Cat Adoption Form

Interested in Adopting a pet from Big Canoe Animal Rescue? Please fill out the application below to be considered. Applicants must be 21 years of age or older. Adoption Fee of $175 for dogs and $100 for cats is due at the time of the final adoption.

Name of the cat you are interested in:

Applicant's First Name: *

Applicant's Last Name: *

Age: *

Occupation: *

Co-Applicants First Name:

Co-Applicants Last Name:

Age:

Occupation:

Address: *

City: *

State: *

Zip code: *

Home Phone: *

Cell Phone:

Email Address: *

Do you own a home?: * YesNo

If yes, what type of home do you own?: * Single Family HomeCondoTrailer HomeTown Home

Please list all current residents (people) of the home (other than the applicants), including
names and ages.: *

Are you willing to allow a representative from B.C.A.R to visit your home by appointment: * YesNo

How many times have you moved in the past 5 years: *

If you owned a pet, did it go with you?: * YesNo

Would you consider moving somewhere that doesn't allow your pets?: * YesNo

Does anyone in your household currently have serious health problems?: * YesNo

Is anyone in your household allergic to cats?: * YesNo

How many pets have you owned in the past 5 years?: *

Were they all spayed and neutered?: * YesNo

Please describe what happened to any that are no longer with you: *

Number, type, and age of pets currently in household?:

Were they all spayed and neutered?: * YesNo

Do any of your current or did any of your past pets live primarily outdoors?: * YesNo

Please check any of the following reasons for adopting this cat: * Family PetCompanionChild's PetCompanion for another petGift

How do you plan to control fleas and ticks?: *

Where will your new cat stay when home alone during the day: * In BasementIn One Room in the HouseFree Run of HouseOther

If other, please describe:

Where will the new cat sleep at night?: *

Have you ever had a serious behavior problem with a previous cat?: * YesNo

If yes, please describe the behavior and the method used to correct the problem:

Have you considered what you will do if there comes a time when you are no longer able to care for your cat?: * YesNo

If so, what is your plan?:

What circumstances justify giving a cat up?: * MovingDivorceSizeToo Time ConsumingLitter Box ProblemsSheddingBehavioral ProblemsChildren Lost InterestMedical ProblemsNew BabyAllergiesNot getting along with Other Pets

Have you ever given up an animal or had any pet for a period of time and it didn’t work out?: * YesNo

If so, please explain the circumstances and what happened:

References-Name and Phone Number:

a.

b.

c.

Reference-Veternarian Name and Phone Number:

ADOPTION AGREEMENT – FELINES

You will be asked to initial and sign this agreement at the time of the actual adoption.

1. I certify that this animal is intended as a family pet and will not be used for research or breeding.

2. I further agree that there is no warranty, expressed or implied by Big Canoe Animal Rescue as to this animal’s age, breed, health, future size, behavior or temperament. I hereby release and agree to hold harmless the Big Canoe Animal Rescue from any claim, liability, or cause of action arising or in any way related to my adoption or ownership of this pet. This pet was healthy at the time of adoption, unless otherwise stated. Medical records are included in adoption packet. Any health issues that arise after adoption will be paid by the Adopter.

3. I agree that this Feline will remain an indoor pet.

4. While BCAR cannot dictate what measures you deem best for your feline pet in the future, we strongly recommend that it not be declawed at any time. This procedure is illegal in several states and inflicts pain and discomfort to the animal. Some felines that are turned over to shelters because they refuse to use their litter boxes are felines that have been declawed and find it too painful to scratch and cover their feces.

5. I agree that this feline will always remain up-to-date on all necessary vaccinations.

6. If this feline pet is a kitten when adopted and too small or young for spaying or neutering, we request that you notify the Feline Rescue & Adoption Director at BCAR as soon as this procedure has been done. Feline neutering/spaying is an absolute must when adopting from BCAR.

7. Big Canoe Animal Rescue has the right to take the animal back if they deem it does not have proper living conditions and/or care.

8. I agree to a home visit by a Big Canoe Animal Representative.

9. If for some reason the adoption is not working out, Adopter has fifteen days in which to return the animal.

10. I have read and understand all of the above terms and I agree to all of the terms of this contract.

Applicant Signature

Date

Volunteer Signature