Feline Adoption Form Feline Adoption Application Family InformationFirst Name(Required) Last Name(Required) Spouse/Partner (if applicable) AddressHome Address (physical street address required)(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is the above address the location where your new cat will be living?(Required) Yes No Contact Phone Number(Required)Is this a cell number?(Required) Yes No Work PhoneEmail(Required) Enter Email Confirm Email Are you applying for a specific cat? If so who?(Required) How did you come to learn about this cat?(Required)I follow DARP on Facebook and saw this cat in my newsfeedSomeone I know shared this cat or DARP on FacebookSomeone I know shared this cat or DARP with me (not through Facebook))I found this cat or DARP on InstagramI found this cat/DARP through the DARP WebsiteI found this cat on PetfinderOtherNames and ages of others in household:(Required)Is everyone in your household in favor of adopting a cat?(Required) Yes No Housing(Required) Own Rent Live with parents Landlord's Name(Required) First Last Landlord's Phone(Required)Does your rental agreement allow cats?(Required) Yes No Does the agreement have restrictions regarding quantity of cats/animals permitted?(Required) Yes No Please specify(Required) Housing Type(Required) House Condo Apartment Mobile What is your household activity level?(Required) Low Moderate Active Very Active Do you currently own any other pets?(Required) Yes No Please list any other pets that currently live with you, including age, sex, species/breed.(Required) Are your pet(s) Spay or Neutered(Required) Yes No Are the other pets in your home up to date on vaccines?(Required) Yes No Cat Living Arrangements and CareWill the cat be:(Required) Indoors Outdoors Indoor / Outdoor Who will be responsible for feeding the cat each day?(Required) How many hours per day will the cat be alone?(Required) Less than 3 3-6 6-9 Greater than 9 Where will the cat stay when you are not home?(Required) House Garage Outside Other Will the cat be left unattended with children?(Required) Yes No Who will take care of your cat while you are on vacation?(Required) If you must re-locate, what will you do with your cat?(Required) In what family activities will your cat be included?(Required) What activity level would you like your cat to have?(Required) Low Moderate Active Very Active If needed, would you allow us to visit your home?(Required) Yes No How will you prevent the cat from getting fleas and/or Heartworms?(Required)What type of identification will your cat wear?(Required) Tell us about yourself and why you'd be the right home for this cat:(Required)Cat SpecificationsIs this cat a gift?(Required) Yes No Have you or the recipient (if gifting) owned a cat before?(Required) Yes No What Happened to the cat?(Required) Still Alive Deceased Natural Death Deceased Accidental (Please explain below) Rehomed (Please explain below) Deceased Accidental (Please Explain)(Required) Rehomed (Please Explain)(Required) What age interests you?(Required) Kitten (<1 yr) Young (1-3 yrs) Adult (3-8 yrs) Senior (>8 yrs) What coat types are acceptable?(Required) Short Long Medium Requires grooming Any coat type Please describe what you would do if your cat develops any of the following behavior problems: chewing, scratching, aggression, inappropriate urination in the house:(Required)CostThere are ongoing costs associated with owning a cat. Are you willing and financially able to provide the following for your cat for its entire life? (Note: costs provided below are average costs) $60-$150 FOR INITIAL VET CARE; $25-$50 + per month for food; $150 + for yearly veterinary care and vaccines; $500 + for special vet care needs or $800 to over $1,100 per year(Required) Yes No Please acknowledge your understandingInitial(Required) Date(Required) MM slash DD slash YYYY ReferencesMay we contact your veterinarian for a reference?(Required) Yes No Veterinarian’s name:(Required) Veterinarian’s phone:(Required)If no, why not?(Required) Acknowledgement of ResponsibilityYou will be sharing your life with this cat for up to 15 years or more please be sure you are ready for the commitment. Please initial each of the statements below indicating you accept them. I am/We are ready to make a LIFETIME commitment to our new cat(Required) I / We will give our cat daily companionship, and not just when it’s convenient.(Required) If the cat needs to be returned please note that space may not be immediately available with the original foster or an alternate foster and you, as the owner, may need to foster/board the cat until we can find a new home for it. I/We understand that if we return the cat, we will be responsible for its care until a new home is found(Required) I/We are willing and financially able to care for the cat as described in the costs section above(Required) Signature (type your name)(Required) Date(Required) MM slash DD slash YYYY Important To allow time for processing, please don’t close your browser window too quickly after hitting Submit. Δ
