S.A.R.G. Cat Adoption Application Form/Contract

Please fill out the following information and press the SUBMIT button. Required fields are marked with an *. If you prefer, click here for a printable adoption application to fill out and mail (PDF format).

               Cat Adoption Policies
1   Existing cats within the home must be tested negative for both Feline Leukemia and FIV.
2   All cats must be indoor only (unless on leash/harness).
3   All home animals must be vaccinated per your vet's protocols.
4   All animals in the home must be spayed or neutered.
5   Cats must not be declawed unless already declawed.

In filling out this application, I (we) agree to these adoption policies for cats.

CAT(S) OF INTEREST:*

Application date*

PERSONAL INFORMATION

Applicant*		Occupation*
Co-applicant		Occupation
Street Address/Apt. No.*	City*

State*

Zip*

Yrs. at Residence*

Primary Phone* Secondary Phone

Work Phone May we call you at work?

Best time to contact you for Phone Interview*

E-mail Address

FAMILY INFORMATION
Number of adults in the home:* Number of children in the home?*
Ages and genders of children, if any:

Are other children frequently in the home?*

If yes, give age range

How often?

How many at once?

Are there any senior citizens in the home?*		Health status?
Is anyone in the home allergic to pet dander?*

Do you own or rent?*	If you rent, Landlord Name
Landlord Phone	Is your landlord aware of this application?

PET INFORMATION

Number of animals in household (if none, enter 0): Cats* Dogs* Other*
Have you had any pets in the last three years?*
If so, please fill in the following:

Name of Pet	Gender	Spayed / Neutered?	Age	Type of Pet	Breed	What happened to the pet?

VET INFORMATION

Place an "X" here if you have not had any pets in the last year:

Do we have your permission to contact these veterinarians?*

Please notify these veterinary practices to release information to SARG when we call.

Current vet's name:*

Phone No.*

Please list all other veterinarians you have used in the last three years, the name(s) of the pet(s) in their records, and the first and last name of the person who paid the bills:

Vet Name Phone Pet Name(s) Person who paid:

Vet Name Phone Pet Name(s) Person who paid:

Vet Name Phone Pet Name(s) Person who paid:

PERSONAL REFERENCES (References CANNOT be family members. Providing e-mail addresses for your references will expedite the process.)

Reference #1 * Phone *
E-mail Best time to contact *

Reference #2 * Phone *
E-mail Best time to contact *

CAT INFORMATION
Cat characteristics desired. Please select the three most important traits, and rank them by number 1 to 3 in order of importance; 1=most important, 3=least important.
Active cat       Mellow cat       Lap cat       Friendly to strangers
Long hair       Medium hair       Short hair       Good with children
Good with dogs       Good with other cats
Kitten (less than 1 year)       Senior cat (10 years+)

What circumstances, in your mind, justify giving up a cat? Place an "X" beside all that apply.
New baby in home        Marking or spraying        Not enough time for cat        Onset of allergy to cats
Cat doesn't get along with other pets/people        Move to new home        Scratching or shedding problems
Cat won't use litter box        Unable to afford

Are you interested in adopting siblings/littermates?*

OTHER INFORMATION

Why are you interested in adopting a cat?*

Are all household members in agreement to adopt a pet?*

How did you hear about S.A.R.G. and/or the animal you wish to adopt?*

Where will the pet usually be when you are gone?*

Where will the cat sleep at night?*

Indoor cats may live up to 20 years and more. Are you prepared to dedicate up to 10-15 years or more to the care of your new pet?*

How much money do you plan to spend on your cat annually? (Please factor in food, toys, vet visits, grooming, and other care.)*

Have you sold, given away, or surrendered a pet?*
If yes, please explain.
Explain arrangements for your cat when you go away on vacation, business trips, or unplanned emergencies: *

HOME VISIT
If the vet checks and reference checks are satisfactory, S.A.R.G. conducts a home visit. The home visit allows S.A.R.G. board members to meet all family members. In addition, the home visit will identify where the cat will eat, where the litter boxes will be placed, and where the cat will sleep. Do you agree to a home visit?*
Best time of day for a home visit when all family members can be present: *

ADDITIONAL COMMENTS/INFORMATION
You may use this space to add any additional information you would like us to consider. Each blank allows 80 characters of text.

Would you like to receive emails regarding future events and fundraisers?
Would you consider volunteering with S.A.R.G.?
If Yes, in which of the following areas? (Place an "X" beside all that apply.)
Dog walking    Fundraisers    Dog washes    Vet checks    Financially    Telephone Calls
Fostering    Transportation to/from events or vet appointments    Mailing newsletters
Home visits to potential adopters    Making craft items to donate for fundraisers
Other talents (legal services, web design, accounting services, sponsorship etc.):*

I/We understand that this application, if approved, also serves as a contract between S.A.R.G. and me/us, and that completion of the application does not guarantee that the adoption will be approved.

I/We have read and understand all the Terms and Conditions of Adoption, as indicated by my/our signature on this page, as well as on the separate document explaining those Terms and Conditions. I/We understand that those Terms and Conditions are part of the Adoption Agreement and will be enforced. I/We attest that the information provided on this application is true and accurate to the best of my/our knowledge. I/We attest that I/we have retained a copy of the Terms and Conditions of Adoption.

I/We agree to pay the adoption fee of $85 for a cat. For this fee, S.A.R.G. will see that the animal is spayed/neutered and is current on standard vaccinations at the time of adoption.

Do you affirm and accept all of the above requirements? *

Note: This form will be printed and you will be requested to sign it at the time you receive an animal from us, if the adoption is approved.

Rev. 2/2/2007