Date: _____________
Animal’s name__________________
AniMeals
Adoption
Application
Welcome to the AniMeals adoption center. We request the following information so that we can
assist you in the selection of a new cat. This form and a consultation with an AniMeals representative are
designed to help you find the cat most compatible with your lifestyle.
To be considered
as an adopter, you must:
·
Be 21 years of age or older
·
Have identification showing your present address.
·
Have the knowledge and consent of your landlord.
·
Be able and willing to spend the time and money necessary to provide medical treatment and
proper care of the animal.
Completion of this application does not guarantee adoption of an AniMeals animal. Please
print legibly and complete all 3 pages. Thank You!
Name of applicant_________________________________________
Street
address_______________________________________________________________________
City___________________________State_____________________Zip_________________________
Phone_________________________E-mail____________________________Age________________
Describe in detail the type cat/dog you are looking for:
______________________________________
___________________________________________________________________________________
Will this be your first cat/dog?
______________________________________________________________
What kind of pets have you had in the past?
_______________________________________________
Which of these do you still have? (Including age, sex and
breed)________________________________
____________________________________________________________________________________
Have they been spay or neutered? ___Yes ___No ___Don’t know
Are they current on vaccinations?
___Yes
___No
___Don’t know
Have they been test for Feline Leukemia? ___Yes ___No ___Don’t know
Have they been tested for FIV?
___Yes
___No
___Don’t know
Are they declawed? ___Yes ___No ___Don’t
know
If yes, where is the cat declawed? ___Front paws ___All four paws
What happened to the pets you no longer have?
___________________________________________________________
__________________________________________________________________________________________________________________
Have you ever turned your animal into a
shelter?
___Yes
___No If
yes, please explain: __________
__________________________________________________________________________________________________________________
Have you ever had a pet euthanized? ___Yes ___No If yes, please explain:
___________________________
__________________________________________________________________________________________________________________
If you have pets, do you think they will adjust to a new
animal in the house?
___Yes
___No
___Don’t know
Why do you want this cat/dog?___Companion ___Companion for another pet
___House pet ___Barn cat ___Mouser ___Office cat
___Other (explain) _______________________________
How many adults are in your family?
_______________________________________________________
How many children? ____________ Children’s ages?
__________________________________________
Does any member of your household have an allergy to
cats/dogs?
___Yes
___No If yes,
how will you cope with it?
______________________________________________________________________
Is someone home during the day? ___Yes ___No If yes, who?
_____________________________
Do you own or rent your home? ___Own ___Rent
If you rent, may we contact the owner to obtain permission
for this animal to live in your home? ___
Yes
___No
Owner’s name and phone number ___________________________________________
Where will you keep the cat/dog? ___In the house ___outdoors ___with
free access to both indoors and outdoors ____in the barn
___please explain: ____________________________________________
Do you have a cat or dog door?___Yes ___No
If you are adopting a cat, will you have the cat
declawed? ___Yes ___No
Are you aware of the potential side effects of this
operation? ___Yes ___No
Who is your veterinarian? _________________________________Phone
_________________________
City/state
____________________________________________________________________________
If you go away for a few days, or on vacation, who will take care of the animal?
_____________________________________________________________________________________
If you move will you take the cat/dog with
you? ___Yes ___No
Have you ever applied to AniMeals before to adopt an
animal?___Yes
___NO
If yes, when?
__________________________________________________________________________
Have you ever brought animals to AniMeals? ___Yes ___No
If yes, please explain:
___________________________________________________________________
Are you willing to take responsibility for this animal for
the next 10 to 20 years?___Yes ___No If no, please explain:
________________________________________________________________________
What provisions will you make for the animal should you become unable to care for him/her?
_____________________________________________________________________________________
How much are you willing to spend on medical bills for your animal?
___ Up to $100 ___ Up to
$500 ___ Up to
$1000 ___ Up to
$5000 ___ Whatever it
takes
What would you do if the vet bills went over this amount?
_____________________________________
_____________________________________________________________________________________
Additional comments from applicant:
______________________________________________________
_____________________________________________________________________________________
All animals under the care of AniMeals have been spayed/neutered and vaccinated for distemper.
All medical expenses after the adoption are the responsibility of the new owner.
If I am ever in a situation that forces me to give up this animal, I agree to return the
animal to AniMeals so that AniMeals can find a new home for him/her.
I agree to donate $ ________ to AniMeals for adoption fees.
__________________________________
__________________________
Signature
Date
AniMeals
w 1700 Rankin
Street
w Missoula, MT
59808
w
(406)721-4710
w
www.animeals.com
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