Phone:  661-823-4100   •   Email:  contact@stoprescue.org
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Which cat are you applying for?
   
Name
Address (no P.O.Box)
City,  State, &  Zip
Home Phone
Cell Phone
Email Address
Your Age
How many other adults live in your household?
What are their ages?
How many children live in your household?
What are their ages?
Does any member of your household have an allergy to cats?
Does anyone in your household smoke?
What type of home do you live in?
Do you own or rent your home?
If you rent, please provide us with the name & phone number of your landlord Name:

Phone:

   
Do you currently have any pets?
If Yes, please provide us with the following information about each pet:

  Type of Pet
(ie dog, cat, bird, etc.)
Breed Gender Age Spayed /
Neutered?
Fully
Vaccinated?
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5
Pet #6
             

If you currently own pets, how will they adjust to a new cat entering their household?
What kind of pets have you had in the past?
Were they all spayed or neutered?
If not, why not?
What happened to your previous pets?
Have you ever turned a pet into a shelter or rescue organization?
If Yes, please explain the circumstances
Have you had a pet euthanized?
If Yes, please explain the circumstances
Do you currently have a veterinarian?
If Yes, please provide us with the name & phone number of your vet's office Name:

Phone:

   
Describe the cat you are looking for
Why do you want this cat?
Is this your first cat?
Will you keep the cat up to date on vaccinations?
Do you plan to have this cat declawed?
Will this cat be inside or outside?
If you go away for a few days, or on a vacation, who will take care of the cat?
If you move, will you take the cat with you?
How much are you willing to spend on medical bills for your dog?
What would you do if the vet bills go over this amount?
What provisions will you make for the cat should you become unable to care for it?
Are you willing to take responsibility for this cat for the next 10 to 15 years??
   
Have you ever applied to adopt an animal from S.T.O.P. in the past?
Are you willing to allow a STOP representative to come to see where the dog will be living?