First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Cell Phone

Which animal are you interested in*
Choose an animal: Carmon Charlie Christy Masters Dolce Domino Hazel Julie Karsyn Kate Spade Kenny G Prada Rey Mysterio Sadie Sami Snowball Tara

Drivers License #*

If approved, this cat will be kept*
Choose one: Inside Only Outside Only Both In and Outside Undecided

If approved, this cat will be*
Choose one: Declawed, front two paws Declawed, all four paws No declaw Undecided about declaw

How long have you been looking for a pet?*

Why do you want this pet?*

Is this cat/kitten for your household/family?*

If no, then who?

Does the entire household want this new pet?*

Who will be responsible for the daily care and veterinary costs associated with this pet? *

What are the ages of your household/family?

How many adults are in the household?*

How many children are in the household? (If any please include their ages)*

Who in your household has allergies and to what animals?*

What type of home do you live in?*
Choose one: Apartment Condo House Mobile Home Townhome Other

Do you own or rent your home*
Choose one: Rent Own

If you rent please tell us what rental complex you live and what city it is it located in.

If you are renting, are pets allowed in your lease? Note: Residency requirements will be verified*

If you are renting is a deposit required?

If you are renting, can you supply a copy of your lease and paid deposit slip?

If you are renting please supply the name and phone number for your landlord.

Are you currently employed?*

If you are currently employed could you please provide the name of your employer, their phone number, and the hours you currently work.

Are you a fulltime student?*

What is your lifestyle currently like?

Are there family members home during the day? If so also include the hours they are home.*

Do you travel often? If yes describe how frequently.*

I am interested in adoption a:

Why do you want a pet of that age?*

If you move where pets are not allowed, what would you do with the cat/kitten?*

How many hours a day would the animal be alone?*

Will this cat be allowed to go outside? If yes please explain further.*

On average, how much are you willing to pay for one cat’s veterinary care and food per year?*

Under what circumstances would you euthanize a cat or kitten?*

Under what circumstances would you return an adopted cat back to VALOR?*

Are you a citizen of the United States?*

Do you currently have pets in your home?*

If yes how many cats do you have?

If so how many dogs do you have?

Please provide a list of your current pets include the type of pet (cat, dog, etc), their name, their age, their sex, if they are neutered, if they are declawed, and if they are kept indoors or outdoors. An example: Type: Cat | Name: Simba | Age: 5 years | Sex: M | Neutered: Yes | Declawed: No | Kept I/O: Indoors

Are these pets up-to-date on their vaccinations?

Have you had any additional pets during the past five years not listed above? *

Please provide a list of any pets not listed above include the type of pet (cat, dog, etc), their name, their age, their sex, if they are neutered, if they are declawed, and if they are kept indoors or outdoors. An example: Type: Cat | Name: Simba | Age: 5 years | Sex: M | Neutered: Yes | Declawed: No | Kept I/O: Indoors

Were any any lost, hit by a car, or put to sleep? If so why?

What is the name, phone number and location of your current veterinarian. If this animal has been seen by another vet or have used this vet less than one year, please list as well.*

Have you adopted a pet previously from a shelter?*

If you have previously adopted from a shelter which shelter(s) and when?

Are you prepared for mischievous behavior, litter box accidents, possible spraying? *

What does mischievous behavior mean to you?*

How will you reprimand this pet? *

What would you do if this cat/kitten started urinating outside of its litter box? *

What would you do if this cat/kitten scratched someone in your household, including another pet? *

What mood is a cat in when its tail is swishing back and forth and its ears are laying back? *

What would you do if this cat/kitten started climbing and hanging from your drapery or shower curtain? *

It may take a new pet a month (sometimes longer if other pets are involved) to adjust to its new home. How would you handle it if the new cat was hiding? *

If you are integrating a new pet with current ones, what would you do if the introduction did not go well at first? *

How do you plan to get this cat acclimated to your house (including placement of the litterbox)?*

What questions or concerns do you have?

We require two personal references. These CAN NOT be yourself, immediate family, or another household member.

Personal Reference 1: Please include their name, their relationship to you, and their phone number.*

Personal Reference 2: Please include their name, their relationship to you, and their phone number.*

By submitting this application you agree to the following statement:

"I, the undersigned, certify that the information provided in this application is complete and accurate to the best of my knowledge. I understand that any and all information provided may be subject to verification. I, along with those persons accompanying me, assume risk of injury which may be incurred as a result of viewing any animal the care of VALOR."

Thank you for your interest in adopting a family pet.
Please note that the information contained within this questionnaire is kept confidential.
Please be patient with us as we all work full time.
Valorrescue2019@gmail.com

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