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Adoption Form For Ymir
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Applicant Contact Information
This form must be filled out completely and accurately in order to adopt a cat. This application is designed to help match cats and people to find the placement that works best for everyone. Please note that we do not necessarily adopt a cat to the first applicant, but rather to the person/family that seems the best fit for that particular animal. All persons living in the household should be involved in choosing a pet.
(*) Indicates required field
Name
*
First
Last
Address
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
What is your age?
Please enter age in years.
Phone-Home
One phone number is required (Cell or Home).
Phone-Cell
*
One phone number is required (Cell or Home).
Best time to call
Email
*
Employer
Title or Profession:
Which cat(s) are you applying for?
Enter only the cat's name. Comment section below is for additional information.
Cat-1
Cat-2
Cat-3
Additional Comments
Adopter Information
Family members name(s) and age(s):
All members of family in agreement to adopt?
Yes
No
Any family members have allergies to animals?
Yes
No
Length of Time at Current Address:
Live in a:
House
Townhouse
Apartment
Condo
Owns or Rents:
Own
Rent
Can you provide documentation re: pet policy?
Yes
No
Landlord Name:
*
Landlord Phone:
*
Landlord Other:
Pet Living Conditions
Will the cat be allowed to go outside?
Yes
No
Additional detail about time cat will be outside:
Where will cat sleep?
Do you understand rescue pets need an adjustment period in a new home?
Yes
No
If something were to happen to you, who would take responsibility for your pet(s)?
PET CARE INFORMATION
Please enter the number of pets you currently have:
(Enter 0 if you have none.)
Dogs
*
Cats
*
Other
Your Vet's Name:
Vet's Phone Number:
Do you give Angels Among Us Pet Rescue permission to contact your vet?
*
Yes
No
Are your current pets up-to-date on vaccinations?
Yes
No
Please list the name and species of all the pets you have had in the last 5 years, and if you still own them or if not, explain why.
Current pets display aggression towards other animals?
Yes
No
Are your current pets inside or outside?
(List each on a separate line.)
Are your cats declawed?
(List each on a separate line.)
What kinds of cat behavior do you find undesirable, and how would you deal with these issues?
Are there any circumstances that would lead you to declaw this cat? If so, please describe:
Additional Questions
Have you submitted an application with another organization for a cat at this time?
Yes
No
Have you ever had an application for adoption declined from an animal welfare facility?
Yes
No
I would return this cat to Angels Rescue if:
Moving
New Baby
Kids no longer want it
Financial problems
Scratching funiture
Litter box issues
Behavior issues
Fights with other pets
Divorce
Messes up furniture
Allergies
I would never return this cat
What is your cat experience?
First time owner
Have had one or two
Knowledgeable and experienced
Willing to provide attention?
Yes
No
Please provide a reference.
References can not be living with you and can not be a family member. We do not record, share, give away, sell or use reference information in any way other than as a reference for this application.
Reference #1 Name
*
First
Last
Reference #1 Phone
*
Reference #1 Email
*
Reference #1 relationship to applicant
*
Reference #2 Name
*
First
Last
Reference #2 Phone
*
Reference #2 Email
*
Reference #2 relationship to applicant
*
How did you learn about Angels Among Us Pet Rescue?
Facebook
Other Social Media
Our Website
Petfinder
Adopt-a-Pet
Event
Recommended by a friend
Other
I have read the previous information carefully and have filled out this application honestly. I understand that intentional omission of information and/or failure to answer questions truthfully can result in this application being declined. If an omission or untruth is discovered after an adoption takes place, I understand that Angels Among Us Pet Rescue reserves the right to annul the adoption and reclaim the animal. I give Angels Among Us Pet Rescue permission to fully investigate the information provided as well as contact veterinarians and related officials. If the application passes this review, I agree to a home and yard visit on a mutually agreed date by an Angels Among Us Pet Rescue volunteer before an adoption decision is made. In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is Angels Among Us Pet Rescue’s prerogative to decide which home is most appropriate and that their decision is final, and therefore I will not argue with the decision. Unless otherwise indicated by Angels Among Us Pet Rescue, I am free to apply and undergo the application process in the future.
I confirm I am at least 21 years of age.
Yes
I confirm I have read and agree to the above terms and conditions :
*
If you do not agree you can email info@angelsrescue.org for more information.
Agree
I do not agree and understand my application will not be processed.
Signature
By entering your name in the boxes below, as an electronic signature, you are giving consent to be a volunteer for Angels Among Us Pet Rescue as described in the Agreement and General Release Form for Volunteers.
Type your name:
*
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Angels Cat Adoption Form
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Person Found
This is used to check if the person already exists in the database.
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