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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:*

Home Phone*

Work Phone:

Cell Phone:

Are you 18 years old or older?*
Yes No 

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

Do you:*
Own your property
Rent your property
Live with your parents

If renting, does lease allow for pets?*
Yes No 

If renting, please provide landlord`s name and telephone number:*

If renting, please give complex name and address:

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 

Do you consider your pet a part of the family?*
Yes No 

Do you believe a pet is a lifelong commitment?*
Yes No 

Have you discussed adding a new pet to your home with all members of your household?*
Yes No 

Are all members of your household in agreement about adopting a new pet?*
Yes No 

Who will be the principal caretaker of your new pet?*

Do you have family members (living in your household) who are allergic to animals?*
Yes No 

Will your new pet be inside/outside?*

Are you willing to take responsibility if this pet requires an illness?*
Yes No 

Are you willing and able to pay the veterinary costs of caring for your new pet?*
Yes No 

Are you willing to take the time to work with a pet if housetraining or socialization is needed?*
Yes No 

If the animal you are wishing to adopt is a cat, do you plan on declawing?*
Yes No N/A, I`m wishing to adopt a dog 

Please list all animals owned(if you need more space, please use the comments section at the bottom of the form):
Name:

Age:

Type of Animal

Gender

Inside/Outside

Current Status?

















































Where will this pet spend most of it`s time?*

How many hours a day will your new pet be without human companionship?*

Veterinary Reference
If you have ever owned animals, Name of Veterinarian(s) (Please enter N/A, if you do not have one.)*

Phone Number*

Address*

Recently, some veterinarians have begun requiring that their clients give permission before they release any information. Would you be willing to contact your veterinarian, if necessary, to give the required permission for them to speak with one of our volunteers?
*
Yes No N/A 

Personal Reference (NO family members or roommates please!)
Name:*

Relationship*

Phone Number*

Best time to Contact*

General Information
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
Adoption Event
Friend
Flyer
Newspaper
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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