Tazzy Animal Rescue Fund

Name of Cat you are applying for:
Name of Second Choice Cat
Name of Third Choice Cat
Why do you want to adopt this cat? (Check all that applies)	Companion Companion for another pet House Pet Mouser

PERSONAL AND HOUSEHOLD INFORMATION

Applicant Name:
Date of Birth:
Co-Applicant (if applicable)
Date of Birth:
Street Address:
City, State, Zip:
Email Address
Home Phone
Cell Phone

What is your occupation?
How long have you been at your current job?
Employer:
Work Phone:
Work Address:
Work City, State, Zip:

Who shares your household? (Check all that applies)	Spouse Significant Other Children Roommate Live Alone
If you have children, what are their ages?

If your present relationship were to change, with whom will the cat remain?
At what age do you feel children are responsible enough to care for a cat without assistance (ie feed, change litter, etc.)?
Does anyone in your household have allergies to animals?
If Yes, how will this be managed?
Are you planning on moving in the next 12 months?
Is so, where?

What type of home do you live in?	If other, explain:
Do you own or rent?
If you rent, do you have written permission to have animals in your home?
If you rent, please provide your landlord's name and phone number	Name: Phone:
Do all your windows have screens and are in good condition?
What percentage of time will the cat be outdoors, and why?
What percentage of time will the cat be indoors and why?
Do you have any poisons (rat, mouse, or snail bait) where the animal will be kept?
Is someone home during the day?	If yes, who?

PET CARE AND OWNERSHIP

Which rooms, if any, are off limits to cats?
Where will the litter box be placed? Please be specific:
Where will the cat be kept during the day?
Where will the cat be kept during the night?
Have you ever bred a cat?
If Yes, why?
Do you plan on declawing the cat?
Have you ever declawed a cat before?
If the cat clawed the furniture, what would you do?
What type of food will you feed your cat?
How many times per day will you feed your cat?
Who will be responsible for feeding your cat?

Would this be your first pet?
Do you currently have any pets?
If Yes, please provide the following information:

Current Pet 1:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Current on Vaccinations
	Declawed (if cat)
	How do you feel this pet will adjust to a new animal?

Current Pet 2:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Current on Vaccinations
	Declawed (if cat)
	How do you feel this pet will adjust to a new animal?

Current Pet 3:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Current on Vaccinations
	Declawed (if cat)
	How do you feel this pet will adjust to a new animal?

Current Pet 4:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Current on Vaccinations
	Declawed (if cat)
	How do you feel this pet will adjust to a new animal?

Have you owned any pets in the past?
If Yes, please provide the following information:

Past Pet 1:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Declawed (if cat)
	How long did you own this pet?
	What happened to this pet?
	If died, please explain:

Past Pet 2:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Declawed (if cat)
	How long did you own this pet?
	What happened to this pet?
	If died, please explain:

Past Pet 3:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Declawed (if cat)
	How long did you own this pet?
	What happened to this pet?
	If died, please explain:

Past Pet 4:
	Type of Pet (Dog, Cat, Bird, etc.)
	Breed
	Age
	Gender
	Neutered/Spayed
	Declawed (if cat)
	How long did you own this pet?
	What happened to this pet?
	If died, please explain:

Which of the following would force you to give up your cat?	Divorce / Separation	Move out of State
(Check all that applies)	Move where pets are not allowed	Cat meows a lot
	Cat hisses at strangers	Cat bites or scratches children
	Marry someone with allergies	Cat loses control of bladder
	Cat develops chronic illness	Large Vet bills
	Cat is untrainable	Cat is not the kind of cat I thought it would be
	Planning on having a baby	Just gave birth to a baby
	Cat doesn't get along with current pet	Cat Claws Furniture
	Other: Explain	Would never give up a pet

Do you plan on taking your cat to a veterinarian for annual exams?
If Not, Why?
Do you currently have a veterinarian?
If Yes, please provide us with your vet/clinic's Name and Phone Number	Name: Phone:
Are you prepared to cover any vet expenses you pet may incur throughout it's lifetime?
Is there a limit?
How much is too much?
Would you consider euthanizing your pet because of medical costs?
What do you think is the best way to keep your animal's teeth clean? (Check all that applies)	Clean them myself Never thought about it Have a professional clean them It's not necessary
Which of the following would you use for flea control? (Check all that applies)	Flea Spray Flea Bath Flea Collar Herbal Flea Collar Flea Busters Flea Comb Program, Advantage or Frontline
What is a behavior that would not be acceptable to you?
What method of discipline will you use if your cat claws your furniture? (Check all that applies)	Swat nose Spank with hand Spank fanny with newspaper Stern voice Scruffing Other: Explain
If you become ill or die, what plans will you make for the care of your pet?

Please provide us with 2 personal references:
Personal Reference 1 Name and Phone	Name: Phone:
Personal Reference 2 Name and Phone	Name: Phone:

Are you willing to have a representative from Tazzy Animal Rescue Fund come to see where the pet will be living?
If no, why?
How did you hear about Tazzy Animal Rescue Fund?
Have you applied to adopt an animal from us in the past?
Have you applied to adopt an animal from another rescue group?
If so, what happened?

Would you like to be added to our mailing list?

Do you have any comments or additional information that you feel is necessary in consideration for adopting this cat?

I understand that filling out this application does not guarantee the adoption from Tazzy Animal Rescue Fund. I certify that all of the above information is honest and true.

To validate human entry of this form, please answer the following question:

How many cats are in the picture below? One, Two or Three?

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Cat Adoption Application

We are glad you would like to adopt a new pet from us. The following information is required so that we can assist you in the selection of your new pet. This form and consultation with a Tazzy Animal Rescue Fund representative is designed to help us determine if the adoption is in the animal’s best interest, and to assist you in finding the animal most compatible with your lifestyle.

Our Adoption Fees are as follows:
Adoption Fees range between $65 - $125 and are based upon breed (pure or mixed), age, health, etc.

Your donation is a tax deductible expense and it goes toward funding our rescue efforts.

If you are unable to submit this online application, or would prefer to fill it in by hand,
click here to download this application in PDF format. You will need Adobe Reader to open this attached form.