West End Animal Hospital - 352.472.7626

Adoption Application - Cat
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The adoption fee covers the following:
Vaccinations up to date at the time of adoption
Avid Microchip
Veterinary examination
Fecal Exam & Deworming  
FIV Test
Heartworm Prevention & Flea Control
Spay/Neuter
Bath, Nail Trim, Ear Cleaning
Any medical treatment needed while in our program

 

Thank You 

for choosing to save the

life of a rescue animal !

* = REQUIRED FIELD

Just complete this form. Click "SUBMIT" once when done.

Rescue pets name: 

* Your name (first - last):

* Email address:

* Address:

Apt #:

* City:

* State:

* Zip:

* Home phone: xxx-xxx-xxxx

* Day Phone: xxx-xxx-xxxx

* Place of employment:

* Driver lic # or Social sec #:

* What kind of pet do you wish to adopt?

* Do you have preferences as to Breed, Age, Sex, Size, Length of hair...

* Why do you want a cat?

* Is this your first pet?

If NO tell us about the pets do you currently have in your household?

( Name - Species - Gender - Spayed / Neutered - Indoor / Outdoor - Age - Current on vaccines )

Tell us about pets you have owned in the last five years that are no longer with you.

( Name - Species - Gender - Spayed / Neutered - Indoor / Outdoor - Age - Why they are no longer with you. )

* Who is your vet? 

* Do you plan to take your new cat to your vet soon after the adoption? 

* You live in a...

* If you rent does you lease allow pets? 

* Landlord contact information ( Name -Mgmt Co. - Phone )

* How long have you lived at address above?

 years / months  

* How many people live in your household? 

What ages of the children in your household?

* Do all adults know you plan to adopt a pet?

* Dose anyone in your household have allergies to animals?

* Who will be primarily responsible for the care of this cat? 

* Please describe where your cat will be kept during the day.

* Please describe where your cat will be kept during the night.

* How many hours of the day will the cat be left alone? 

* Where will it be left alone? 

* Do you understand why rescue pets are spayed or neutered? 

* How did you hear about our rescue program? 

* How much money do you plan to spend on your new cat in the next two months? 

* Do you feel financially secure to provide your pet with basic medical care and to 

provide necessary medical treatment in the event of an emergency? 

* Are you familiar with micro chipping? 

* Are you familiar with licensing laws in you community? 

* What arrangements will be made this cat when you travel? 

* Do you have any concerns regarding this animal such as 

( Size, Temperament, Hair, Energy Level, Litter Box Training, etc... )

* What do you want a cat for? check all that apply.

House cat     Watch cat     Companion     Gift    Company for other pet  

* Do you plan to litter box train your new kitten or cat?

Are you interested in info on litter box training?

* What will you do if your cat chews, scratches, or shows destructive behavior?

* Are you familiar with heartworm disease? 

* Are you aware that heartworm disease is common in dogs and cats? 

* Are you familiar with tapeworms and the importance of flea control? 

* Are you familiar with FIV?

Would you like info on FIV?

* Are you familiar with FIP?

Would you like info on FIP?

* How long do you believe your cat will need to be on heartworm prevention?

* What is your level of commitment to this animal?

Please select one of the following:

    I understand that training my animal may take many months and I am willing to do whatever it takes. I am financially able to        pursue additional training methods if needed.  I further understand that my rescue animal needs a permanent lifelong home and the movement from one home to another can be debilitating to an animal's mental and physical well being.  I am emotionally and financially committed to this animal.

    I am not completely sure what the future may hold and this may have an impact on my animal.

    I am dedicated at heart but I am not sure if I can emotionally and/or financially with any behavioral and/or physical problems that may occur

Other

 

   Thank You,  for taking the time to fill out our adoption application.

Please allow 24 - 48 hours for processing and review.

 

Click Submit Only Once

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