Your Name

Please fill in the first name field with your full name as it appears on your ID or driver's license, along with your middle initial.

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Do You

Own

Rent

Live with parents/relatives

If you rent, please complete the following:

We welcome adopters who rent! We strongly encourage contacting your landlord prior to adopting an animal. Many landlords have restrictions on size, number of animals, type, breed, weight, or request declawing as well as require pet deposits or fees. Please ensure that your home and rental requirements are suitable for your new furry family member! Declawing is an outdated and inhumane way to address a cat’s natural behavior to scratch. Applications where the landlord is not informed will be denied.

Rental Property Name

Rental Property Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Landlord Name

Landlord Phone

(###)

###

####

Potential Relocation

Are you in the process of moving, or do you anticipate moving in the next few months?

Yes

If yes, please explain:

Criminal History

Have you ever been convicted of a crime?

Yes

ADOPTION INFORMATION

What is your past and/or current experience with cats?

Please check all that apply

First time cat parent

Have had a cat/cats as an adult

Had cat(s) as a child

Where do your other furry family members stay when you aren't home?

Is there a kitty at AHCRM that you are currently interested in adopting?

Yes

If yes, who?

Who will primarily care for this cat (feeding, playtime, vet visits)?

Have you ever surrendered a pet to a shelter or rescue before?

Yes

If yes, when, where and why?

What are some reasons you might relinquish this cat back to Almost Home Cat Rescue MKE?

I would like to adopt this cat because:

Please check all that apply.

For companionship for myself/my family

A buddy for my current companion animal

As a gift for someone

As a mouser/rodent control

CURRENT PET INFORMATION

Please leave blank if you currently have no pets. All current cats/dogs need to be up to date on vaccinations. Applications will be denied if animals are not up to date on state-required vaccines.

Description of current pet #1

Type (cat, dog, bird, etc.)

Breed

Gender

Male

Female

Neutered/Spayed?

Yes

Length of ownership

Description of current pet #2

Type (cat, dog, bird, etc.)

Breed

Gender

Male

Female

Neutered/Spayed?

Yes

Length of ownership

Description of current pet #3

Type (cat, dog, bird, etc.)

Breed

Gender

Male

Female

Neutered/Spayed?

Yes

Length of ownership

Description of current pet #4

Type (cat, dog, bird, etc.)

Breed

Gender

Male

Female

Neutered/Spayed?

Yes

Length of ownership

Please add information about additional current pets here:

Are your current pets up to date on vaccines?

Yes

If no, please explain:

VETERINARY INFORMATION

Veterinarian Name

Veterinarian Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Veterinarian Phone

(###)

###

####

Would veterinary records be under another name other than the one provided on this application?

Yes

If yes, what name?

Do you plan or are you required to declaw your cat/kitten?

Please note that Almost Home Cat Rescue MKE does not support declawing of a cat.

Yes

If yes, please explain:

HOUSEHOLD INFORMATION

Please list the name, date of birth and relationship (spouse, partner, roommate, child, etc.) of ALL people living in your home.

Failure to fully disclose this information will result in immediate adoption denial. All individuals over the age of 18 will be subject to a background check.

Person #1

First & last name

Date of birth

Relationship

Person #2

First & last name

Date of birth

Relationship

Person #3

First & last name

Date of birth

Relationship

Person #4

First & last name

Date of birth

Relationship

Person #5

First & last name

Date of birth

Relationship

Person #6

First & last name

Date of birth

Relationship

Please add additional household members here:

Volunteering

Would you be interested in becoming a Volunteer for Almost Home Cat Rescue MKE?

Yes (Please fill out our volunteer application you can find in the top navigation!)

Kitty Education

Would you be interested in learning more about kitties through our Blog and Community Education Program?

Yes (See below)

If yes, please note topics and questions you have:

REFERENCES

Please provide two references that we can contact. Two must be non-family members.

Please inform your references that we will be calling to eliminate any delays on your application.

Reference 1

First Name

Last Name

Relationship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Reference 2

First Name

Last Name

Relationship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

ADOPTION AGREEMENT

I agree that this animal is being adopted for myself/my family, not as a gift for someone else. I agree to provide for the needs of this pet through his or her lifetime including food, water, shelter, and veterinary care. If at any time I am unable to provide for this animal, I agree to either return him/her to Almost Home Cat Rescue MKE to surrender him/her to a rescue group (not a shelter or rescue who euthanizes healthy animals); or find another home who will provide for his/her needs. If this pet is returned to Almost Home Cat Rescue MKE, there will be no refund of the adoption fee. I understand Almost Home Cat Rescue MKE makes no guarantee about this animal’s health status or temperament.

I understand that future medical care of this pet is my financial responsibility, including illness or injury that occurs shortly after adoption or any injury/illness known to be present at the time of adoption. This pet appears healthy at this time (or as indicated above under “Known Medical Problems”), but Almost Home Cat Rescue MKE makes no guarantee to future health.

I understand the approval of this adoption may be revoked for any reason by Almost Home Cat Rescue MKE before the animal has been paid for and picked up.

Please give careful consideration to adopting this animal. Animals are not toys or a short term commitment, they do require daily attention. Make sure your lifestyle allows time, emotional commitment and financial responsibility this animal will need over its lifespan.

It is the responsibility of the Almost Home Cat Rescue MKE to place this animal in an environment compatible with its needs and to ensure the adoption is in the best interest of both the animal and applicant. Almost Home Cat Rescue MKE reserves the right to deny any applicant.

**Almost Home Cat Rescue MKE may follow up by phone or in person on any adoption to ensure compliance with the adoption contract.**

I certify that I have read the above information and that all information I have given is true and accurate and is subject to verification by Almost Home Cat Rescue MKE. I understand that any falsification may result in the nullification of an adoption.

Name

First Name

Last Name

Date

YYYY

Thank you! An adoption conselor will contact you soon. If you have never received an email from us, please check your junk / spam folders and add us as a contact in your address book. Thanks!

Adoption Application

Almost Home Cat Rescue MKE