PetConnect Rescue


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 *
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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PetConnect Rescue Cat Adoption Application