Pawz 4 Life Animal Rescue Inc. Cat Adoption Application

Pawz 4 Life Animal Rescue
P.O Box 20134
Saginaw, MI 48602

* Today's Date:

* Name(first & last):

* Spouse/Partners Name:

* Date of Birth:

* Address:

* City:

* State:

* Zip:

* Drivers License/ID Number:(This MUST be filled in, will not except app if not)

* Email Address:

* Home Number:

Cell Number (if applicable):

Work Phone Number (if needed, may we contact you here):

* Name of cat you are applying for:

Residential Information

*

Do you rent or own the home you live in?

Rent

Own

*

If RENTING, please provide landlords Name and Number:

*

If yes, are there any restrictions and or pet deposits?

Family Information

* How many adults & children (please list ages) will be in the home?

* Would you be willing to educate the children that will interact with this cat?

*

If you currently don’t have children are you planning on any in the future?

Yes

No

*

If so, would this make you give up on this cat?

Yes

No

*

Who is the cat for? Why? And who’s responsibility will it to be to look after this cat?

Adoption Information

*

Are you aware that your cat may not be litter box trained? Is this something your willing and able to do?

Yes

No

*

What form of discipline do you plan to use and what have you used in the past?

*

What would make you give up on a cat? Please list any and all reasons and why.

*

How long would you give this cat to adjust to its new surroundings and home?

*

What would you do if this cat ever got loose?

*

If a situation arose such as a move, or addition of other pets, or relationship difficulties, or any other expected/unexpected events, what would happen to the cat?

Pet History

*

List of pets currently own: names, breed, age, and are they current on all vaccs and spayed/neutered:

*

Are they indoor or outdoor animals?

*

Can you afford annual vaccinations and check ups for this cat?

Yes

No

*

Please list the pets you have owned as an adult: name, age and what happened to them: Please be specific.

*

Have you ever given up on a pet and why?

References

*

Veterinarian where your pets records are or have used in the past:

Name and Number:

* 3 Personal References: Friends, Family, Neighbor, Ect.

* Name & Number:

* Name & Number:

Pawz 4 Life Animal Rescue Inc. has the right to deny this adoption application for any reason, at any time, for the safety and well being of the animal that they are applying for. We also will not accept or process any application that is not completely filled out, including the 3 personal references (friends, family, neighbor, ect). The potential adopter agrees that all of the information provided is the truth and accurate to the best to there knowledge.

* Signature/Initials:

* Indicates Response Required