Adoption Application

Please complete this application thoroughly once you are certain that you (and your household) are ready to adopt a cat. We interpret the submission of this form as a notice of intent to adopt from our organization, and hope you will take this process as seriously as we do. Because we are an all-volunteer organization operating on limited time and resources, we would greatly appreciate if you made certain you were prepared to adopt a cat from us before you complete this form.

If you are not willing/able to wait for your application to be processed, which can take anywhere from a few hours to a few days depending on when you submit it, or if you plan to visit cats from other organizations/shelters before you hear back from us, we would appreciate it if you would not complete an application at this time. It is very frustrating when we take the time to review an application only to be notified by the adopter that they have already adopted elsewhere!

If you are not forwarded to a confirmation page after clicking "Submit," your application has not been processed. Please double-check that you have answered all of the questions. If all else fails, try using a different web browser to submit your form or use our paper form.

This is being completed as part of of a foster parent or volunteer application

First Name:

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Middle Name:

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Last Name:

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Are you certain that you are/your family is ready to adopt?

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Yes

Do you have any adoption applications pending with other groups?

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Yes

What type of cat are you looking for?

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Kitten	Kittens (Pair)	Young Adult
Young Adults (Pair)	Adult	Adults (Pair)
Special Needs	Open to best fit!	Other (explain below)

Are you interested in a particular cat? If so, please list top choice(s)

If you are submitting an application for a specific cat or kitten and they are no longer available, are you willing to consider others?

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Yes, I'm open to suggestions No, I am interested in only the cat(s) I listed above

What is the most important trait that you are looking for in your adopted cat?

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What is your time frame for adoption?

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Immediate

Next few days

A few weeks

Distant Future

Are you planning to attend our next adoption event? NOTE: The particular cat you're interested may not be in attendance!

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Yes

Not sure/I'd rather schedule an appointment

Have you adopted from us before?

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Yes! No Not sure

If yes, who did you adopt and do you still have them?

Your Home Address:

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City

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State

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Zip Code

Primary Phone:

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Alternate Phone:

Email Address

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Please retype your email address

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How often do you check your email?

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Several times a day

Once a day

Every few days

Hardly ever

Your date of birth (MM/DD/YYYY)

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What is your occupation?

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Student	Unemployed/looking for work
Employed full-time	Employed part-time
Dependent on guardian(s)	Dependent on spouse
Self-employed	Retired
SSI/Disability	Other

Employer:

If you are not currently employed, do you have a reliable source of income?

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Yes No N/A

Are you or your spouse in the military?

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Yes

Are there other adults (over the age of 18) in your household?

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Yes No

If yes, please provide their information below! Name and DOB

Full name (First, MI, Last):

Date of Birth:

Full name (First, MI, Last):

Date of Birth:

Full name (First, MI, Last):

Date of Birth:

Number of children in household

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Ages of children

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No Children

0 - 3 years

4 - 6 years

7 - 11 years

12 - 17

How old is your YOUNGEST child?

Which bests describes your home environment?

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Library

Grand Central Station

Something in between

Where will the cat spend its time?

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Where will s/he sleep?

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What places will be off limits?

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Have you personally been responsible for a cat before?

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Yes

Why do you want a cat?

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Family Cat	Companion for me
For a family member under 18	For my spouse or live-in relative
For someone NOT in my household	Breeding purposes
Playmate for current cat	Playmate for other animal
Mouser	Other

If you selected "Other" above, please explain:

Who will be the cat's primary caretaker?

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Do you..

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Rent (am leaseholder)	Rent (not leaseholder)
Homeowner	Live with parents

You live in a..

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Landlord's name and number

If you are not the lease-holder, please provide their name and number

Are cats allowed where you live?

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Yes

Don't know

How many times have you moved in the past 5 years?

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What would happen to your cat if you moved?

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Are you willing to allow an FRA representative to do a home check before and/or after you adopt?

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Yes

Other animals in your care (names, species/breed, age, time in your care)

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If you have cats or dogs, have they all been spayed or neutered?

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Yes	No	Some are, some aren't.
No animals in household

If you selected anything but "Yes" above, please explain

Are all your animals current on their vaccinations?

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Yes

No animals in household

If you have cats, when were they last tested for Feline Leukemia?

Please tell us about the animals in your past including what became of them and how long they lived

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If you have ever lost a companion at an early age or due to an accident or illness, please provide details

Veterinarian (current or most recent)

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Vet's phone number or address

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Names of animals this vet has seen

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Previous veterinarians' names and contact info

Please provide at least one personal reference (Name, relationship, phone #):

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How will you respond if your cat scratches the furniture or carpet?

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How do you feel about declawing?

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How will you respond if your cat fails to use the litter box all the time?

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How often do you think your new cat will have to go to the vet?

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

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Yes No

What and how often will you feed the cat?

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How much do you anticipate the following will cost each year?

Food, litter and other supplies

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Routine Vet Care

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Emergency Vet Care

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Do you have a way to cover vet expenses in case of an emergency situation?

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Yes No Don't know

Please describe your neighborhood

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Will you let the cat outside?

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Yes	No	With a collar and tags
Supervised	Unsupervised	I have a fenced-in yard
Depends on the cat

What would you do if your cat got lost? Has this ever happened in the past and, if so, what happened? Please answer even if you intend the cat to be inside.

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How long are you willing to allow the new cat to adjust to her new home?

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How will you introduce new pets to current ones and what will you do if they do not get along?

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Many people do not make formal plans for their pets in case of death or long-term incapacitation and wrongly expect that their family will assume responsibility for their pets in such a situation. Unfortunately, this results in many animals ending up at shelters and losing their lives.

If you are a senior citizen or a person with declining health, please describe what provisions you have made for your companion animals in the event that you are no longer able to care for them:

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Select below any reason you have given up an animal in the past or would consider giving up your adopted cat for:

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Allergies	Allergies: Life-threatening only
Litterbox misuse	Aggression
Destructive Behavior	Conflicts with Significant Other
New baby	Pregnancy
Marriage or Divorce	Illness or death in family
Health issues	Too expensive
Moving	Got too big
Excessive Shedding	Child lost interest
Just didn't want them anymore	Too much responsibility
Didn't have enough time	Conflicts with new pet
Not a lap cat or doesn't like to be picked up	Other
None of the above

Elaboration on above selection

Have you or anyone in your household ever been convicted of animal abuse or neglect, or do you have any such charges currently pending against you?

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Yes No

How did you find us?

Craigslist Ad	Pennysaver Ad
Browsing the Internet	Business Card or Flyer
Saw cats at Petco adoption center	Word of Mouth
Other

Here's where you get to say whatever you want!

Fees and Policies

We highly recommend that young kittens go in pairs or to homes with other cats or kittens to keep them company, but will consider single-kitten adoptions as well.

Our adoption fees are as follows:
Cat or kitten over 6 months: $90 ($150 for a pair)
Kitten under 6 months: $125 ($210 for a pair)

The fee includes spay or neuter, age-appropriate vaccinations, testing for Feline Leukemia, microchipping, worm and flea treatment and all other care needed to prepare the cat for adoption.

Are you aware of our adoption fee and procedures?

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Yes

Please understand that if you ever need to give up this cat for any reason, you should contact Feline Rescue Association first—we do not euthanize healthy cats. Others may euthanize. By signing this form, I acknowledge that all information on this form is true and correct. I understand that any misrepresentation of fact may result in Feline Rescue Association refusing adoption privileges to me or my family. If my request for adoption is approved and later FRA discovers the above information is not true or correct, FRA reserves the right to remove the adopted cat from my home. The Feline Rescue Association has permission to visit the cat(s) at my house periodically and I promise to be responsive to inquiries made on behalf of the Feline Rescue Association.

Electronic Signature and date

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