KITTY ADOPTION APPLICATION – Mad Love Animal Rescue

Cat you are interested in? *

Date *

Adopters Name *

Co-adopters Name

Home Address *

Cell Phone *

Home Phone

Email Address *

Occupation

How many years have you been employed at your job? *

How many occupants living in the home? *

Please list name and ages and relationships…child, spouse, roommate *

Do you anticipate bringing a newborn or young child into your household in the near future? *YesNo

Who will be the primary caregiver for your new pet?

Does anyone in your household have allergies to animals? If yes - please describe) *

Are all occupants in agreement of this adoption? *YesNo

Do all of your windows have screens on them?YesNo

Are all of your windows secure?YesNo

Do your doors have screens?YesNo

Are all of your doors secure?YesNo

Will your cat be...Indoor OnlyOutdoor OnlyBoth indoor and outdoors

Are you willing to keep your pet in a secure area when people outside of household are entering home or yard. *YesNo

Do you have a patio or balcony that your cat will have access to?YesNo

If Yes – Is it secure?YesNo

If No – are you willing to remedy it before MLAR does a home check?YesNo

If you are a renter. Does your landlord allow cats ?YesNoNot a Renter

What is your landlords contact info

What is your landlord’s name

Landlord Phone

Landlord Email

Does your landlord have any breed restrictions, if so, what are the restrictions?

Does your landlord have weight restrictions? If so, what's the weight limit?

How many pets does your landlord allow?

Do you grant MLAR permission to contact your landlord for verification?YesNo

Do you have plans to move in the near future? *YesNo

What will happen to your cat if you move locally, out of state, or out of the country?

How many pets have you had in the past 10 years?

Please list type of animal, age, and what happened them?

Please list all living pets in your home:

Pet 1:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Is pet up to date on vaccinations?YesNo

Temperament...ie...how well do they get along with other dogs?

Pet 2:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Is pet up to date on vaccinations?YesNo

Temperament...ie...how well do they get along with other dogs?

Pet 3:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Is pet up to date on vaccinations?YesNo

Temperament...ie...how well do they get along with other dogs?

Pet 4:

Name:

Type:

Breed:

Age:

Gender:MaleFemale

Is pet spayed or neutered?YesNo

Is pet up to date on vaccinations?YesNo

Temperament...ie...how well do they get along with other dogs?

What reason if any would cause you to surrender your pet back to MLAR *

Pets are an investment of time and money

Would you ever euthanize your pet due to high vet bills? *YesNo

Would you be willing to put a breakaway collar with an ID tag on your cat? *YesNo

All MLAR adopters are chipped. Do you agree to update your pet’s chip if you have a phone number, email, or address change? *YesNo

How much time are you willing to give your pet to settle into their new home?

Are you aware that your cat could have issues that arise such as Spraying/Peeing/Defecating in the house, Scratching, Biting, Socialization Issues, Anxiety, Scratching Furniture, etc....and are you and everyone in your household willing to work with your new pet's issues which might include getting a behaviorist or training?) *YesNo

How many hours will your cat be left alone each day?

Who will care for your cat when you leave town/travel?

Do you smoke or vape? *YesNo

Are you prepared to make the commitment for the animal’s lifetime which can be up to 17+ years? *YesNo

Are you prepared for the basic cost of pet ownership, which can be $1000+ or more a year? *YesNo

Do you plan on getting pet insurance? *YesNo

What is the name and contact info of your veterinarian if you have one?

Are you willing to take care of all expenses should your pet become sick or injured? *YesNo

If your pet falls ill or is injured-what is your limit you will spend on vet bills

How would you rate your experience with cats? *First Time OwnerSome Experience/BeginnerAdvancedOther

What is your method of disciplining your new pet?

MLAR requires a home check - do you grant permission for a home check? *YesNo

Please give two references other than a family member

Reference 1:

Name

Phone

Relation

Reference 2:

Name

Phone

Relation

How did you hear about Mad Love Animal Rescue?

Comments/Questions

I understand that MLAR reserves the right to accept or deny adoption applications at our discretion