Pet Adoption Application - Rescue Pet Connecticut

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Application to Adopt

Thank you for applying for a Protectors of Animals cat! Please fill out this application completely and thoroughly so we can process it quickly. Please allow for up to a week before hearing back from a volunteer. DUe to the high volume of applications, contact will most likely be made by email.

Application Information
By completing this application, applicant(s) certify that the information provided is accurate. Applicant(s) understand that any falsehood or misrepresentation of information may result in the rejection of the application to adopt a cat. Applicant(s) understand that Protectors of Animals reserves the right to deny any request for adoption. Applicant authorizes the release of information from persons or agencies listed on this application.
Name of the cat you want to adopt.*
Your Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone 1*
Phone 2
Email*
Hidden
Date of Birth
MM slash DD slash YYYY
Date of Birth*

mm/yyyy
Do you rent or own?*
Are you the homeowner or primary lease holder?*
- Yes
- No
If you rent, please provide your landlord name and their phone number. Also please email a copy of your lease to the adoption counselor
What is the activity level in your home? Select all that apply*
- Quiet, 2 or less adults/seniors, no children, applicant(s) home most of the time
- Calm, applicant(s) often home, 3 or less family members residing in the home, no young children
- Moderate, applicant(s) work typical schedule (5 days per week, home most weekends)
- Active, frequent visits by friends/family, multiple children, other pets, busy weekends
How many adults in your household?*
Has every adult member of your household agreed to adopt this cat?*
- Yes
- No
How many children?*
Ages of children:
Other Pets
List pets that you own, or have owned in the past 5 years.
1. Please list animal type, age, gender and if you still own them.*
2. Please list animal type, age, gender and if you still own them.
3. Please list animal type, age, gender and if you still own them.
4. Please list animal type, age, gender and if you still own them.
5. Please list animal type, age, gender and if you still own them.
Veterinary Information
Please be aware we will be contacting your vet for a reference. You will need to call your vet to release your information to POA. Please let your adoption counselor know once you have talked to your vet.
Name of clinic or hospital
Address
City State
Phone
Please list any other vets or vet hospitals, 24-hr emergency clinics or vaccine clinics that you have used for your current or recently deceased pets.
New Cat Information
Why are you interested in adopting a cat at this time?*
- Select All
- Companion to me/family
- Companion to another pet
- Hunter/mouser
- Other (please describe below)
(Select all that apply)
If other, please explain
What age cat are you looking for?*
- Select All
- Kitten
- Young
- Adult
- Senior
(Select all that apply) Kittens under 6 months of age need to go home in pairs or to a home with a companion animal (dog or cat).
What gender do you prefer?*
Do you plan to declaw the cat you adopt?*
What type of personality and activity level would you prefer your new cat to have? Please describe.*
Who will be primarily responsible for the care of this cat?*
How many hours per day will the cat/kitten be without human companionship?*
Where will your cat be kept during the alone time?*
Where will you keep your cat?*
If other, please explain
Do you anticipate moving in the next 2-3 years? It can be challenging to find a rental that allows pets.*
- Yes
- No
Do you have a back-up plan if you are unable to care for your cat on a temporary or permanent basis?*
- Yes
- No
How much would you estimate expenses to be for 1 year for the care of your cat? Please include food, litter, and vet costs.*
Behavior problems can arise for many reasons; most can be solved. Do you agree to seek POA and/or professional help with any problems that may arise rather than give up on your pet should problems occur?*
- Yes
- No
- Not sure
Would you accept an animal that has a treatable medical condition? This might include (but not limited to) diabetes, FIV, urinary, or thyroid issues.*
- Yes
- No
- Not sure
How did you hear about Protectors of Animals?*
Have you adopted from POA before, if so when?*

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Application to Adopt

Application Information

Other Pets

Veterinary Information

New Cat Information