Adoption Application

Consent*

I agree to these terms for applying to adopt:

1. Be 21 years or older.
2. Have identification showing your present address.
3. Have the knowledge and consent of all adults living in your household.
4. Be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for your pet.
5. Will NOT declaw the adopted cat and it will be 100% indoors.
6. Will pay an adoption fee set by O'Malley Alley Cat Rescue.
7. Understand that O'Malley Alley Cat Rescue has the right to deny or approve your application; this application will be retained in our files.

Name*

First Last

Date of Birth*

Phone*

Email*

Enter Email Confirm Email

Name of Co-Applicant

First Last

Phone

Address*

Street Address Address Line 2 City ZIP Code

How long at this address?*

Years or Months*

Reference previous question.

Do you live in:*

Home
Apartment
With Parents
Mobile Home

Do you:*

Own
Rent

Name & phone # of landlord if you rent:*

Employer*

Employer Phone #

Cat Description and Lifestyle Information:

Name of cat you would like to adopt*

Or type "undecided"

Characteristics of cat you prefer:

Check all that apply.

What made you decide you want to adopt a cat?*

Is this your first experience with a pet of your own?*

Yes
No

Have you ever adopted a pet before?*

Yes
No

If yes, from where?*

Have you ever given up an animal for adoption or surrender?*

Yes
No

If yes, why and how long ago?*

What is your plan in case of a life changing event (health, loss of home, financial, divorce)?*

What percentage of time will your cat be indoors?*

Please enter a number from 0 to 100.

What percentage of time will your cat be outdoors?*

Please enter a number from 0 to 100.

Do you have a doggie door?*

Yes
No

Number of people regularly in your home:*

___ Adults ___ Children and their ages:

Is anyone allergic to pets in your house?*

Yes
No

If yes, please explain.

Who will be responsible for daily care of the cat?*

Will there be regular extended periods of time your cat will be alone (other than normal work hours)?*

Yes
No

If yes, please describe what arrangements will be made for the cat's daily and emergency care:

What brand and type of food do you plan to provide for your cat?*

Brand Name / wet or dry

Have you ever had a cat declawed?*

Yes
No

Do you plan to declaw your cat?*

No
Front Paws
All Paws

What are your preferences for anti-scratching deterrents?*

Check all that apply.

Scratching Post
Kitty Claw Caps
Mani/Pedi's
Furniture Covers
Declaw
Not Concerned

Location of litter box?*

Are you familiar with how to help a cat adjust to a new home?*

Yes
No
Unsure

To provide food, daily care and medical care for this cat, how much do you anticipate spending annually?*

Current pets in your household:

How many other cats do you currently have?*

Name of current veterinarian and/or clinic?*

Choose which best describes CAT 1:*

Approximate Age of CAT 1:*

Length of Ownership of CAT 1:*

Choose which best applies for CAT 1:*

What percentage of time is CAT 1 outdoors?*

Please enter a number from 0 to 100.

Choose which best describes CAT 2:*

Approximate Age of CAT 2:*

Length of Ownership of CAT 2:*

Choose which best applies for CAT 2:*

What percentage of time is CAT 2 outdoors?*

Please enter a number from 0 to 100.

Choose which best describes CAT 3:*

Approximate Age of CAT 3:*

Length of Ownership of CAT 3:*

Choose which best applies for CAT 3:*

What percentage of time is CAT 3 outdoors?*

Please enter a number from 0 to 100.

Choose which best describes CAT 4:*

Approximate Age of CAT 4:*

Length of Ownership of CAT 4:*

Choose which best applies for CAT 4:*

What percentage of time is CAT 4 outdoors?*

Please enter a number from 0 to 100.

How many dogs do you currently have?*

Name of current veterinarian and/or clinic?*

Please describe your dog(s):*

Include breed, if spayed or neutered, and if cat-friendly (if known).

Additional notes you wish to add about current pets:

Previously Owned Pets:

Have you previously owned cats (within last 5 years)?*

Yes
No

Name of former veterinarian and/or clinic?*

Choose which best describes former CAT 1:*

Length of Ownership of former CAT 1:*

What became of former CAT 1?*

Choose which best describes former CAT 2:

Length of Ownership of former CAT 2:

What became of former CAT 2?

Choose which best describes former CAT 3:

Length of Ownership of former CAT 3:

What became of former CAT 3?

Additional notes you wish to add about former pets:

Almost Done!

Please check ALL the behaviors you are NOT willing or NOT able to deal with, tolerate or work through till resolved:*

To better fit our cats with your expectations, check all that may apply.

Are you familiar with the following diseases or conditions?*

Check all that may apply.

Select All
Feline Leukemia (FeLV)
Feline Immunedeficient Virus (FIV)
Feline Infectious Peritonitis (FIP)
Feline Stomatitis
Feline Urological Symptons
None

Adopter Signature*

Today's Date*

Comments

This field is for validation purposes and should be left unchanged.

Adopter Profile and Questionnaire

Cat Description and Lifestyle Information:

Current pets in your household:

Previously Owned Pets:

Almost Done!