Adoption/Foster Application for Cats – Oregon Coast Humane Society

ANIMAL INFORMATION

Do you want to

Foster

Adopt

Cat Name

Where did you hear about this animal?

APPLICANT INFORMATION

Name

First

Last

Email*

Are you 21 or older?

Yes

Primary Phone Number

Emergency Contact number:

Driver's License #

Physical Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Mailing Address (if different)

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Occupation

HOUSEHOLD INFORMATION

Do you

Own

Rent

Does your lease allow pets?

YES

Landlord name:

Landlord phone:

How many people live in your household?

Ages of children under 18:

Is everyone in your household in favor of adopting/fostering this pet?

YES

Is anyone in your household allergic to cats?

YES

CURRENT PETS

Animal name:(1)

Animal type:(1)

DOG

CAT

Animal sex:(1)

Male

Female

Animal breed:(1)

Animal age:(1)

FIXED?(1)

YES

Animal name:(2)

Animal type:(2)

DOG

CAT

Animal sex:(2)

Male

Female

Animal breed:(2)

Animal age:(2)

FIXED?(2)

YES

Animal name:(3)

Animal type:(3)

DOG

CAT

Animal sex:(3)

Male

Female

Animal breed:(3)

Animal age:(3)

FIXED?(3)

YES

Are ALL pets currently in your home up to date on vaccinations and licensed in the county you reside in?

YES

If you currently own cats, have they been tested for Feline Aids

YES

and Feline Leukemia

YES

HISTORY

Have you ever adopted an animal from Oregon Coast Humane Society?

YES

Have you surrendered an animal before (to a shelter/rescue/family/friends)?

YES

If YES, why:

What is the name of your regular veterinarian?

Veterinarian phone

Veterinarian address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Do we have your permission to contact your regular veterinarian as a reference?

YES

Lifestyle Information

On a normal day, how many hours will your cat be alone?

Where will they be during this time?

Where will your pet sleep?

Will your cat primarily be an indoor or outdoor pet?

INDOOR

OUTDOOR

BOTH

Approximately how many hours will your pet be outside?

What is the activity level in your home?

LOW

MEDIUM

HIGH

Under what circumstances would you consider declawing a cat?

What behaviors in a cat do you find difficult to manage (i.e. scratching, meowing, litter box issues) and what will you do?

Under what circumstances would you return a pet to the shelter?

How much do you think it will cost each month to provide the necessary medical care, dietary needs, and overall welfare for this cat?

REVIEW

If the shelter deems it necessary, do you agree to participate in a home visit prior to adoption/foster?

YES

Have you reviewed the Oregon Coast Humane Society adoption or foster policies?

YES

Do you verify that you have reviewed the information provided on this form and that it is correct?

YES

Do you want/need additional information on how to introduce your cat to other pets?

YES

Oregon Coast Humane Society wishes to place each of our pets into permanent, caring, and responsible homes. Your completion of this form does not guarantee that your application will be approved. Pets are always placed in homes that are compatible with their needs and personalities.

YES

I have read the above information carefully and have filled out this application honestly.

I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after an adoption takes place, Iunderstand that The Oregon Coast Humane Society(OCHS) reserves the right to annul the adoption and reclaim the animal. I give OCHS permission to fully investigate the information provided as well as contactveterinarians and related officials.I understand that OCHS requires all adopted cats to be spayed or neutered. I agree to provide regular health care for the cat and am prepared to provide for this cat for possibly 12 years or more. I further agree to contact OCHS if I can no longer keep this cat.In addition, I understand the adoption decision is dependent on many factors; including but not limited to,the compatibility of the family and home of the individual animal, and other applications received on this animal. I understand it is OCHS’ prerogative to decide the home that is most appropriate and that their decision is final, and therefore I will not argue with the decision.

Required*

I Agree

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