Adoption application for Feline

Adoption Application

Thank you for your interest in adopting a new pet. The following information is required so that we can assist in the selection of your new family member. This form and consultation with an Eloise Rescue representative, is designed to help us best serve both the needs of our animals and our adoptors.

There is a 250.00 Adoption fee

This fee helps Eloise Rescue cover costs associated with spay/neuter of your pet, current shots, micro chipping and temporary medical boarding of this rescue animal. A home check will be required as well as a binding contract to adopt the a dog from Eloise Rescue. No profits are made on any of our adoptions. Adoptions will only be considered to Los Angeles county residents and surrounding areas. We do not do out of state adoptions.

Name of the cat or Kitten you are interested in: *

First Name, Last Name: *

Email Address: *

Please Re-Enter Email: *

Best phone number to be reached: *

Address & City & Zip Code (Must fill in all): *

Occupation: *

How long have you been at your current job? *

Employer Phone Number: *

Age Range: *

What type of home do you reside in? *

House

Condo

Apartment

Other: Other:

Do You Own Or Rent? *

Own

Rent (Do you have written permission to have a dog?) Rent (Do you have written permission to have a dog?)

With whom do you share your household? *

Are you planning on having children in the future? *

No

Yes

Do you have grandchildren that visit? *

No

Yes (Please let us know if they will be interacting with the dog and how often): Yes (Please let us know if they will be interacting with the dog and how often):

At what age do you feel a child is responsible enough to care for a Cat & Kitten without supervision? (i.e.walking, feeding etc?) *

What is your level of experience with a cat or kitten? *

First time owner

Beginner (just got a pet recently)

Intermediate (have had cats for a while,

and have extensive knowledge regarding cats)

Do you currently have any Cats or kittens or a dog, please include age and if they are a feline or canine. *

Yes

No

Type of Pet(s): Type of Pet(s):

If you have had pets in the past that are no longer with you, please explain what happened (i.e. gave to someone else, lost, passed away to old age, etc.) *

Have you ever had a cat or kitten that lives indoors and out? *

No

Yes (Please explain): Yes (Please explain):

would you allow your cat outdoors? *

are your screen secure in all parts of your home? *

No

Yes (Please explain): Yes (Please explain):

are you located in an area where coyotes are present ? *

No

Yes (Please explain): Yes (Please explain):

Do you have a veterinarian? If yes, please list name, number and how long you have used the vet: *

Have you ever had a pet euthanized or given up a pet please explain ? *

No

Yes (Please explain): Yes (Please explain):

Does anyone in your household have allergies to cats or dogs? *

No

Yes to cats

yes to dogs

Are you planning on moving or traveling in the next 12 months? *

No

Yes (Where and Why?): Yes (Where and Why?):

What's the main reason you'd like to adopt a cat or Kitten (please check all that apply): *

Family Companion

Entertainment for Children

Companion for Another cat

Companion for Another Dog

If your present relationship were to change, with whom will the cat remain? *

Will all household members be able to come and meet the Cat or kitten at a scheduled adoption appointment? *

Yes

No (Please explain): No (Please explain):

what would you do if your new cat or kitten scratches you?? *

Please describe Please describe

Do you have a doggy door? *

No

Yes (it is accessible to the cat or kitten?) Yes (it is accessible to the cat or kitten?)

Do you have a pool? *

No

Yes (Is pool fenced all around with no openings, or do you have a hard cover?) Please explain: Yes (Is pool fenced all around with no openings, or do you have a hard cover?) Please explain:

Do you have a Gardener, Housekeeper, Poolman (etc)? *

No

Yes

Do you have any poisons (rodents, snail bait, plant food) where the animal will be kept? *

No

Yes

Is someone home during the day? *

No

Yes (Who?) Yes (Who?)

Which rooms, if any, are off limits to the Cat or kitten? *

Will the cat or kitten be allowed on the furniture? *

Yes

No

Some furniture

Where will the Cat or Kitten be kept during the day? *

Where will the cat or kitten sleep at night exactly? *

What plans would you have in place for your Cat or kitten when you travel? (Ex: hired petsitter, friend who stops by to feed, Cat or kitten will stay at a kennel, cat or kitten travels with you, etc) *

What type of food would you feed your cat or kitten, and what is your present Cat or kitten eating if applicable? (If commercial food, please state brand, and if the food is canned, kibble, dried, raw, etc): *

Who will be responsible for feeding the cat? *

Will your Cat or kitten wear a collar and identification tag? *

Always

Never

Sometimes (Please Explain) Sometimes (Please Explain)

If your new cat or kitten gets out, which of the following would you do? Check all that apply: *

What is a behavior that would not be acceptable to you? *

How would you discipline your cat or kitten? *

Have you and or would you be willing to work with a trainer if your cat or kitten has issues or does not get along with your present pet, at your own expense? *

If your pet becomes ill, gets injured, needs surgery or ongoing medical care, what amount are you willing to spend on veterinary/medical care? *

Would you consider getting pet insurance for this animal? *

Yes

No (Please explain): No (Please explain):

What might cause you to give up your cat or kitten? Check all that apply: *

A cat can live to be 15 to 20 years old. Are you able to make this long-term commitment? *

Yes

No (Please explain): No (Please explain):

Who would care for this cat in the event something happened to you or you could no longer care for your pet? *

Have you ever tried to adopt an animal from another rescue group? *

No

Yes (Please explain):

If there is anything else that you would like to tell us about you or your family, please feel free to write your comments here. *

Please write what a typical day with your cat would be, from getting up in the am to going to bed at night. Please give detail? *

I understand that a home visit is required and that a home visit does not guarantee placement: *

I Agree

I Do Not Agree

I understand that submitting an application does not mean I am approved to a adopt a cat or kitten from Eloise Rescue. Eloise Rescue has the right to refuse adoption to any applicant for any reason and is not obligated to provide a reason or explanation for refusing adoption to an applicant: *

I Agree

I Do Not Agree

Allergies	Accidents in house
New spouse doesn't like cat or kitten	Financial reasons
Biting/scratching	cat or kitten gets sick
You get sick	New baby
Moving out of state	Move to a place that cats or kittens aren't allowed
Expensive vet bills	Cat scratches your sofa
Cat bites children	Cat loses control of bladder
Cat doesn't get along with current pet	Neighbors complain about pet
Jumping on people	Not the kind of cat I thought it would be
None of the above