Adoption Form « Billerica Cat Care Coalition

Adoption Form

Your Information Note: Applicant must be 18 years of age or older
Name:*

Address:

City:

State:

Zip:

E-mail:*

Home Phone:*

Work Phone:

Cell:

Cat Information
Which cat are you interested in adopting:

Why do you want to adopt a cat? (Please note that kittens are only adopted in pairs, unless there is another kitty or cat friendly animal in the household.)

How did you hear about this cat:
Living Situation
Do you own or rent:
If renting please provide landlord name and phone

Do you have children?:

If yes, how many, and what are their ages:

Who else lives with you?:

Do you smoke?:
Pet Health and Safety
Do you have other pets?:

If yes, what kind and how many:

Have you owned a cat before:

If yes, for how long?:

What are your pet's names?:

Do you have a veterinarian?:

Who is your most recent veterinarian & his phone number?
Has your pet seen any other veterinarian in his lifetime? If yes, what it is name & number?
Has your last name and/or address changed since your pet was last at the vet? If yes, please explain

Have you ever lost a cat or had a cat die?:

If yes, what happened?:

How long do you plan on keeping the cat?:

How do you plan to care for grooming such as nail care, dental care and general grooming?:

How will you handle the kitten or cat's need to scratch. What if they scratch your furniture? Please give a detailed description:

Will this cat be outdoors?
Will this cat be indoors?
References - Include name/ telephone/relationship *who are not family members
Reference #1:

Reference #2:

Will you allow a follow-up visit, in home, in one (1) month?:

If for any reason, you no longer want the cat(s) or can no longer care for the cat(s), do you promise to contact the Billerica Cat Care Coalition immediately and bring the cat(s) back to us:

To help defray the cost of their care, we require a $90 non-refundable adoption fee for cats and a $150 non-refundable adoption fee for kittens from 7 weeks to 12 months. In addition, responsible pet ownership means incurring some expenses, including medical care. We estimate the annual cost of average veterinary care (yearly exam,shots, and treatment for at least one condition) to be at least $150.

Are you aware of these costs and are you prepared to cover them?
I/We, the undersigned, promise to provide sufficient shelter, food, water, medical care, comfort and love so that this animal will thrive and lead a happy indoor life as best as we are able. I/We will make available veterinary care as needed. I/We promise never to declaw him/her. If I/we must move from our current location, I/we will either take him/her with us or provide for his/her care by returning him/her to the Billerica Cat Care Coalition. My typed signature below signifies that I agree to the terms of this adoption and that all the information provided is true and accurate. I understand that there is a $90 non-refundable adoption fee for cats. I also understand there is a $150 non-refundable adoption fee for kittens from 7 weeks to 12 months and "special needs" kitties require a $50.00 adoption fee.
Please type your full name:
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