Adoption Application, Contract and Waiver
Name of cat/kitten(s) You Wish to Adopt
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
How did you hear about us?
Have you ever owned pets?
Do you currently own any pets?
Please list name, age & breed for all current pets.
Vet's name & number for CURRENT PETS
Vet's name & number for PAST PETS
Most Recent Vaccination Dates for your pet(s) (distemper/FVRCP and rabies):
You MUST call your vet to give them permission to speak with us before we can proceed. Did you call your vet(s).
I have never had pets
Please list any previous first/last names or addresses used with any present or past vets
Current pet's disposition and behavior towards other pets?
If you previously owned pets, list each pet's name, age, their cause of death and year they died.
Do you own or rent your home?
If you selected OWN: We verify ownership via public county clerk records, if you live in a home that is owned by someone else (parent, guardian, sibling, etc) please enter their name and contact information:
If renting, what is your landlord's pet policy?
If you rent, please provide your landlord's information here:
Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?
Is anyone in your household allergic to pets?
Yes but only mildly
What is your opinion on declawing cats?
Do all members of your household agree on adopting?
It's a Surprise
What is your opinion on cats being indoor vs. outdoor?
Names/ages of household members (OLD - HIDDEN)
Please list names and ages of all adults and children in the household
Why do you want to adopt this cat or kitten?
How many hours per day would the pet be alone?
What is your plan for your new pet(s) should you become unable to care for them? Please write detailed plan with name and email or phone number(s) of people or organization who would take your pet(s).
If you have to leave town, emergently or planned, where would your pet stay?
How will you handle the kitten's or cat's need to scratch? What if they scratch your furniture? Please give a detailed description.
How do you plan to care for grooming such as nail care, dental care and general grooming?
Please provide the names, email addresses, and contact numbers for 3 personal references:
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?
If you answered "Yes" please provide a detailed description:
Are you prepared for a 15-20 year commitment? Please consider your age, health, finances and living situation now and in the future.
Pet ownership means incurring expenses, including medical care. We estimate the annual cost of average veterinary care (yearly exam, shots and treatment of at least one minor condition) to be at least $500 on top of food. Are you prepared to cover these costs.
Under what circumstances, if any, would you need to return this cat to REAL Cruzan Cats?
Not allowed in new living space
Not enough time for pet
Moving too far away to bring pet with me
Vet costs too expensive
Litter box issues
Too playful / Jumps on furniture, counters
By clicking the submit button, I swear that I am 18 years of age or older. (If you are under 18 years old or live with your parents/guardians, they must co-apply for this pet.)
By clicking the submit button, I promise to provide sufficient shelter, food, water, medical care, comfort and love so that this animal will thrive and lead a happy indoor life as best as I/we are able. I/We will make available veterinary care as needed. I/We promise never to declaw him/her. If I/We must move from our current location, I/We will either take him/her with us
or provide for his/her care by returning him/her to R.E.A.L. Cruzan Cats.
By clicking the submit button, I agree to R.E.A.L. Cruzan Cats adoption process, will undergo a homecheck, and interview at the discretion of R.E.A.L. Cruzan Cats.
By clicking the submit button, I understand R.E.A.L. Cruzan Cats will check my references including veterinary and personal.
By clicking the submit button, I understand there is a non-refundable adoption donation associated with adoption of a pet from R.E.A.L. Cruzan Cats and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I understand there is no "cooling off" period, and that if I no longer want or can no longer care for my adopted pet, I agree to notify R.E.A.L. Cruzan Cats BY EMAIL and provide a 14 day period to allow R.E.A.L. Cruzan Cats to make arrangements for my pet to be taken back into rescue.
By clicking the submit button, I agree to indemnify and hold harmless R.E.A.L. Cruzan Cats against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that R.E.A.L. Cruzan Cats will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to R.E.A.L. Cruzan Cats and provide transport to where R.E.A.L. Cruzan Cats deems appropriate.
By clicking the submit button, I verify all of the above information is true and accurate.
Signature of Potential Adopter
Should be Empty:
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