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PetConnect Rescue
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PetConnect Rescue Cat Adoption Application
In order to be considered as an adopter, please fill out the preliminary online application below. After contacting your veterinarian and landlord (if applicable) an adoption coordinator will contact you by phone to answer any questions you might have and to learn more about the kind of home you are able to provide for the cat. Arrangements can then be made to set up a visit with the cat and the foster family. Completing the online application is the first step in the adoption process. Please note: To be eligible to adopt one of PetConnect Rescue’s animals, you will need to be at least 21 years old.
Interested in adopting a cat?
*
Yes
Previous PetConnect applicant?
*
Yes
No
Name(s) of cat(s) you are interested in
First name
*
Middle name
Last name
*
Secondary adult name
Street address
*
Unit or Apt. #
City
*
State
*
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
AMERICAN SAMOA
FEDERATED STATES OF MICRONESIA
GUAM
MARSHALL ISLANDS
NORTHERN MARIANA ISLANDS
PALAU
PUERTO RICO
U.S. MINOR OUTLYING ISLANDS
VIRGIN ISLANDS
ARMED FORCES AMERICAS
ARMED FORCES
ARMED FORCES PACIFIC
ALBERTA
BRITISH COLUMBIA
MANITOBA
NEW BRUNSWICK
NEWFOUNDLAND AND LABRADOR
NOVA SCOTIA
NORTHWEST TERR.
NUNAVUT
ONTARIO
PRINCE EDWARD ISLAND
QUEBEC
SASKATCHEWAN
YUKON
Zip
*
Phone (home)
*
Phone (cell or work)
Email
*
Occupation(s)
Number of adults in your household?
*
Ages of adults in your household?
*
Number of children in your household?
*
Ages of children in your household?
*
Have you or anyone in your household ever been convicted of animal cruelty or neglect?
*
Yes
No
Charged, but not convicted
Is anyone in your home allergic to cats?
*
Yes
No
Is someone home during the day?
Yes
No
Longest time the cat would be left alone
Do you own or rent your home?
*
Own
Rent
If you rent, the following information is REQUIRED to adopt.
Landlord's pet policy?
Landlord or property manager's name and contact information.
Will this be your first cat?
*
Yes
No
Are there currently cats in the home?
*
Yes
No
If "yes", age of cats and names
If "yes", are they spayed/neutered?
Yes
No
Are there currently dogs in the home?
*
Yes
No
If "yes", age and names of dogs
If "yes", are the dogs spayed/neutered?
Yes
No
Other types of pets? Please describe
Have you ever had a cat declawed?
*
Yes
No
Do you have a veterinarian?
*
Yes
No
Not currently (no animals in my home)
In order to adopt from Petconnect Rescue, we REQUIRE the vet information for any dog or cat that you have owned within the last 5 years. Inclusion of this information indicates permission to contact the veterinarian.
Veterinarian name and phone number
Have you ever given away a cat, surrendered a cat to a shelter, or returned an adopted cat to a rescue or shelter?
*
Yes
No
Traits you prefer (energy level, affectionate, indoor only, indoor/outdoor etc):
Behaviors that will most concern you about your new cat?
Are you willing to take responsibility for the cat(s) for the next 15-20 years?
*
Yes
No
What provisions will you make for the cat(s) should you no longer be able to care for him/her?
*
How did you hear about PetConnect Rescue?
Anything else you would like us to know?
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