CAT ADOPTION APPLICATION
ALL STAR PET RESCUE

This information is requested so that we can assist you in the selection of your new cat. This information will be kept strictly confidential.

Since the animals on our website depend on us to be their advocates, their welfare is given our careful consideration when selecting a home that will be the best for their needs. The consultation process is designed to help us assist you in finding the animal most compatible with your lifestyle.

Please fill in all information as it applies to you. Once complete, please submit the form. We will review the information and contact you as soon as possible. Please note that only an adoption application that is completely filled in will be considered by our application reviewers.

Thank you for considering adopting a cat from All Star Pet Rescue!

1.The Cat(s) interested in:
2.Your Name:
3.Your FULL Address:
         (Inc. city/state, please)
4.Home/Cell Phone:
5.Work Phone:
6.Your E-mail Address:
7.Best time to reach you?
8.How did you hear about                         All Star Pet Rescue?
9.Personal reference with phone
         number.
10.      Is this your first experience with a cat?
11.     Do you currently have any other pets at home?
* If "yes", please list:
      TYPE:
(dog, cat, other)
AGE & BREED:
NAME:
IS PET ALTERED?
LAST VET VISIT:
KEPT WHERE?
VACCINATED?
Pet # 1:
Pet # 2:
      TYPE:
(dog, cat, other)
Pet # 3:
      TYPE:
(dog, cat, other)
AGE & BREED:
AGE & BREED:
NAME:
NAME:
IS PET ALTERED?
IS PET ALTERED?
LAST VET VISIT:
LAST VET VISIT:
KEPT WHERE?
KEPT WHERE?
VACCINATED?
VACCINATED?
12.     If you do not currently have a pet(s), have you had pets in the past?
13.      Pet was a:
14.     How long did you have your last pet?
15.     What happened to your last pet?
16.      Who is/was your veterinarian?
18.      Vet's telephone number:
21.      How long have you lived at current                 address?
22.      You currently live in:
23.      You currently:
* If you checked "rent" or "other", are pets allowed?    
24.      Landlord/owner's name:
25.     Landlord/owner's phone number:
26.      Number of people in your household?
27.     Do all adults know you plan to adopt a cat?
28.     Are there children in your household? If           so, please list by age.
29.     Are there any in your household with known allergies              or medical conditions?
30.      Where will your new cat be kept during the day?
31.      Where will your new cat be kept at night?
32.     Is there anyone home all day?
If "no", how many hours will cat be left alone in a 24-hour period? 
33.     Where will your new cat be kept while alone             and when you go away for vacation?
34.      Are you financially able to give your new cat routine and             emergency medical care such as rabies, vaccinations,                 innoculations, exams or parasites, ear mites, etc?
35.      Would you object to a visit or call from an All Star Pet
    Rescue representative to see how you and your new  
          cat are doing?
36.      If you presently own a cat or kitten, has it been tested for Feline Aids &                              Leukemia? (This is not a standard procedure done auomatically by a vet; you                 usually need to request this blood test to be done.)
Results of test:
37.       Do you want a cat for:
House Pet
Mouser
Breeder
Gift
Companion
Companion to another pet
38.      Will you allow your new cat to go outside?
39.      Do you plan to declaw the cat?
If you answer yes or not sure:
40.      What will you do if the cat or kitten claws furniture or shows other destructive behavior?
41.       Do you need an explanation of how to introduce a new cat to your current pet(s)?
42.       Are you familiar with the types of litter to use & feeding recommendations for a cat/kitten?
43.      Please tell us anything else about yourself that you may want the adoption counselors to know and to take into consideration about your ability to adopt an All Star Pet Rescue pet? (This is optional and does not need to be filled in.)
By signing below, you certify that you understand the following:    
---  All Star Pet Rescue reserves the right to refuse any adoption application.

---  The information contained within this application is accurate and not misleading in any way.

---  All Star Pet Rescue reserves the right to contact any individuals on this form.
Electronic signature:
DATE:


17.Vet's Practice name and full address:
My new Kat
20.     What name will the vet  records be              under?
19.     Approximately when was your last            visit?
YESNO
YES *NO
YESNO
YESNO
YESNO
YESNO
YESNO
YESNO
YESNO
DOGCATOTHER
HOUSEAPARTMENT OTHER
OWNRENT *OTHER *
YESNODON'T KNOW
YESNO
YESNO
YESNO
YESNO
YESNO
YES
NO
POSITIVENEGATIVE
YESNO
YESNO
YESNO
YESNO
YESNO
YESNO
YESNO
YESNONOT SURE
I will declaw front paws only
I will declaw all four paws
YESNO
YESNO