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Adoption Form

Ready to adopt your fur-ever friend? Please fill out the application below and we will get back to you shortly. Thank you!

Please note that there is a $125 adoption fee for kittens not of age to be spayed/neutered and a $185 adoption fee for cats/kittens that are spayed/neutered by us prior to adoption . We do require spay/neuter at the appropriate age, a contract must be entered into reflecting same, and we will provide low-cost options with our rescue discount at local clinics. Also note that adoption fees for exotic breeds such as Main Coon and Siamese mixes, etc. may differ. Inclusive of this fee, all our cats/kittens are age-appropriately vaccinated, treated for both internal and external parasites, tested for FIV/FeLV and microchipped.

Also note that, while we will always take back our cats if for any reason it does not work out and they need to be returned, our adoption fees are non-refundable. So PLEASE be sure you are fully committed to the process before going forward, PLEASE understand cats can live up to 20 years, and PLEASE do not fill out the form below if you do not consider your pets part of the family.

Applicant Name *

First

Last

Applicant Street Address *

City, State, Zipcode *

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Applicant Email *

Employment/Occupation/Job Title *

Best times to reach you regarding this application *

What type of cat are you interested in? *

Male
Female
Kitten (under 5 months)
Adult
Long Hair
Short Hair

Name of cat you are interested in: *

Color: *

Please list all members of your household, starting with yourself. Include each person's name and age *

Is everyone in your household in agreement on adopting a new cat?

How long have you been looking for a new pet?

If approved, when would you like to adopt?

For whom are you adopting the cat? *

Self
Gift

Does any member of the family have any allergies to animals? If so, please explain:

Who will be responsible for the cat? *

Where do you live? *

Do you own or rent your residence? *

Own
Rent

If you rent, what is the name of landlord and phone number? *

Are pets allowed? *

Yes
No
Not sure

Where will the cat be kept? *

Indoors only
Outdoors only
Both in/out

Will anyone be home during the day? *

Yes
No

How many hours will the cat be left unattended? *

When no one is home, where will the cat be kept? *

If on vacation, who will care for the cat? *

In circumstances of spousal divorce, job loss, change of living arrangements, losing the ability to properly care for your animal, death, etc., do you have a plan in place for your pet? If so, please explain" *

If you move, what will you do with the cat? *

How far from the road/traffic is your home located? *

Is the volume of traffic: *

Light
Moderate
Heavy

Have you ever had any pets before? *

Yes
No

Please describe the pets you still care for that are living in your household. *

Please include name, age, breed, sex and if spayed/neutered

Please describe the pets you no longer care for. *

Please include name, age, breed, sex and if spayed/neutered

Are your pets current on their vaccinations? *

Yes
No

Please provide name of your veterinarian: *

Please provide telephone number of your veterinarian: *

Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary? *

Yes
No

What is your opinion on spaying and neutering?

What are your thoughts on yearly inoculations for your pets?

In an emergency situation, do you have funds set aside to be able to provide your pet with appropriate veterinary care and which emergency hospital would you use?

If you have a dog, is he/she permitted to run loose? *

Yes
No

What precautions would you take to properly introduce a new cat into your home if you have other animals? (dog, bird, rabbit, another cat, etc.) *

What will you do if your new cat does not get along with your present pets? *

Are you planning on declawing? *

Yes
No
Not sure

Have you ever adopted an animal from a rescue/animal control agency? *

Yes
No

Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility? *

Yes
No

If yes, please explain: *

Why do you want to adopt a cat? *

Provide three personal references below. Please include full name, phone number, and relationship:

Is there anything you feel we should know when considering your application or anything you would like to tell us about yourself and/or your family? *

If a disciplinary or behavior problem arises, what steps will you take to work on it? *

Do you agree to permit a visit to your home/farm by appointment? *

Yes
No

By signing this form, I/We acknowledge that all information on this form is true and correct. I/We understand that any misrepresentation of fact may result in Lucky Lives Cat Rescue refusing adoption privileges to me/us. If my/our request for adoption is approved and later Lucky Live Cat Rescue discovers the above information is not true or correct, Lucky Lives Cat Rescue reserves the right to remove the adopted cat from my home/farm. *

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luckylivesrescue@gmail.com
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609-200-0139

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