Application

Your standard application for adoption!

Instructions

1. Fill out the adoption application below, or download the PDF and email it to greenstrescue@gmail.com.

2. Once the completed application is submitted, GSR will review and call your references, your landlord, and vet if one is listed.

3. GSR will contact you via text, phone or email if any clarification is needed.

4. GSR will contact you via text, phone or email once your application is approved. Please keep a copy of any written approval notification.

5. Once your application is approved, GSR will connect you with the foster home to schedule a meet/greet and finalize the adoption.

6. If you are adopting a cat from Le Cat Café or Fairmount Pet Shop, coordinate a time with them to pick up/finalize the adoption.

7. If the adoption is approved, arrangements must be made to pick up the cat within 3 days (72 hours) of approval. If the cat cannot be picked up within 72 hours, GSR requires full (non-refundable) payment of adoption fee to hold the cat. GSR will hold the cat for no more than 10 days even after payment is made.

8. The Adoption fee of $135 for one cat and $190 for two, will be paid to Green Street Rescue either on or before the date the cat goes home.

Date *

Which cat do you want to adopt? If you do not know this, write N/A, please. *

First Name of applicant *

Last Name of applicant *

Birth Date *

Address *

City *

ZIP *

Preferred Phone *

Your Email *

Employer/Address/Position *

Name of spouse/significant other

If you have any children, what are their ages?

Does anyone in your household have allergies? *

If your situation changes, with whom would the cat remain? Did they agree to this? *

I am able to take care of this cat(s) for his/her entire lifetime. Cats can live to be 15-20 years old and, as with humans, will have more medical needs at they age.

What is your primary reason for adopting this cat(s)? *

Companion

Gift

Other

Other: *

Who will be primarily responsible for the cat's care? Who is second in line for this responsibility? *

Under what circumstances might you justify giving up your pet you have chosen to adopt and make part of your family?

How long have you lived at your current address? *

Other: *

Do you own or rent? *

Own

Rent

Landlord's Name *

Landlord's Phone # *

Landlord's Email: *

You will allow a home visit

Do you plan to move at some point? *

Yes

Do you have a yard? *

Yes

Do all of your windows have screens? *

Yes

Do your doors have screens? *

Yes

You agree that this pet will be an INDOOR pet only?

About how many hours of the day will your cat be left alone when you work or are out? *

Will the cat(s) be confined when you are gone? *

Yes

What areas of the house will the cat be allowed in? *

Will this cat(s) be allowed on the furniture? *

Yes

Where will your cat(s) sleep at night? *

Where will you keep the litter box(s)? (Two cats require 2 or 3 litter boxes) *

If your cat needs expensive medical treatment such as dental work, would you consider costly vet treatment? *

Yes

Up to what dollar amount? *

Do you have a car? *

Yes

How do you plan to take the cat to the vet for its annual check up and/or in the cat becomes ill or if there is an emergency? *

How much do you anticipate spending in a year for your cat's basic needs (dry food, wet food, litter, cleaning supplies, annual vet visit , etc.)? *

Please list all animal companions you have had IN THE PAST, their species and status (deceased, given away, lost). If given away, why?

If deceased, what was the cause of death?

Have you ever given away or surrendered a pet to a shelter or rescue or released back outside? If so, why? *

Do you currently have other animal companions? If so list names, species, ages, and how you acquired them.

If you have other cats/dogs, are they spayed/neutered? *

Yes

I do not have other cats/dogs living with me

We require all new owners’ pets to be up to date on their shots, tests, and spayed / neutered.

If you have a cat, is he/she de-clawed? *

Yes

I do not have a cat

Are they up to date on their vaccines? *

Yes

I do not have other cats/dogs living with me

When was their last visit to the vet?

If you have a cat(s) was he/she tested for Leukemia (FELV)? *

Yes

I do not have any cats

FELV test results: *

positive

negative

I do not have any cats

for Aids (FIV)? *

Yes

I do not have any cats

FIV test results: *

positive

negative

I do not have any cats

Will you/Do you have a collar, name tag and/or microchip for your cat(s)? *

Yes

Do you plan to get a name tag and collar for this cat(s)? *

Yes

Who will care for your cats when you are away on a business trip or on vacation *

Do you have a veterinarian you have been a client of in the past 5 months? *

Yes

Veterinarians' Name *

Veterinarians' Address *

Veterinarian's Phone # *

References

Reference 1

Name

Reference 1 Phone #

Relationship

Reference 2

Name

Reference 2 Phone #

Relationship

Reference 3

Name

Reference 3 Phone #

Relationship

Have you ever been issued a citation from animal control or a law enforcement agency for any violations pertaining to animals? *

Yes

Is there any additional information you would like to us to know? *

Have you applied at any other rescues/shelters? *

Yes

If/When approved to adopt, how soon would you be ready to take the new four-legged family member home with you? * Arrangements must be made to pick up the cat within 3 days (72 hours) of being approved. If you cannot pick up the cat within 72 hours, GSR r

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