Name
*
First Name
Last Name
Email Address
*
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
*
(###)
###
####
Occupation
*
Daily Work Hours
*
Please provide a name and phone number for 3 character references (family, friends or other)
*
Do you:
*
own your home?
rent your home?
If renting, does your landlord permit pets?
Do we have your permission to contact your landlord to confirm pets are allowed and deposits have been paid?
Yes.
No.
Landlord's name
Landlord's phone number
If renting, what will happen to the cat when you have to move, particularly to another rental?
Who will be the primary caregiver?
*
Please list all household members' names and ages
*
What best describes your home atmosphere?
*
busy/active
some activity
quiet
Are all members of your household supportive of bringing a new cat into the home?
*
Yes
No
Have you had sufficient exposure to know if you or your family members are allergic to cats or other animals?
*
Yes.
No.
How much time would you have daily to spend with the adopted cat?
*
How much time would the adopted cat spend on his or her own?
*
List the ages and genders of all of your current pets, if applicable. (Write "no current pets" if you do not have any.)
*
Are your pets spayed or neutered?
*
Yes.
No.
I do not currently have any pets.
If you answered "No" to the above question, please explain.
If you do not have any pets now, have you had pets before? If so, where are they now?
Have you read "Welcoming Your New Cat" and "Pet Introductions" and agree to follow the steps outlined?
*
Yes.
No.
Do you have a "safe room" to allow the adopted cat to become comfortable (away from other pets, if applicable)?
*
Yes.
No.
If you currently have pets, how do you think they will respond to a new cat?
Are you willing to take responsibility for this adopted cat for the next 10-20 years?
*
Yes.
No.
What will happen to the adopted cat when you are on vacation?
*
In the instance you are no longer able to care for the adopted cat, what arrangements would you make?
*
Do you agree to contact Regina Cat Rescue if you are unable to care for the adopted cat, and can not find alternate arrangements?
*
Yes.
No.
Do you agree to follow the City of Regina Animal Bylaw #2009-44 which prohibits cats from roaming outdoors?
*
Yes.
No.
Do you plan to declaw the adopted cat?
*
Yes.
No.
Do you consent to accepting a follow-up call from Regina Cat Rescue regarding the wellbeing of the adopted cat?
*
Yes.
No.
We have received your adoption application. Please allow 2-3 days for a reply. Whether your application is successful or not, we will get back to you either way.
If you haven’t heard from us within 3 days, please check your spam/junk email folder and add adoptions@reginacatrescue.com to your safe senders list. Thanks for your patience!