Online Adoption Application About the CatCat's Name*Description of the Cat*Personal InformationYour First Name*Your Last Name*Your Primary Phone*Your Alt. PhoneYour Primary Email*We will use your email address to send you an auto-confirmation of your adoption application submission. If you put in a fake email, we can't send you the auto-confirm that we've received your application. Your Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If Renting:Landlord NameContact NumberEmail Address Family InformationHow many members are in your direct family?*...12345678910+Number of Children*...012345678+Ages of Children (Write N/A if you have no children)*Number of Adults*...123456+Are there any family members with allergies?*References (please provide three)Reference OneFIrst Name*Last Name*Relationship*Contact Number*Email Reference TwoFirst Name*Last Name*Relationship*Contact Number*Email Reference ThreeFirst Name*Last Name*Relationship*Contact Number*Email Information about your petsHow many pets do you currently have?*...0123456+SpeciesAge of petsAre their vaccines current?*YesNoAre all your pets spayed or neutered?*YesNoAre your pets indoor or outdoor?*...All indoorAll outdoorAll indoor & outdoorSome indoor, some outdoor, some bothDo you have a pet door?*YesNoHow many hours on average per day is your pet without human companionship?*...12345678910+How many hours on average per day does your pet spend outdoors?*...012345678910+Have you had pets in the past?*YesNoWhere are they now?Name of your veterinarian (write N/A if you do not have one)*Veterinarian's contact numberMy typed name at the bottom of this form acts as my signature that I authorize veterinarian(s) to release information about my pets to Furry Friends.Miscellaneous QuestionsHave you requested a cat/kitten be declawed (Tendonectomy) in the past?*...YesNoIs declawing a consideration for this cat?*...YesNoIf yes, please explainHow do you plan to help this cat adjust to their new home and family?*Why are you interested in adopting this cat?*Adoption Conditions Upon approval of adoption, I do hereby agree to all of the following: To keep all cats indoors or in a harness and leash when outside, If renting, to provide proof cats are allowed and deposits paid, To be available for home inspection by Furry Friends representative, To NOT declaw or have a Tendonectomy performed, To provide nutritious food, fresh water, shelter and kind treatment at all times, To provide veterinary care to ensure good health and as needed for illness or injury, To notify Furry Friends of developing behavioral issues and be willing to work to resolve them, To use appropriate pet carrier for transportation. ADOPTION IS A LIFETIME COMMITMENT Furry Friends is an all-volunteer, non-profit 501c3 organization that operates solely on donations. Donations are tax deductible as the law allows, and covers only a portion of the expense of diagnostic testing (FIV/FELV), vaccines, food, shelter and medical needs. The suggested donation for a cat/kitten is $80 for one, $100 for two, if adopted at the same time. Persons at least 60 years of age who adopt a cat 3 years or older will receive a senior rate of $60 for one, or $80 for two. No cash refund will be given for the return of a Furry Friends cat. However, under certain circumstances, a credit may be given towards the adoption of another Furry Friends cat. FURRY FRIENDS RESERVES THE RIGHT TO REFUSE AN ADOPTION AT ANY TIME.Adopter (over 18 years of age)Your digital signature*Today's Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you have any comments?CommentsThis field is for validation purposes and should be left unchanged.