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Adoption Application
The purpose of this application is to ensure the best possible match for our adoptable pets. Please answer all the questions on the application completely and honestly. Once your application is received, one of our volunteers will review it and contact you by email or phone with any questions. We try to complete the review process in 24-48 hours, however it may take longer. We appreciate your patience and understanding.
Animal of Interest
Animal of Interest`s Name/ Description:*
Breed of Animal:*
   Cat
   Dog
Personal Information
Today`s Date*
 
First Name:*
Last Name:*
Spouse/Partner/Housemate Name:
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
E-Mail:*
Cell Phone*
Work Phone:
Home Phone:
What age range do you fall into?*
   Under 18    18-20    21-30    31-40    41-50    51-60    61-70    71-80    81+ 
Number of Children in the home:*
List ages of the Children:
How many adults live in the home :*
Do all adults work outside the home:*
   Yes
   No
Name of each adult living in home*
List names of all animals in the care of each adult in the home.*
Do you:*
   Own your property
   Rent your property
   Live with your parents
If renting, does your lease allow for pets?*
   Yes    No 
If renting, please provide landlord`s name and telephone number:*
If renting, please give complex name and address:
Parents Name*
Parents Phone Number*
What is the traffic like arond your home?*
   Busy    Slight    Residential    Country/Off Main Road 
Adoption Related Information
Reason for adopting a cat or dog:*
Would you be interested in adopting more than one animal?*
   Yes    No 
Do you have a fenced in yard?*
   Yes    No 
What type of fence do you have?
Do you consider your pet a part of the family?*
   Yes    No 
How will you ensure your pet is a top priority?*
Who will be the principal caretaker of your new pet?*
Have you discussed adding a new pet with all members of your household? Are they in agreement?*
Do you have family members (living in your household) who are allergic to animals?*
   Yes    No 
Will your new pet be inside/outside?*
Where will your new pet spend time when you are home?*
Are you willing and able to pay the veterinary costs of caring for your new pet?*
   Yes    No 
If your new pet has medical issues (anxiety, dietary restrictions) how will you handle this?*
Do you plan on declawing?*
   Yes    No    N/A, I`m wishing to adopt a dog 
Have you researched declawing?*
   Yes    No 
Please explain your reason for declawing:*
How do you plan to house-train your new dog?*
How do you plan to train your new dog?*
Have you contacted a trainer yet?*
Which Trainer?*
Have you ever owned an animal?*
   Yes    No 
Please list all animals owned(if you need more space, please use the comments section at the bottom of the form):
Name:
Age:
Year Acquired?
Type of Animal
Gender
Inside/Outside
Current Status
Deceased Date
Name:
Age
Year Acquired?
Type of Animal
Gender
Inside/Outside
Current Status
Deceased Date
Name:
Age
Year Acquired?
Type of Animal
Gender
Inside/Outside
Current Status
Deceased Date
Name:
Age
Year Acquired?
Type of Animal
Gender
Inside/Outside
Current Status
Deceased Date
Name
Age
Year Acquired?
Type of Animal
Gender
Inside/Outside
Current Status
Deceased Date
Where will this pet spend most of it`s time?*
How many hours a day will your new pet be without human companionship?*
Where will your new pet spend time when you are not home?*
Veterinary Reference
Name of the Veterinarian Office*
Phone Number of the Veterinarian*
Name on the Account*
Phone Number on the Account*
Address
Do you have second Veterinarian to add?
Name of the Veterinarian Office
Phone Number of the Veterinarian
Name on the Account
Phone Number on the Account
Address
Do you have third Veterinarian to add?
Name of the Veterinarian Office
Phone Number of the Veterinarian
Name on the Account
Phone Number on the Account
Address
Recently, some veterinarians have begun requiring that their clients give permission before they release any information. Please ensure you contact your veterinarian, if necessary, to give the required permission for them to speak with one of our volunteers.
   I will call to release my records    I will not release my records    N/A 

Please ensure all Veterinarian information has been provided. Missing vet information pertaining to your pets vaccine, spay/ neuter, and medical history can delay the processing of your application. We do check out of state Veterinarian information and it should be provided above.
   I have provided all of my pets Veterinarian information.    I am missing some Veterinarian information.    I do not have any Veterinarian information for my pets. 

Personal Reference (NO family members, partners or roommates please!)
Name:*
Relationship*
Phone Number*
Best time to Contact*
General Information
Why are you the best home for this cat or dog?*
Comments? Anything else you would like for us to know?
Would you like information about any of the following (press Ctrl to make more than one selection)?*
How did you hear about Catering to Cats and Dogs?*
   Petfinder
   Adopt A Pet
   Adoption Event
   Friend
   Instagram
   Facebook
   Other
If other, please specify:*
I/we have read the previous information carefully and have completed this application honestly. I/we understand that omission of information and/or failure to answer all questions can result in this application being declined. Also, if an omission or untruth is discovered after the adoption takes place, I/we understand that Catering to Cats and Dogs (C2CND) reserves the right to terminate the adoption and reclaim the animal. I/we give Catering to Cats and Dogs permission to fully investigate the information provided as well as contact our veterinarian(s) as related officials. If the application passes this review, I/we agree to a home and yard visit on a mutually agreed date by a Catering to Cats and Dogs volunteer before an adoption decision is made.

In addition, I/we understand the adoption decision is dependent on many factors, including but no limited to the compatibility of the family and home to the individual animal, and other applications recieved on this animals. I/we understand it is Catering to Cats and Dogs` prerogative to decide which home is most appropriate and that their decision is final and, therefore, I/we will not argue with the decision. Unless otherwise indicated by Catering to Cats and Dogs, I/we am free to apply and undergo the application process in the future.

Futhermore, if an animal is adopted through C2CND but listed as a `Courtesy Listing`, C2CND will not be held responsible for medical care and/or treatment needed after the adoption is complete. The individual named in the `Courtesy Listing` may be held liable for care depending on circumstances surrounding the transaction.

By entering my name and initials below and by clicking the `submit` button, I am 18 years old or older and that I have read and agree with the above paragraphs.
Full Name of person completing this form:*
Please enter your initials to serve as your electronic signature*
 
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