Cat Adoption Application

Greenmore Farm Animal Rescue CAT Adoption Application

Thank you for your interest in adopting from Greenmore Farm Animal Rescue. You must be the head of household and at least 21 years of age to complete this application.
Name of cat interested in: *
What is your time frame for adopting a cat: *
Personal and Contact Information
Name *

First Name Last Name
Spouse/Partner name:

First Name Last Name
Home Phone *

Area Code Phone Number
Cell Phone *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Employment Information *

Full time Part time Retired Student Other Work from home Stay at home Mom/Dad Option 8
Family Member / House Hold / General Information
Name and ages of all people living in your home: *
Tell us about your experience with cats as an adult: *
What type of pets and how many do you currently own?
Cat (s) *
Dog (s) *
Name and Age of Animals indicated previously.
Cat (s) Name(s) and ages *
Dog (s) Name(s) and ages *
Are your current pets spayed and/or neutered? *

Yes No no other pets
Do your current pets wear identification tags? *

Yes No no other pets
Are your pets vaccinations current? *

Yes No no other pets
If you answered no to any of the above, please explain: *
Personal References: Please list the names and phone numbers of 3 people who can speak to your ability to care for a pet. Only one reference can be a family member
1) Name: *
Phone Number (please include area code) *
2) Name: *
Phone Number (please include area code) *
3) Name: *
Phone Number (please include area code) *
When we call your veterinarian to inqure about your previous or current pet(s) care managament, it is exremely important for us to have your pets information exactly as your veternarian has it on file. If we can't verify your veternary care, we can't approve your application.

Some veterinary offices requre your permission to release information. Please notify your vet that we will be calling and give them your permission to speask with us.

Please note: The below criteria must be met on your Vet reference
- All pets in the household must be current on vaccinations
- Records must show a history of Wellness visits
- All pets in the household must be spayed or neutered
Veterinary Contact Information
Current Veterinarian Name: *
Phone Number (please include area code) *
Owner name on veterinarian records: *
Relationship to Owner if not self: *
Previous Veterinarian Name: *
Phone Number (please include area code) *
Owner name on veterinarian records: *
Relationship to Owner if not self: *
My signature below certifies the following:

That all the house hold members are listed on this adoption application and that each member residing at this address has never been convicted of animal cruelty, abandonment, neglect, or abuse.

That I am at lease 21 years of age, and that I am willing to spend the time and money necessary to provide medical treatment, proper nourishment, care, and indoor shelter for my cat.

That if relevant, I have followed all the required rules of pet ownership set forth by my lanlord or condo association.

That if I can no longer keep the animal, I will contact Greenmore Farm Animal Rescue and make arrangements to bring the cat back when kennel space is availble. I realize it may take several weeks for the rescue to make space for my returning cat.

Yes, I am aware that my adoption donation is non-refundable. My donation is a gift that keeps on giving. By taking home my cat, I have opened up space and resources for another cat to be rescued from a "High Kill Animal Shelter."

Thank you for completing your application. Your application will be reviwed by the adoption team and you will be notifed via e-mail approxately 3-5 business days after submission
Signature of applicant: *
Date: *
You can e-mail your application to greenmorerescue@gmail.com

Fax it to the attention of the Adoption Team: 215-790-6245

Mailing address: 246 Clonmell Upland Road. West Grove, PA 19390

Greenmore Farm Animal Rescue is a 501c3 Organization. All donations are tax deductible to the extent allowed by law.
www.greenmorerescue.org

When multiple applications are submitted on any given cat(s), applications are considered on a first come basis. The application that best suites the needs of the cat is given preference. If your application is approved, please do not schedule an appointment until you are ready to adopt your cat. Greenmore Farm Animal Rescue CAN NOT HOLD OR BOARD CATS.

Please note: We reserve the right to refuse adoption to anyone. Please be advised that we will not adopt to persons who mislead or fail to provide accurate information on the application.

Greenmore Farm Animal Rescue is a 501c3 Organization. Non refundable adoption donations are as follows: (All donations are tax deductible)

Cats $50.00 cash donation (debit/credit card fee $25.00)

Kittens $125.00 cash (debit/credit fee $25.00)

PLEASE FILL IN All INFORMATION
Should be Empty:

Greenmore Farm Animal Rescue CAT Adoption Application

Personal and Contact Information

Family Member / House Hold / General Information

Veterinary Contact Information