure leash and wear proper ID

If adopting a dog, I agree that this dog is to be a companion animal, not a guard dog. The dog will live primarily inside my home, not outdoors.

Rolling River Rescue does not give refunds for the return of any Adopted Pet. I understand that any animal entering a new home will need an adjustment period. I agree to give ample time for adjustment. If for any reason I am unable to keep the Adopted Pet, I must return Adopted Pet to Rolling River Rescue.

I will not alter/mutilate Adopted Pet in any way unless deemed necessary for health by a medical professional. This includes De-barking, Declawing, Ear Cropping, Tail Cropping, and Teeth Pulling.

I agree to care for the animal in a humane manner and be responsible animal guardian. This includes supply adequate food, water, shelter, attention and medical care. I agree to abide by the state laws, city, and parish ordinances regarding animals, including licensing my pet with the city in which he/she resides.

I understand and agree that Rolling River Rescue cannot make any warranties or representations concerning the Adopted Pet’s health and temperament. Rolling River Rescue is not responsible for future damages caused by Adopted Pet.

I agree to have adopted pet seen by vet of my choice within 2 weeks of adoption in order to begin any necessary preventatives (i.e. heartworm, intestinal worms, fleas).

I understand and acknowledge that the adoption donation is non-refundable, and will go directly to other animals in need.

Rolling River Rescue's liability is limited to the terms and conditions of this Contract. Adopter understands and acknowledges that Rolling River Rescue has no further responsibility for Adopted Pet once this contract is fully executed by the parties and Adopted Pet is delivered to the Adopter. Adopter understands and acknowledges that he/she/they are not relying on any representations made by Rolling River Rescue to adopt Adopted Pet. Adopter is adopting Adopted Pet under his/her/their own free will and volition and without threat of force or duress and without promise of reward.

I AGREE THAT ALL STATEMENTS I HAVE MADE ON THIS CONTRACT ARE TRUE. IF IT IS FOUND THAT ANY STATEMENTS I HAVE MADE ON THIS CONTRACT ARE NOT TRUE, I HEREBY REVOKE ANY INTEREST I MAY HAVE IN ADOPTED ANIMAL AND SURRENDER ADOPTED ANIMAL TO ROLLING RIVER RESCUE.

Required

By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application. *

A copy of your responses will be emailed to the address you provided.

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