Cat Adoption Form To be considered as an adopter, you must: Be 21 years of age or older Have identification showing your present address Have the knowledge and consent of your landlord (written consent preferred) Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care of the cat for its lifetime Completion of this application does not guarantee adoption of an Animal Rescue League of El Paso cat. Please print legibly, complete all questions and circle answer when required. Thank you ! If you are human, leave this field blank. I hereby am applying to adopt the following cat Breed I understand that the breed is only a “best guess” by Animal Rescue League: Yes No Adopter’s Name: Address City STate AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Home Phone Work Phone Alternate Number How many people in your household? Does any member of your household have an allergy to cats? Yes No Number of Children at Home Age(s) of children at home or who visit regularly Do all member of your household want a cat and do they all approve of your choice? Yes No Why are you looking for a cat? Who will be the primary caregiver for this cat? In what type of home do you live? House Townhouse/Condo Apartment Do you? Own Rent RENTERS: do you have written permission to have a cat our your choice live with you Yes No What are the size and other restrictions your landlord has placed on owning a pet? Do you currently own pets? Yes No Number/Type/Age of other pets currently owned Have they been spayed or neutered Yes No Don't Know Are they current on vaccinations? Yes No Don't Know Is your current pet on monthly heart-worm preventative? Yes No Don't Know Is your pet micro-chipped and nationally registered? Yes No Don't Know Have you ever owned any other pets? Yes No When was the LAST TIME you had a cat? What kind of cat did/do you have? Was/is s/he spayed or neutered? Yes No Why not? Where did you get the cat? What happened to the cat? Name Veterinarian Telephone Number of Veterinarian Do you consent to us contacting your veterinarian for a reference? Yes No Please list two people,(not residing with you) along with phone numbers, whom we can contact, who know you and your pets Why are you interested in adopting this cat? How much will the cat be alone? Please describe a typical day Will the cat be allowed in the house? Yes No When? Where will the cat sleep at night? HOW, and how often, do you plan to exercise your dog? ( for example, cat parks, hiking trails, neighborhood walks, etc.) HOW do you plan to Obedience Train the cat? Where will the cat stay: When you are home? When you are away? Do you have an enclosed yard? Yes No Type of fence for dog: Height of fence Will you keep the cat up to date on vaccinations and heartworm preventative? Yes No How much are youwi lling to spend on medical bills for your cat? Up to $100 Up to $500 Up to $1000 Up to $5000 Have you ever applied to Animal Rescue League of El Paso to adopt an animal? Yes No Have you ever brought an animal to Animal Rescue League of El Paso? Yes No Are you willing to take responsibility for this cat for the next 10 to 15 years? Yes No If no, please explain Are you currently employed? Yes No Retired Are you a member of the military? Yes No Rank What is the name and phone number of your commanding officer? Conditions: 1. I am applying to adopt the cat described above from ANIMAL RESCUE LEAGUE OF EL PASO INC, (hereinafter ARL). The cat is being adopted as a companion and will live as a family member. I WILL NOT allow this cat to be used for purposes of breeding, vivisection or experimentation. I agree* 2. I agree that a representative may make a home check of my home prior to adoption and, that during the life of the pet, a representative of ARL may make periodic inspections of the pet, my residence and the cat’s living conditions on reasonable notice. I agree* 3. I understand that sterilization of any animal adopted from a humane organization is required under Texas Health and Safety Code, Ch. 828. Violation of this law is a criminal offense punishable as a Class C Misdemeanor. I further understand that all cats adopted from ARL are sterilized prior to placement. I agree* I acknowledge that I have read and fully understand the terms and conditions of the foregoing adoption application. I have answered each question to the best of my knowledge and agree that should any answer be found to be false, and my application is approved, ARL will have the right to immediately reclaim the cat without compensation to me. If there are any terms with which I disagree,I have crossed them out and had both parties initial the changes. I further understand that the completion and submission of the adoption application does not ensure that the application will be approved. Check the following box to agree with the conditions * Yes, I agree with the conditions Date Signed (Adopter) Our mission is to serve stray, abandoned, orphaned, abused and injured companion animals by providing medical care and shelter in times of need, locating lifelong homes, and promoting responsible pet guardianship through education, legislation and sterilization.