Adoption Application

Pet Name(*)

Please include your adoptive pets name.

PetType

CatDogOther Invalid Input

Adopter's General Information

First Name(*)

Please include adopter's first name

Last Name(*)

Please include adopters last name

Street Address(*)

Please include a valid street address

City & State(*)

Please include a City and State

Postal / Zip Code(*)

Please include a zip code

Home Phone

Invalid Input

Mobile Phone(*)

Please include a phone number

Work Phone

Invalid Input

Date of Birth(*)

Please include a birth date.

Email(*)

Please include an email.

Have you adopted from CCAR previously?(*)

YesNo Invalid Input

Occupation(*)

What is your current occupation.

If yes, approximate date adopted

Invalid Input

Property / Household Information

Residence (*)

Occupancy (*)

I ownI rent I live with a parent or guardian Please select an option for Occupancy

How long have you lived at this address?(*)

How long have you lived at this address?

*If you rent, First and Last name of landlord/condo manager

Please include landlord's full name

Landlord Email

Invalid Input

Landlord Phone

Invalid Input

# of Adults & Children In household (please specify age of children) (*)

Please include # of Adults and or Children in the household

Are you planning on having children in the future?

YesNo Invalid Input

Does everyone in your household consent to adopting this pet?

YesNo Invalid Input

Does anyone in your house have allergies?

YesNo Invalid Input

*If yes, who and what type of allergy?

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Who is this pet for?(*)

MyselfMy FamilyRelativeFriend Please check who the adopted pet is for

If adopting a cat, are you planning on declawing this cat?(*)

YesNo Please Check if you are planning on declawing

Pet will be kept:(*)

IndoorsOutdoorsBoth Indoor & Outdoor Please include where you adopted pet will be kept

Explain indoors & outdoors:

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Pet Information

List pets here (if none please mark N/A)(*)

Please list pets currently living in the home.

Current pets are kept:

IndoorsOutdoorsBoth Indoor & Outdoor Invalid Input

Are your other pets spayed/neutered(*)

YesNo Are your other pets spayed/neutered

Have your other pets been tested/treated for infectious diseases such as FIV/Felv?

YesNo Invalid Input

Length of pet ownership?

Invalid Input

Age of your current pets?

Invalid Input

Veterinarian Information

Please list your current / previous veterinarian(s). CCAR may contact them to get a reference. Please call their office(s) to authorize release of information to CCAR. If you are planning to utilize another vet but are not currently a client, please note that information.

Veterinarian Full Name

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Vet Clinic Name (*)

Please include your Vet Clinic Name

Vet Phone(*)

Include your vets phone number

Vet Email

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As your new pet transitions to your routine, it may take a month (or more) to adjust. Are you willing to devote time to the transition process?(*)

YesNo Are you devoted to your adopted pet

Are you willing to accept this adoption as a lifetime commitment(*)

YesNo Are you in it for life?

Have you made arrangements for the care of your pet in the even that something might happen to you Please Explain (*)

Who will take care of your adopted pet if something were to happen to you?

Additional Information

To meet a pet, a potential adopter should fill out the adoption application, meet the pet and have a compatibility interview. We do not use a first-come, first-serve process and we decide who is going to be the best match for each pet. The process is intended to ensure a best-fit, long-term successful adoption for both the family and pet.

If you rent, provide a copy of your lease and addendum allowing pets to CCAR.
By signing this adoption application, you agree to provide vaccinations, health check-ups and any additional veterinary care, by a qualified veterinarian, on a yearly basis.
Your adoption fee is a donation to CCAR and is nonrefundable.
When adopting a cat or kitten, you must bring a secure cat carrier along when picking up your new pet.

By signing this form, I/we acknowledge that the information on this form is true and correct. I/we agree to all provisions indicated on this form. I/we understand that any misrepresentation of fact may result in Crazy Cats Animal Rescue refusing adoption privileges to me/us. If my/our request for adoption is approved and later Crazy Cats Animal Rescue discovers the above information is not true or correct, this application becomes null and void. Because of my breach of contract, Crazy Cats Animal Rescue reserves the right to remove the adopted pet from my home, and I will be held responsible for any associated legal costs incurred as part of said reclamation process. In order to ensure the best homes for our rescued pets, we reserve the right to deny any adoption application for any reason.

Full Name(*)

Please enter your full name

(*)

I acknowledge that I have read and fully understand the contract presented above and by entering my full name and pressing, "Sign Contract," I represent and warrant that I am the individual identified and I understand and agree to be bound by the legal contract set forth above. Do you acknowledge that you have read and fully understand?

How did you hear about us?(*)

Other

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Thank you for applying to adopt a pet from CCAR Please allow 48-72 hours to process your application.

First Name(*)

Digitally sign your first name

Last Name(*)

Last name digitally signed

(*)

Invalid Input

Pet Adoption Application

Adopter's General Information

Property / Household Information

Pet Information

Veterinarian Information

Additional Information