Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
I'm inquiring about...
*
1 cat
2 cats
3 cats or more
Name of cat(s)
*
How did you find the cat you're applying for?
*
Website
Facebook
Instagram
Twitter (X)
Petfinder
Google
Other
The above listed cat(s) are right for me because...
*
What is your age?
*
Are you employed/have a steady income to support the costs associated with pet ownership?
*
Do you rent or own the house/apartment you live in?
*
Do you have children?
*
If yes, check the option that applies to you.
What are the ages of the children?
Does anyone regularly in the home have allergies to pets? Please specify.
*
How do you, or how would you manage pet allergies if this issue arises? (Allergy pills, allergy shots, etc.)
*
Have you adopted a pet before?
*
Are you familiar with how to help a new addition settle into your home?
*
Are you willing to deal with potential temporary behavioural issues during an adjustment period? (These issues may include inappropriate toileting, spraying, nervousness, etc.)
*
Have you ever consulted your vet for assistance with behavioural issues?
*
Have you ever previously given up or re-homed a pet due to behavioral problems?
*
If yes, please provide details on the situation.
How much money are you willing to spend on unexpected or emergency care that may be required for your newly adopted family member?
*
Have you ever been required to put a previous pet to sleep due to costly medical care?
*
If yes, please elaborate on the circumstances.
How much time will your newly adopted pet spend alone?
*
Do you have a lifestyle/job that takes you away from home frequently?
*
What plan of care do you arrange for your pet during your times away from home?
*
What companion animals have you previously owned?
*
Are they still part of your family?
*
If not, what caused you to part with them? (If they passed away, please elaborate on the circumstances.)
Cats
Dogs
Other pets (please specify)
Cats
Dogs
Other (Please specify)
Are your pets declawed?
Would you declaw a new pet introduced to your home and family?
Are your pets altered (spayed/neutered)?
If not, please explain why. *It is required that all cats/kittens adopted from Rags To Riches Cat Rescue are fixed by (6) six months of age.*
Cats
Dogs
Other
Were any of your previous cats outdoor cats?
Do any of your pets have any known illnesses or parasites? (Distemper, Parvo, Mange, Ringworm, FIV/FeLV, etc.)
If yes, please specify:
Veterinarian's Name
Veterinarian's Contact Info
(###)
###
####
Clinic Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Will you be using the same Veterinary Clinic listed above to care for a newly adopted cat?
*
Veterinary Clinic
Veterinarian's Name
Veterinarian's Contact Info
(###)
###
####
Clinic Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are the pets in your home up to date with vaccinations?
If not, please explain why:
Do you have up-to-date vet records? (Vaccine certificates, spay/neuter certificate, microchip, etc.)
If not, please explain why:
Do you have your current pets registered for pet insurance?
If so, what is the name of your pet insurance provider?
Thank you for filling out our Adoption Application Form! If you meet the requirements for the cat(s) you are interested in, we will contact you to follow through with the adoption.
Please note: Rags To Riches Cat Rescue has the right to decline the potential adopter if a representative feels the chosen cat(s) is not a correct match for them. However, a representative may contact the potential adopter to suggest another cat(s) that may fit their lifestyle and personality better.
