First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone*

Alt Email

What Cat(s) Are You Interested In?

What is the Applicants' Occupation?

Name of Applicant Employer

What is the name of your co-applicant?

What is the Co-applicant occupation?

Name of Co-Applicant Employer

Do we have your approval to contact you by text and email regarding this application or other cat-related communications?*
Choose one: Yes No

What is the best time to contact you for a phone interview?

Who are you working with at Cat Rangers?

Are You at Least 18 Years of Age? *
Choose one: Yes No

Number of Adults in the home?*

Number of Children in Home?*

Age(s) of Children:

Is Anyone at Home Allergic to Cats? *
Choose one: Yes No

If Yes, Have They Consulted a Doctor About Getting A Cat?
Choose one: Yes No

If Yes Are They Taking Medication?
Choose one: Yes No

Do You Own or Rent Your Home?*
Choose one: Own Rent

If You Rent, Please Provide Name of Landlord:

Phone number of landlord:

Is Landlord Aware of This Application?
Choose one: Yes No

Are You in The Process of Moving, Or Anticipate Moving in The Next Few Months?
Choose one: Yes No

If You Ever Move Have You Considered That Another Place May Not Allow Cats?
Choose one: Yes No

What Will You Do If This Happens?

How many pets currently reside in your home?

Do Your Current Cats Go Outside?

Please list your current pets. Include Name, Species, Age, Years Owned, and Gender for each pet

Are your Pets Fully Vaccinated as per your Veterinarian’s protocol?
Choose one: Yes No

If NO, Why?

Are they Spayed/ Neutered?
Choose one: Yes No

If NO, why?

Are any declawed?
Choose one: Yes No

If YES, why?

Have Current Pets Tested Negative for Both Feline Leukemia & FIV?
Choose one: Yes No

Where are your pets kept?
Choose one: Indoors Outdoors Both

Do You Have a Veterinarian?*
Choose one: Yes No

If Yes, Vets Name and Number:

Do We Have Your Permission to Contact Your Vet? *
Choose one: Yes No

Why Are You Interested in Adopting a Cat?

Are all Household Members in Agreement to Adopt this Cat (s)? *
Choose one: Yes No

Cat Characteristics Desired: Please Select You Top 3

How Did You Hear About Cat Rangers?

Where Will the Cat Be When You Are at Work/ On Vacation?

Do You Understand That Cats Will Require an Adjustment Period in Their New Home?
Choose one: Yes No

Cats May Live Up to 20 Years or More. Are You Prepared to Dedicate This Amount of Time to Care for Your Cat?
Choose one: Yes No

What Reasons, In Your Mind, Justify Giving Up a Cat? Select All That Apply:

If Other, describe:

Do You Agree to Follow Up Home Visit?*
Choose one: Yes No

Below, please provide two personal references.  

References CANNOT be Family Members.

Name of Reference 1

Phone Number for Reference 1:

Name of reference 2:

Phone number for Reference 2:

Do you agree to keep your new kitty indoors exclusively?*

Do you agree not to declaw your new kitty with the understanding that CatRangers reserves the right to reclaim our cat and pursue damages of up to $1000 in the event you declaw one of our kitty's? Declawing a cat is now considered cruel and inhumane and it is illegal in many states and most countries. *

If your new cat or kitten is not spayed or neutered at the time of adoption, will you bring the kitty to one of CatRangers designated vets or provide proof that your have taken kitty to your vet for spay or neuter surgery? (cost of basic spay or neuter at one of our vets is included in your adoption fee) *

I understand that despite veterinary care, the Cat may have a previously undiagnosed condition and I agree to accept responsibility for proper treatment. I will be given a record of the Cat’s medical history as known by CR. (Please enter yes/no in pace below below)*

Catrangers may wish to send you details of future events at their center, additionally you may receive free product samples with your adoption documents. I agree to allow CR and free product suppliers to send emails to my designated address.*
Choose one: I Agree I Do Not Agree

I understand that CR will not refund adoption fees for any reason, but that I may return the Cat to Catrangers at any time and in certain circumstances chose an alternate kitty.*
Choose one: I agree

I agree that if for any reason I cannot keep the Cat(s), they MUST BE RETURNED TO CR along with all medical records. The Cat may NOT BE SURRENDERED to any other person or organization without CR written permission.*
Choose one: I agree

I agree to provide care and attention to ensure the Cat’s health and well-being, including quality food, fresh water, playtime and INDOOR ONLY shelter, and emergency and routine veterinary care. Routine veterinary care includes vaccines and exams as directed by your veterinarian's protocol.*
Choose one: I Agree I Do Not Agree Decline to Answer

I understand that noncompliance of any provision of this contract constitutes a breach and the Cat must be returned immediately upon demand to CR*
Choose one: Yes No

CR has provided age appropriate vaccines based on age at adoption. I understand that additional vaccines not covered by the adoption fee may be needed and I/we must take the cat and medical records to a vet for evaluation within 60 days for a preliminary vet introduction. I further agree that if my new pet is not spayed or neutered at the time of adoption, I must arrange their surgery appointment either through Catrangers (included in your adoption fee) or schedule at my veterinarian and provide proof of surgery to Catrangers. In all cases, pet(s) must be spayed or neutered within 30 days from reaching sexual maturity, when they are able to reproduce.*
Choose one: I agree

I agree by checking below, that you will hold harmless CatRangers, and its employees, volunteers, and veterinary or other service providers from any liability related to past, current or future care of this/these animal(s)?*
Choose one: I agree

I have read and agree to abide by all the conditions of the Pre Adoption Application, as indicated by My signature on this page. By entering my name here I am agreeing to terms of this contract and this represents my electronic 'signature'.*