Adoption Application

To help ensure that we place our cats in loving, responsible, committed homes, we have a screening process before you can adopt a pet from Big Fix Cat Rescue  that includes an application, home check, adoption fee, and adoption papers. We reserve the right to turn down potential adopters as we deem necessary.

Animals are for life. When you adopt an animal, it is a commitment you make to the animal, for the lifetime of that animal. By adopting from Big Fix Cat Rescue , you’re making a commitment to provide love, care, and medical treatment for the life of the animal, which can be up to 20 years. Adopting a cat is a serious commitment, but one that is incredibly rewarding.

If you are unable to make such a long-term commitment, we would be happy to have you become a foster parent instead, or consider volunteering in other ways. It’s a great way to make a difference in an animal’s life without taking on such a long-term commitment.

Name *

First

Last

Email *

Phone number *

inc. area code/no spaces or dashes

Date of Birth

mmddyyyy

Spouse or Co-Applicant

First

Last

Name of cat you're interested in *

Children in home? *

• Yes
• No

if yes to children please list ages

Address *

street address, city, province, postal code

For whom are you adopting the cat for? *

• Yourself
• Other

If adopting for other please explain

Does any member of your family have animal allergies? *

• Yes
• No

If yes, please explain

Who will be responsible for the cats care? *

Where to you live? *

• Apartment
• Condo
• Farm
• Mobile Home
• Townhouse
• House

Do you own or rent your residence? *

• Own
• Rent

Are pets allowed in the residence? *

• Yes
• No
• Unsure

If renting please provide landlord name and contact phone number:

Which best describes your home environment? *

• Laid back, quiet
• Sometimes quiet, sometimes active
• Active, noisy

Where will the cat be kept? *

• Indoor only
• Outdoor only
• Indoor/outdoor

Please list all the companion animals that have been a part of your family in the last 10 yrs

Name of Pet 1

Type of Pet 1Choice 1CatDogBirdOther

Age of Pet 1

Current Status of Pet 1Choice 1CurrentDeceasedRe-homedLostSoldSurrenderedEuthanized

Name of Pet 2

Type of Pet 2Choice 1CatDogBirdOther

Age of Pet 2

Current Status of Pet 2Choice 1CurrentDeceasedRe-homedLostSoldSurrenderedEuthanized

Name of Pet 3

Type of Pet 3Choice 1CatDogBirdOther

Age of Pet 3

Current Status of Pet 3Choice 1CurrentDeceasedRe-homedLostSoldSurrenderedEuthanized

Name of Pet 4

Type of Pet 4Choice 1CatDogBirdOther

Age of Pet 4

Current Status of Pet 4Choice 1CurrentDeceasedRe-homedLostSoldSurrenderedEuthanized

Name of Pet 5

Type of Pet 5Choice 1CatDogBirdOther

Age of Pet 5

Current Status of Pet 5Choice 1CurrentDeceasedRe-homedLostSoldSurrenderedEuthanized

Do all your current companion animals get along with cats?

• Yes
• No
• Unsure

Are all current companion animals up-to-date on vaccinations? *

• Yes
• No

Are all current companion animals spayed or neutered? *

• Yes
• No

Name of Veterinarian *

Notice: Within 24hrs of submitting the adoption application, you need to contact your vet to give them consent to speak with Big Fix Cat Rescue.

Phone number of Veterinarian *

inc. area code/no spaces or dashes

Are you financhally able and willing to provide annual checkups, vaccinations, and medical care? *

• Yes
• No
• Unsure

What precautions would you take to properly introduce your new catinto the home if you have other animals (dog, bird, rabbit,other cat, ect.)?

Are you planning on declawing? *

• Yes
• No
• Unsure

Have you ever adopted and animal from a rescue/animal control agency? *

• Yes
• No

If yes, please provide the name of the agency or rescue

Why do you want to adopt this particular cat?

Do you agree to permit a visit to your home by appointment? *

• Yes
• No

Are you willing to sign legal pet adpotion papers? *

• Yes
• No

Any notes, questions or concerns you have for us?

By submitting this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of facts may result in Big Fix Cat Rescue refusing adoption privileges to me/us. If my/our request for adoption is approved and later Big Fix Cat Rescue discovers the above information is not true or correct, Big Fix Cat Rescue reserves the right to remove the adopted cat from my home.

Submit