MCAS Feline Adoption Application

The Marshall County Animal Rescue League/Shelter requires that all potential adopters complete an application to adopt. However, this does not guarantee adoption of a specific animal. The cat you have chosen could have an application pending. Also, out main concern is that all of our animals are placed in homes where they are best suited. The cat or kitten that you have selected might not be the best possible fit for your family, and if that is the case, we will be happy to work with you to find just the right animal.

**NOTE**

Please make sure ALL questions are answered completely. We will not consider incomplete applications. The more detailed information you can give us, the better!

Full Name: *

Address: *

City, State, Zip *

Phone Number(s): *

E-mail:

Age of Adopter: *

How long have you lived at your current address? *

What is your current residency status? (Example: Own, Rent, Living with parents, Living with roommates/friends, Other) *

If you rent, please provide your landlord's name and phone number: *

What type of home do you live in? (Example: House, Apartment, Trailer, Condo, Other) *

What kind of area do you live in? (Example:Town, Rural, Highway, Etc.) *

Your place of employment: *

Work days and hours: *

Please provide FULL names and AGES of everybody living in your home: *

Do you often have children under the age of 4 visiting your home? *

Are all household members in agreement with bringing home a new cat? *

Yes No Haven't discussed yet Want it to be a surprise

Does anyone in your home have pet allergies? *

Who is this animal primarily for? *

Who will be the primary caregiver for this animal? *

May we visit your home prior to application approval? *

Give specific information on the animal you are interested in adopting (ID number, name, breed, etc.): *

What would you do if you had to give up this cat after adopting it? (Example: Give it away to someone, Give it away to family member, Return it to the shelter, List it on Facebook/Craigslist, etc. to find a home) *

Have you or any members of your household ever been charged with animal crulety or cited for leash law violation? *

Where will your cat spend MOST of its time? *

Indoors Outdoors Barn Other outdoor shelter

On a typical day, how many hours will your cat be left alone? How many hours and how many days a week? *

Where will your cat stay when left alone? *

Outdoors - in a contained area Outdoors - free roam Indoors - in a contained area Indoors - free roam in house Barn/Other outdoor shelter

Where will the cat stay at night? *

Have your current cats been tested for FelV/FIV? If yes, what are the results of FelV/FIV testing? *

When and under what conditions do your current cat(s) go outdoors? *

When and under what conditions will your adopted cat be outdoors? *

What type of flea preventative do you use? *

How close is your home to a street or highway? *

Do you have a contingency plan to pay for unexpected vet bills? Please explain. *

Are you willing to work through unexpected hardships with your pet? (Example: clawing furniture, litter training, etc.) *

How soon do you want to adopt a cat? *

If you are adopting with a partner, who will get custody if there is a break up? *

Please list all CURRENT pets you own. First list what kind of pet, the pet's name, the pet's age, the pet's breed, the pet's sex, whether it is spayed or neutered, and length of time owned: *

Please list all PREVIOUS pets you have owned. First list what kind of pet, the per's name, the pet's age, the pet's breed, the pet's sex, whether it was spayed or neutered, length of time owned, and why the pet is no longer with you: *

How long has it been since you've owned your previous pets? *

Have you ever sold, given away or surrendered a pet to an animal shelter? If yes, why? *

Have you ever adopted an animal from our shelter before? If yes, when? *

How did you hear about us? *

Veterinary Information

Please call your veterinarian(s) and give consent to release medical information from your file. Failure to do so will be detrementel to your application.

Also, please provide the name on the vet records for all pets. If your name has changed, please list any name you may have used. If you use different vets for any of your pets, be sure to list those as well.

Please provide the name of the person that the vet records will be listed under: *

Please provide the name of ALL veterinarian practice(s) and phone numbers that have seen your current and/or previous pets: *

Submission of this application does not guarantee approval to adopt a cat from the Marshall County Animal Shelter. By typing your name in the signature box below, your application attests that all information you have given is completely accurate and true.

Signature: *

Date: *