KC RESCUE ADOPTION FORM

Please Answer the Following Questions

 Name: ___________________________________        Phone #_______________________________________

1. Have you owned a cat before?

    Do you still own a cat?              

    If not, what happened to this pet?

2. If you own a cat now, do you keep up with vaccinations and check-ups?

3. If yes, who is your veterinarian?

4. If the cat becomes ill, do you agree that it is your responsibility to ensure his/her health?

5. Have you ever owned a pet before that was: hit by a car_______ ran away ______ died in your care? ______

6. Are you prepared to pay $60.00 - $75.00 per year on vet exams and vaccinations?

7. What are your feeling on vaccinations?

8. Why do you want a cat?

9. Do you agree that owning a pet is a life long commitment?

11. If you own a cat now is it free to roam at large?

12. What are your feelings on declawing?

13. Do you agree NOT to have your cat declawed?

14. What would you do if the cat began to claw your furniture?

15. Do you own your home or rent?

16. If renting, does your landlord allow pets?                     Please give name and number of your landlord?

17. How would you describe your household?  Circle the answer:

      Quiet      Average      Noisy      Active

18. Would you permit a volunteer to check on the cat in person or by phone?

19. Do you agree to pay a non-refundable adoption fee of $120.00?

20. Please provide a reference:  Name                                                                   Phone number

Do you understand that KC Rescue Corp. reserves the right to take this animal back

into its custody if we feel that the animal is not being cared for in a healthy or positive way?