Cat Adoption Form - Big Canoe Animal Rescue

Name of the cat you are interested in:

Applicant's First Name: *

Applicant's Last Name: *

Age: *

Occupation: *

Co-Applicants First Name:

Co-Applicants Last Name:

Age:

Occupation:

Address: *

City: *

State: *

Zip code: *

Home Phone: *

Cell Phone:

Email Address: *

Do you own a home?: *

Yes
No

“IF You Rent, PLEASE GIVE THE NAME AND CONTACT INFORMATION OF YOUR LANDLORD.”*

If yes, what type of home do you own?: *

Single Family Home
Condo
Trailer Home
Town Home

Please list all current residents (people) of the home (other than the applicants), including names and ages.: *

Are you willing to allow a representative from B.C.A.R to visit your home by appointment: *

Yes
No

How many times have you moved in the past 5 years: *

If you owned a pet, did it go with you?: *

Yes
No

Would you consider moving somewhere that doesn't allow your pets?: *

Yes
No

Does anyone in your household currently have serious health problems?: *

Yes
No

Is anyone in your household allergic to cats?: *

Yes
No
Third Choice

How many pets have you owned in the past 5 years?: *

Were they all spayed and neutered?: *

Yes
No

Please describe what happened to any that are no longer with you: *

Number, type, and age of pets currently in household?:

Were they all spayed and neutered?: *

Yes
No

Do any of your current or did any of your past pets live primarily outdoors?: *

Yes
No

Please check any of the following reasons for adopting this cat: *

Family Pet
Companion
Child’s Pet
Companion for another pet
Gift

How do you plan to control fleas and ticks?: *

Where will your new cat stay when home alone during the day: *

In Basement
In One Room in the House
Free Run of House
Other

If other, please describe:

Where will the new cat sleep at night?: *

Have you ever had a serious behavior problem with a previous cat?: *

Yes
No

If yes, please describe the behavior and the method used to correct the problem:

Have you considered what you will do if there comes a time when you are no longer able to care for your cat?: *

Yes
No

If so, what is your plan?:

What circumstances justify giving a cat up?: *

Have you ever given up an animal or had any pet for a period of time and it didn’t work out?: *

Yes
No

If so, please explain the circumstances and what happened:

References-Name and Phone Number:

b.

c.

Reference-Veternarian Name and Phone Number:

ADOPTION AGREEMENT – FELINES

You will be asked to initial and sign this agreement at the time of the actual adoption.

1.

I certify that this animal is intended as a family pet and will not be used for research or breeding.

2.

I further agree that there is no warranty, expressed or implied by Big Canoe Animal Rescue as to this animal’s age, breed, health, future size, behavior or temperament. I hereby release and agree to hold harmless the Big Canoe Animal Rescue from any claim, liability, or cause of action arising or in any way related to my adoption or ownership of this pet. This pet was healthy at the time of adoption, unless otherwise stated. Medical records are included in adoption packet. Any health issues that arise after adoption will be paid by the Adopter.

3.

I agree that this Feline will remain an indoor pet.

4.

I agree that this feline will not be declawed at any time.

5.

I agree that this feline will always remain up-to-date on all necessary vaccinations.

6.

If this feline pet is a kitten when adopted and too small or young for spaying or neutering, we request that you notify the Feline Rescue & Adoption Director at BCAR as soon as this procedure has been done. Feline neutering/spaying is an absolute must when adopting from BCAR.

7.

Big Canoe Animal Rescue has the right to take the animal back if they deem it does not have proper living conditions and/or care.

8.

I agree to a home visit by a Big Canoe Animal Representative.

9.

If for some reason the adoption is not working out, Adopter has fifteen days in which to return the animal.

10.

I have read and understand all of the above terms and I agree to all of the terms of this contract.

Untitled

Phone

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