Adoption Application – SAINT Rescue and Adoption

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Name *

First

Last

Address *

Including City

Home Phone Number *

Cell Phone Number *

Business Phone Number

Email *

Driver's License

Pet(s) Name

Further Identifying Features

Breed/Colour/Sex

Why do you want a cat? *

Are you interested in an indoor cat? *

Yes
No

Are you interested in an indoor/outdoor cat? *

Yes
No

Are you interested in an outdoor cat? *

Yes
No

Do you Rent or Own? *

Rent
Own

Do you live in a ... *

House
Condo
Apartment

Does your apartment have a balcony? *

Yes
No
Not Applicable

If Yes, What floor is your apartment on?

Is the balcony fully enclosed from top to bottom? *

Yes
No
Not Applicable

Please list family members residing in the home on a full time or part time basis (include all children's ages) *

Do all adults currently living in your home agree with the adoption of this pet? *

Yes
No

Is an adult home during the day? *

Yes
No

Do cleaning personal or childcare workers visit regularly? *

Yes
No

Have you had a pet before? (start with most recent)

What type of pet was it?

How long did you have the pet?

What happened to the pet?

If your pet died, what was the cause of death?

How long has it been since you have had a pet?

Do you currently have a pet?

Yes
No

If Yes, what is its name and type?

If Yes, what is its nature and temperament?

If you have or had a cat, what type of cat food and brand name did you or are you giving your pet?

Specify if the food is dry or wet

For what time period would your cat or kitten be left alone to rest or wait for you? *

What arrangements do you have for pet care while away on vacation? *

Does anyone in your house suffer from animal allergies? *

Yes
No

What would you do if someone in your house were to develop an allergy to animals? *

Are you planning on declawing your cat(s)? *

Yes
No

Have you considered the future cost of caring for your pet? (For example; Dental & Blood Work...) *

Do you think you have sufficient income to meet the occasional extraordinary costs of caring for your pet? *

Yes
No

Is there anything else you would like SAINT Rescue and Adoption to know about your home before we consider your application? *

As time permits, we sometimes do home visits prior to adoption approval. Would you consent to this?

Yes
No

Veterinarian Name *

Veterinarian Address *

Veterinarian Phone # *

Name(s) of pets that visited the above vet *

Permission to contact vet: *

Yes, you have permission to contact my vet
No, you DO NOT have permission to contact my vet

By clicking "I Agree" you are verifying that all of the above information is correct and accurate. *

I Agree

Website

Pickering, Ontario, Canada | Phone: 289-314-1158 | Email: catrescue1@hotmail.com