FurrEver Friends

Home Phone: Work Phone:

Address:

City: State: Zip:

Email:

Are you over the age of 21 years? Yes No

Type of pet(s) you are interested in:

Name of pet(s) you are interested in:

1. Why do you want to adopt a pet?

2. What do you think are the most important responsibilities in owning a pet?

3. For whom are you adopting the pet?

4. Have you ever owned a pet before? Yes No

a. Please describe those pets that are currently with you (type, age, sex, altered status).

b. Please describe those pets that are no longer with you (type, age, sex, altered status)

c. What happened to the pets who are no longer with you?

5. Please provide the name and phone number of the veterinarian for your current and/or former pets.

May we contact your Vet? Yes No

What human name would your vet file be under (if other then your own name):

6. How many people reside in your household?

7. Are there any children in the household? Yes No. If yes, what are their ages?

8. Have you or any members of your household been reported, summoned, investigated, charged or convicted with animal neglect, abuse or hoarding? Yes No

9. Does anyone have allergies to pets? Yes No

10. Who will be responsible for the care of your pet?

11. Do you own or rent your residence?

12. If you rent, please provide the name and phone number of your landlord.

13. Where will your pet be kept? inside outside both

14. Where will your pet sleep?

15. Do you intend to declaw your cat? Yes No.

16. When on an extended trip, what do you plan for your cat's care?

Personal References: (one related to you, two not related to you)

1. Name: Phone:

2. Name: Phone:

3. Name: Phone:

By submitting this form I represent that the information that I have provided is the truth to the best of my knowledge and belief.

I UNDERSTAND THAT A DONATION IS REQUIRED (see above for amounts)

AND THAT I MUST HAVE A STURDY (not cardboard!) PET CARRIER IN ORDER TO TAKE THE CAT HOME.

PLEASE NOTE: If a pop-up message appears after hitting "submit" - please do not type in any special instructions - PLEASE ONLY CLICK "SUBMIT", "OK" or "SEND"

Sometimes our applications do get lost in "internet land" and we do not receive them. If you do not hear from one of our volunteers within 48 hours of submitting an application, please call us at 856-845-8554 to follow up.