Caly's Cats Adoption Application
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Dog Adoption Application
Have you read about
how to adopt a dog or puppy from Caly's Cats
?
(Required form fields are in bold.)
Our form may seem a little long, but we see ourselves as match-makers. Our goal is to match the right cat(s) and the right person. We know our cats. Now we'd like the chance to get to know you! You may have fallen in love with a particular one of our cats; help us to help you make sure the love will last! Thank you for thoughtfully filling this out completely!
Contact
Name:
First:
Last:
Address:
City:
State:
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip:
Home phone:
Work phone:
Cell phone:
Email:
Employer?
Occupation?
How much travel?
Please provide two personal references:
1.
Name:
Phone:
2.
Name:
Phone:
Dog
Sky
Name:
Sky
Description:
Female, 5 years old (DOB 7/1/2019), Siberian Husky / German Shepherd Dog, Light Grey
(
Remove
)
1.
What type of dog are you interested in?
Male
Female
Adult
Puppy (under 5 months)
Senior (9+ years)
Long Hair
Medium Hair
Short Hair
Color:
Personality characteristics you would like (check all that apply):
Shy
Talkative
Quiet
Affectionate
Friendly to people
Friendly to cats
Aloof
Independent
Likes to sit on laps
Likes being held
Wants to be left alone
Wants to be in charge
Mischievous
Relaxed
Very active
Playful
Easy going
Nervous
Sleeps a lot
Plays rough
Any characteristics you'd prefer not to have?
New Home
2.
Do you own or rent your residence?
Own
Rent
Landlord's name:
Landlord's phone:
Are companion animals allowed?
Yes
No
Don't Know
3.
Where do you live?
House
Townhouse
Condominium
Apartment
Moblie home
Farm
4.
How far from the road/traffic is your home located?
5.
How heavy is the traffic on this street?
Light
Medium
Heavy
6.
How many adults in your household?
7.
How many children in your household?
List ages:
8.
Does anyone in your household have any allergies to animals?
Yes
No
Please explain:
9.
How active is your household?
Very active
Somewhat active
Somewhat quiet
Very quiet
10.
If you have a dog, where does he/she spend his/her time?
Mostly inside
Mostly outside
When outside, how is he/she confined?
Dog Care
11.
For whom are you adopting Sky?
Self
Gift
12.
Who will be be responsible for Sky's care?
13.
Where will Sky be kept?
Indoors only
Outdoors only
Both in & out
When outdoors will Sky be
attended
unattended
and have collar & tags
Yes
No
14.
Will anyone be home during the day?
Yes
No
15.
How many hours will Sky be left unattended (in or out)?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
16.
When no one is home, where will Sky be kept?
17.
Are your companion animals current on their vaccinations?
Yes
No
18.
Please provide the name of your veterinarian:
Phone:
Please contact your veterinarian to allow release of your records to Caly's Cats.
19.
How do you plan to introduce Sky into your home if you have other animals?
20.
What will you do if Sky does not get along with your present companion animals?
21.
If a disciplinary or behavior problem arises, how will you respond to it?,
22.
What will you do if Sky starts chewing household things or digging in the yard?
23.
What will you do with Sky if you have to move?
Experience
24.
Have you ever had a companion animal before?
Yes
No
25.
Have you ever adopted an animal from a rescue/animal control agency?
Yes
No
26.
Have you ever had an adoption application rejected by a rescue/animal control agency?
Yes
No
What were the circumstances?
27.
Describe those companion animals you still care for or that are living in your household:
Name
Type
Breed
Age
Sex
Spayed/
Neutered
Where kept during the day
Where does he/she sleep
How long owned
M
F
Spayed
Neutered
Unaltered
M
F
Spayed
Neutered
Unaltered
M
F
Spayed
Neutered
Unaltered
M
F
Spayed
Neutered
Unaltered
28.
Describe those companion animals you no longer care for:
Name
Type
Breed
Age
Sex
Spayed/
Neutered
Where kept during the day
Where did he/she sleep
How long owned
M
F
Spayed
Neutered
Unaltered
M
F
Spayed
Neutered
Unaltered
M
F
Spayed
Neutered
Unaltered
M
F
Spayed
Neutered
Unaltered
29.
Have you ever had to relinquish an animal you had?
Yes
No
What were the circumstances?
Responsibilities
30.
Why do you want to adopt Sky?
31.
What do you think the annual cost of care for a dog is? $
32.
How much do you think a large vet bill is? $
33.
Are you financially able and willing to provide annual checkups, vaccinations,
and
any
medical care necessary?
Yes
No
34.
Are you familiar with your local animal control laws?
Yes
No
35.
Will you permit a dog-safety inspection of your home by appointment?
Yes
No
36.
Are you willing to sign legal adoption papers?
Yes
No
Signature
By checking this box I/we certify that all information on this form is true and correct. I/we understand
that any misrepresentation of fact may result in Caly's Cats refusing adoption privileges
on me/us. If my/our request for adoption is approved and later Caly's Cats discovers the
above information is not true or correct, Caly's Cats reserves the right to remove the
adopted dog from my home.
Submit Application