Rescue House Adoption App Results
Thursday, June 3, 2021
Cat Adoption Application
Adopter Name(s)
| Name |
|---|
| Mattis vulputate |
| Elit vel |
| Purus bibendum |
| Hendrerit libero |
| Cras lacus |
| Purus bibendum |
| Volutpat ac sagittis |
| Ut semper |
Primary Phone #
+61 (58) 234-7197
Email Address
markjugg@example.com
Adoption Location
Option 2
Cat(s) for which you are applying
| Cat's Name | Rescue House # |
|---|---|
| Pellentesque in magna | Ut semper |
| Lacinia ac | Volutpat ac sagittis |
| Cras lacus | Quisque commodo |
| Auctor ac sem | Urna lorem |
| Volutpat ac sagittis | A ullamcorper dui |
Why did you select this particular cat(s)?
Fusce consequat.
Address
346 Alpine Pass, 51 Waubesa Junction
Los Angeles, California, 90020
United States
2nd Phone #
+61 (58) 234-7197
Names & Relationship of others in home
| Name | Relationship | Age (children only) |
|---|---|---|
| Lorem ipsum | Spouse | Quisque commodo |
| Dolor sit amet | Partner | Lacinia ac |
| Etiam at | Spouse | Hendrerit libero |
| Quisque commodo | Parent | Arcu mollis |
| Mattis vulputate | Spouse | Urna lorem |
Type of Home
Option 2
Do you
Option 2
If Apartment, name of complex
Cras mi pede, malesuada in, imperdiet et, commodo vulputate, justo.
If Renting
| Landlord / Property Manager Name | Phone |
|---|---|
| Cras lacus | Elit vel |
| A ullamcorper dui | Cras lacus |
| Quisque commodo | Quisque commodo |
| Condimentum arcu | Mattis vulputate |
| Lacinia ac | Arcu mollis |
| Etiam at | Hendrerit libero |
| A ullamcorper dui | Arcu mollis |
May a Rescue House representative visit your home prior to adoption?
Option 2
The cat(s) will be:
Option 2
Where will the cat(s) be when you aren't at home?
Cras mi pede, malesuada in, imperdiet et, commodo vulputate, justo.
How many hours per day will the cat be left alone?
Cras mi pede, malesuada in, imperdiet et, commodo vulputate, justo.
Who will be responsible for the care of the cat(s)?
Cras mi pede, malesuada in, imperdiet et, commodo vulputate, justo.
Why do you want to adopt a cat? (choose all that apply)
Option 2
Have you previously been responsible for the care of a cat?
Option 2
If you previously had a cat, please check all that apply:
Option 2
What other animals live in or visit your home?
| Cats # | 164 | 241 | 43 | 150 | 952 | 213 | 328 | 328 |
|---|---|---|---|---|---|---|---|---|
| Dogs # | 851 | 698 | 43 | 452 | 59 | 150 | 213 | 309 |
| Other types | Auctor ac sem | Pellentesque in magna | Lorem ipsum | Dolor sit amet | Quisque commodo | Dolor sit amet | A ullamcorper dui | Auctor ac sem |
| Other types # |
How will you introduce your new cat to your existing pet(s)?
Fusce consequat.
On the first night home, where will the cat stay?
Cras mi pede, malesuada in, imperdiet et, commodo vulputate, justo.
Do you have any overnight, or longer, trips planned for the first 2 weeks the cat is home?
Option 2
Under what circumstances would you give up the cat(s)?
Option 2
Are you or anyone in your home allergic to cats - now - or at any time in the past?
Option 2
Cats/Kittens have been known to claw furniture, carpets, and drapes, dig in potted plants, etc
| a. How would you handle these potential problems? | Donec commodo ex id ex posuere tempus. | Nunc id est et lacus pretium viverra. | Mauris posuere eros in bibendum suscipit. | Integer sit amet dui condimentum, cursus augue et, sollicitudin felis. | Duis euismod velit at nisi tempus cursus. | Duis euismod velit at nisi tempus cursus. |
|---|---|---|---|---|---|---|
| b. If this doesn't work, what would you do then? | Nullam pharetra velit quis ligula dictum, in auctor risus condimentum. | Mauris porttitor lorem quis sapien rutrum pulvinar eu ut est. | Mauris et nisl vel magna bibendum dictum at id tortor. | Duis euismod velit at nisi tempus cursus. | Integer quis erat egestas neque rutrum fringilla. | Mauris et nisl vel magna bibendum dictum at id tortor. |
| c. Would you declaw this cat? | Yes | No | Yes | Yes | No | Maybe |
What do you feel is the best way to discipline a cat?
Fusce consequat.
What would you do with the cat if you had to:
| a. Leave town for a trip? | Mauris posuere eros in bibendum suscipit. | Donec commodo ex id ex posuere tempus. | Morbi tempor eros a dolor gravida, nec posuere purus fermentum. | Nam quis ex mollis, congue orci non, accumsan augue. | Mauris et nisl vel magna bibendum dictum at id tortor. | Cras vitae lacus id ante interdum semper sit amet ut lorem. | Lorem ipsum dolor sit amet, consectetur adipiscing elit. |
|---|---|---|---|---|---|---|---|
| b. Move locally? | Ut tincidunt neque non nulla vulputate, ut dapibus leo luctus. | Integer sit amet dui condimentum, cursus augue et, sollicitudin felis. | Proin fermentum ante quis sapien ultrices, id dapibus diam finibus. | Mauris porttitor lorem quis sapien rutrum pulvinar eu ut est. | In lobortis ante sed odio sollicitudin, eget accumsan orci imperdiet. | Nunc id est et lacus pretium viverra. | Mauris porttitor lorem quis sapien rutrum pulvinar eu ut est. |
| c. Move out of state? | Duis molestie orci sed mollis commodo. | Cras vitae lacus id ante interdum semper sit amet ut lorem. | Praesent fermentum neque eget lobortis iaculis. | Lorem ipsum dolor sit amet, consectetur adipiscing elit. | Duis euismod velit at nisi tempus cursus. | Nullam pharetra velit quis ligula dictum, in auctor risus condimentum. | Mauris et nisl vel magna bibendum dictum at id tortor. |
| d. Move overseas? | Nunc id est et lacus pretium viverra. | Lorem ipsum dolor sit amet, consectetur adipiscing elit. | Nam quis ex mollis, congue orci non, accumsan augue. | In lobortis ante sed odio sollicitudin, eget accumsan orci imperdiet. | Donec commodo ex id ex posuere tempus. | Integer sit amet dui condimentum, cursus augue et, sollicitudin felis. | Integer quis erat egestas neque rutrum fringilla. |
If something should happen to you, who would provide for the continuing care of this cat?
Fusce consequat.
If for any reason you are unable to keep this cat and/or are unable to find another adopter approved by The Rescue House, do you agree to return it to The Rescue House?
Option 2
Are you aware that it could cost $1,000 or more every year to provide care for each cat?
Option 2
Are you financially able and willing to provide adequate medical care if this cat should become sick or injured?
Option 2
I HAVE UNDERSTOOD THESE QUESTIONS AND HAVE ANSWERED THEM TRUTHFULLY.
Signature (sign with finger or mouse)
Date
Friday, December 27, 2013
About this template
Details
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