ADOPTION APPLICATION - TLCrescueandrehab.org

I am Interested in Adopting the Following Animal/s:*

Full Name*

E-mail*

Phone Number*

Full Address*

Veterinarian's Name & Phone Number*

Do you have the means to support the animal/s you'd like to adopt?

YES
NO

Do you live in a

House
Apartment

Is anyone in your home allergic to animals or have Asthma?*

Have you ever owned a cat before

YES
NO

What pets do you currently have living with you? (BREED & AGE):*

I have never been convicted or accused of cruelty to animals at any time and have no court orders stating that i may not adopt or care for any animal

I Agree
I Disagree

Any animal I adopt through The Lap Cat Rescue & Rehabilitation Inc is for myself and will not be sold, adopted out or given to another party

I Agree
I Disagree

Any animal I adopt from The Lap Cat Rescue & Rehabilitation Inc. is to live in a private residence as a companion animal and will NOT be allowed outdoors

I Agree
I Disagree

Any animal I adopt from The Lap Cat Rescue & Rehabilitation Inc. will not be given to any medical facilities whose purpose is to experiment or cosmetically alter the animal/s

I Agree
I Disagree

Any animal I adopt from The Lap Cat Rescue & Rehabilitation Inc. will, under no circumstances, be declawed or otherwise altered in any way that is unnecessary to their health or quality of life

I Agree
I Disagree

Any animal I adopt from The Lap Cat Rescue & Rehabilitation Inc. will be cared for in a humane manner; this includes but is not limited to providing adequate food, water, shelter, attention & medical care

I Agree
I Disagree

I understand that though The Lap Cat Rescue & Rehabilitation Inc. takes the time to domesticate, train & ensure that no cat/kitten is made adoptable before they are ready, there are no guarantees about the future temperament of the animal/s

I Agree
I Disagree

I understand that The Lap Cat Rescue & Rehabilitation Inc only adopts out animals that are fully vetted and healthy (unless otherwise disclosed in the case of special needs animals), and are not responsible for any medical conditions the animal/s may develop in the future

I Agree
I Disagree

If the contract is broken or if the animal is found to be in an unsafe environment, the animal/s will be confiscated by TLC in conjunction with local authorities. If animal abuse is suspected/proven, charges will be filed

I Agree
I Disagree

I understand that in the event I cannot provide proper care for the animal/s adopted, I can return the animal/s to TLC (possibility of a surrendering fee)

I Agree
I Disagree

The Lap Cat Rescue & Rehabilitation Inc. will request a written check up - with pictures - within 2 years of the adoption on behalf of the animals' welfare

I Agree
I Disagree

This contract never expires for the life of the animal/s being adopted

I Agree
I Disagree

I have answered all of the above questions truthfully. Any lack of truth will result in a breach of contract

I Agree
I Disagree

Copy of State Issued ID*

Full Name & Date (to serve as electronic signature)*