Grassroots Animal Rescue Adoption Form

Thank you for choosing to adopt through Grassroots Animal Rescue!

We believe in responsibly placing our cats and kittens into loving FOREVER homes.
Please allow 48-72 hours for us to contact you about your application. We are all volunteers with full-time jobs.

We look forward to working together to find the perfect addition to your family!

*Adoption Fee is $100 for adults and $150 for kittens.

Full Name*

First NameLast Name

Birth Date*

MonthDayYear

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Name of cat or kitten you are interested in adopting.*

Why do you think this cat would be a good fit for your home?*

Where did you first learn about this cat?*

If you do not have a particular cat or kitten in mind, please tell us what you are looking for in the event that a cat meeting your needs is not listed online.

Age

Gender

Color Preference

Hair Length

Declawed?

How long have you been looking for a cat or kitten for your family?*

Have you ever lived with a cat before?*

Is this your first time owning a cat?*

Do you currently own other pets?*

Please list name, breed and age of ALL pets owned during your adulthood. Please list cause of death or reason they are no longer with you if applicable.

Have you ever owned an animal that you re-homed, returned or surrendered to a shelter?*

Where do your current cats spend their time? *

Are your current animals spayed/neutered?*

Are your current animals Up to Date on their vaccinations?*

Do you already have a veterinarian?*

If yes, who?

How much money would you expect to spend, or be willing to spend, on a medical emergency for your cat or kitten?*

Please list three personal references (including address, email, and phone number, if available), who are not related to you. Family members may be used only if three non-related references are not available.*

Please tell us a little bit about your home.

Type of housing*

Do you:*

If other, please explain:

Does your landlord allow pets?

Great! How much is the pet deposit?

How many adults live in your home?*

How many children live in your home?*

Are all adults in the home in agreement to adopt a cat?*

Does anyone in the home have allergies to cats?*

Where will the cat or kitten spend most of its time?*

How much time will this cat spend alone?*

What do you intend to feed your new cat or kitten? Please be specific.*

Are you open to a discussion with a Grassroots volunteer about nutrition for your new cat or kitten?*

If no, please explain.

Will your cat or kitten be declawed?*

Is this cat intended as a surprise or gift for anyone?*

Have you or any one in the cat's potential household ever been arrested, charged or convicted for animal cruelty or animal hoarding?*

Are you willing and available for us to do a home visit before the adoption is finalized?*

Do you agree to give us follow-up reports and photos from time to time?*

Do you agree to contact us in the case that you need to re-home this cat for any reason?*

Please provide any other relevant information you feel would assist us in placing a cat or kitten in your home:

Do you have any other questions for us you’d like us to note?

Your Signature*