ࡱ> 7 JbjbjUU 7|7|+)l"""""""BBB8zF2Fv """"""J@#,l#0111111$3 5@$1q"#""##$1*""""2***#p""""0*#0**+""+": @B#++D202+5$b5+*6<r,""""C.A.R.S. Companion Animal Rescue Society 14715 Pacific Ave S PMB123 Tacoma, WA 98444 Fax: (253) 238-4425 email: adoption@carspetrescue.org www.carspetrescue.org Feline Adoption Application The answers you give on this application will help us to arrange the best possible match between you and the cats/kittens available through CARS. Please fill out the form completely. Incomplete applications will not be considered. You must supply a phone number where you can be reached or your application will not be processed. The application approval process will usually take 24 to 48 hours or longer, depending on the particular cat. Please email us at  HYPERLINK "mailto:adoption@carspetrescue.org" adoption@carspetrescue.org if you have not heard from us within 48 hours. **Please Print Legibly Your Information: Name of Adopter:  FORMTEXT       Resident Address:  FORMTEXT      City:  FORMTEXT      State:  FORMTEXT      Zip:  FORMTEXT       Mailing Address: (if different from above):  FORMTEXT      City:  FORMTEXT      State:  FORMTEXT      Zip:  FORMTEXT       Phone : Home  FORMTEXT       Work  FORMTEXT      Cell:  FORMTEXT      Best time to call:  FORMTEXT      At Which #:  FORMTEXT      E-Mail Address:  FORMTEXT      Years at Current Address:  FORMTEXT      Your Age:  FORMTEXT      Your Occupation:  FORMTEXT       Personal Reference: You must provide at least 2 personal references to be contacted by CARS. Veterinarians, pet sitters, groomers, and long-term friends make excellent references. Please no more than ONE Family member or person living with you! Name:  FORMTEXT      Relationship:  FORMTEXT      Phone:  FORMTEXT      Best time to call:  FORMTEXT       Name:  FORMTEXT      Relationship:  FORMTEXT      Phone:  FORMTEXT      Best time to call:  FORMTEXT      Name:  FORMTEXT      Relationship:  FORMTEXT      Phone:  FORMTEXT      Best time to call:  FORMTEXT       Housing: Do you live in a:House FORMCHECKBOX  Condominium FORMCHECKBOX  Apartment FORMCHECKBOX  Mobile Home Park  FORMCHECKBOX  Other FORMCHECKBOX  (Describe)__________________________________________Do you :Rent FORMCHECKBOX  Own FORMCHECKBOX If you rent: Do you have your landlords permission to have a cat? Yes FORMCHECKBOX  No FORMCHECKBOX  Is a pet deposit required? Yes FORMCHECKBOX  No FORMCHECKBOX  If yes, have you paid it? Yes FORMCHECKBOX  No FORMCHECKBOX  Landlord Name:  FORMTEXT      Phone:  FORMTEXT       *If you are renting, you will be required to present proof of permission to have a pet before pet will be released to your care. Members of Household: Please List the number and ages of children under 12 years old living in your home or that will be spending a large portion of time with the cat:  FORMTEXT       Number of adults (and children over 12 yrs) living in home? ______ Pet Information: Is there a particular breed, sex, age, coat length, personality or color of cat that you want? **Please note ID and/or name of particular cat you would like to adopt here  FORMTEXT       Why do you want to adopt a cat?  FORMTEXT       Have you ever adopted an animal from a rescue/animal control agency? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Does everyone living with you want to adopt a cat(s)? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Have you owned a cat before: Yes  FORMCHECKBOX  No  FORMCHECKBOX  Have you had other pets in the last 5 years? Yes FORMCHECKBOX  No  FORMCHECKBOX  How Many?  FORMTEXT       If you no longer have them, what happened to them?  BE SPECIFIC:  FORMTEXT       How many pets to you have in your possession at this time?  FORMTEXT       List pets in your possession: Species and/or breed:  FORMTEXT      Age:  FORMTEXT      Male  FORMCHECKBOX  Female  FORMCHECKBOX Is this pet Spayed/Neutered? Yes  FORMCHECKBOX  No  FORMCHECKBOX Is this pet Microchipped? Yes  FORMCHECKBOX  No  FORMCHECKBOX Species and/or breed:  FORMTEXT      Age:  FORMTEXT      Male  FORMCHECKBOX  Female  FORMCHECKBOX Is this pet Spayed/Neutered? Yes  FORMCHECKBOX  No  FORMCHECKBOX Is this pet Microchipped? Yes  FORMCHECKBOX  No  FORMCHECKBOX Species and/or breed:  FORMTEXT      Age:  FORMTEXT      Male  FORMCHECKBOX  Female  FORMCHECKBOX Is this pet Spayed/Neutered? Yes  FORMCHECKBOX  No  FORMCHECKBOX Is this pet Microchipped? Yes  FORMCHECKBOX  No  FORMCHECKBOX Species and/or breed:  FORMTEXT      Age:  FORMTEXT      Male  FORMCHECKBOX  Female  FORMCHECKBOX Is this pet Spayed/Neutered? Yes  FORMCHECKBOX  No  FORMCHECKBOX Is this pet Microchipped? Yes  FORMCHECKBOX  No  FORMCHECKBOX Species and/or breed:  FORMTEXT      Age:  FORMTEXT      Male  FORMCHECKBOX  Female  FORMCHECKBOX Is this pet Spayed/Neutered? Yes  FORMCHECKBOX  No  FORMCHECKBOX Is this pet Microchipped? Yes  FORMCHECKBOX  No  FORMCHECKBOX List additional pets here:  FORMTEXT       Care of Cat: Will this cat be: Indoor  FORMCHECKBOX  Outdoor  FORMCHECKBOX  Barn Cat  FORMCHECKBOX  Indoor & Outdoor  FORMCHECKBOX Do you have a regular veterinarian? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, give Vet s name and location (city):  FORMTEXT      Who will feed the cat and clean out the litter box?  FORMTEXT      Who will be responsible for the cost of caring for this cat?  FORMTEXT      How many hours per day will the cat spend alone (without people or other pets)?  FORMTEXT      Where will the cat spend the night? In house  FORMCHECKBOX  In Garage  FORMCHECKBOX  In Cage  FORMCHECKBOX  Outside  FORMCHECKBOX Do any members of your household have known allergies to cats? Yes  FORMCHECKBOX  No  FORMCHECKBOX If yes, how will this be managed?  FORMTEXT      If an allergy developed, what steps are you willing to take to keep the cat?  FORMTEXT       How often do you travel?  FORMTEXT      What arrangements will be made for your cat when you are on vacation?  FORMTEXT       Yearly medical costs to maintain the health of a cat can be anywhere from $100 to $500 depending on the age and overall condition of the cat. Are you prepared to make the lifelong financial commitment to this pet in order to keep him/her healthy and happy? Yes  FORMCHECKBOX  No  FORMCHECKBOX  What would you do if your cat needs emergency medical treatment?  FORMTEXT       Emergency medical treatment for a pet will usually cost more than your regular veterinarian. Would you be willing to spend : (Be Realistic!) $100 FORMCHECKBOX  $250 FORMCHECKBOX  $500 FORMCHECKBOX  $1000  FORMCHECKBOX  As much as is needed?  FORMCHECKBOX  Other: Please Specify amount  FORMTEXT      How would you pay for this care? Checking Account or Cash  FORMCHECKBOX  Savings  FORMCHECKBOX  Credit Card  FORMCHECKBOX  Loan  FORMCHECKBOX  Pet Insurance  FORMCHECKBOX  Borrow from family/friend  FORMCHECKBOX  Other-Please Specify:  FORMTEXT       What will happen with this cat if you move: Locally?  FORMTEXT      Out of state?  FORMTEXT      Overseas?  FORMTEXT      In with family or friend?  FORMTEXT      To a place that does not accept pets?  FORMTEXT       Under what conditions would you NOT keep this cat?Divorce/Breakup FORMCHECKBOX Move FORMCHECKBOX New Job  FORMCHECKBOX New Baby/Pregnancy  FORMCHECKBOX Illness (not the cat s)  FORMCHECKBOX New/Additional Pet(s)  FORMCHECKBOX Cat behavior  FORMCHECKBOX Other FORMCHECKBOX :PleaseExplain:  FORMTEXT       A cat can sometimes take up to two months to adjust to his/her new home. Are you willing to allow this much time for the adjustment? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Cats have been known to claw furniture, carpet, and drapes, dig in potted plants, inappropriately urinate or defecate, etc.(especially when moved to new surroundings). How do you plan to deal with these potential problems?  FORMTEXT       Do you plan to declaw this cat? Yes FORMCHECKBOX  No FORMCHECKBOX  If yes, why?_  FORMTEXT       How did you learn about this cat?  FORMTEXT       How did you learn about our organization?  FORMTEXT       Are you interested in becoming a volunteer and/or foster home for our organization? Yes  FORMCHECKBOX  No  FORMCHECKBOX  *Please write any additional information on the back of this sheet as needed. I certify that the information given herein is true and that any false information may exclude my application from consideration and/or nullify an adoption. I give permission for CARS to check references and landlord information that I have provided on this form. *Information provided by the applicant to CARS will never be released to unauthorized sources.  FORMTEXT        FORMTEXT       Signature Date We reserve the right to refuse any applicant for any reason! The adoption fee for cats is $90. This fee helps to offset the costs associated with rehabilitation and housing of the cats in our care, including medical treatment, microchip, spay/neuter surgery, vaccines and medicine, food, and transportation. Donations are gladly accepted as this fee barely covers the cost of helping 1 healthy cat. Your donation helps us to continue our mission to help homeless, abandoned, and abused pets become healthy and happy and to find permanent, loving adoptive homes. *Donations are tax deductible-we will gladly provide you with a receipt if requested. 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