4Paws Adoption Application

Please fill out the application completely. In order to ensure that a particular animal is the right choice for your household, we must have an understanding of your needs and expectations with regard to acquiring a new pet. All references will be checked, so please provide phone numbers.

Adopter Name*

First Last

Adopter Age*

Adopter Personal Email Address(es)*

Click the + on the right of the text box to add another email address.

Adopter Phone Number(s)*

Click the + on the right of the text box to add another phone number

Adopter Address*

Street Address City State / Province / Region ZIP / Postal Code

Spouse/Partner Name (if applicable)

First Last

Spouse/Partner Age (if applicable)

Spouse/Partner Personal Email (if applicable)

Spouse/Partner Phone (if applicable)

Cat Name*

We may suggest another cat instead of the one you wanted, depending on your lifestyle and household. Our goal is to make the best match possible.

Additional Cat Name(s) (if applying for more than one cat)

Do you own or rent the home at the above address?*

Own
Rent

If you rent, what is the name of your landlord?*

First Last

Landlord Phone

Landlord Email

Name of employer

Address of employer

Street Address City State / Province / Region ZIP / Postal Code

Hidden

How long have you worked there?

Years	Months

Does you or your spouse’s employer move you around?

Yes
No

Could you be transferred?

Yes
No

Please list the animals (living and deceased that you have shared your home with in the past five years:

Click the + button on the right to add another entry.

Type/Name (Ex: Dog/Ziggy)	Breed	Sex	Age	Shots Up to Date? (Yes/No)	Spayed or Neutered? (Yes/No)	Do you still have this pet? If not, why?

Have you authorized your veterinarian to talk with a 4Paws representative?*

If you have not. Please call your vet to authorize them.

Yes
No

Name of your current or prior veterinarian*

Providing this information authorizes us to contact your vet for information about the care of your pet(s).

Veterinarian Information:

Providing this information authorizes us to contact your vet for information about the care of your pet(s). Click the + on the right to add another vet name and number.

Vet Hospital Name	Vet Phone

Why do you want to adopt this cat?*

How many adults live in your home?*

How many children live in your home?*

What are the ages of the children?

Click the + on the right of the text box to add another child’s age.

Does anyone in the household suffer from pet allergies?*

Yes
No

Where will the cat(s) be kept during the day?

Where will the cat(s) be kept during the night?

How many hours will the cat be alone during the day?

What will you do with the cat if you have to move?

What arrangements will you make for the cat's care when you are away on travel?

Are you aware of what veterinary care is needed for this cat(s)?

Are you financially able to provide quality food and veterinary care?

Do you know the average life span of a cat?

Do you know that certain items are dangerous to your pet, such as chocolate, chicken bones, fertilizer, antifreeze, detergents, rubber bands, certain plants, and artificial sweeteners?

Have you ever given away, rehomed, or taken a pet to a shelter? If so please explain.

May we contact you regarding volunteer opportunities?

How did you hear about us?

Other Comments/Questions

Signature*

BY SIGNING THIS APPLICATION, I ATTEST THAT I HAVE ANSWERED ALL QUESTIONS ACCURATELY AND COMPLETELY TO THE BEST OF MY KNOWLEDGE.

Adoption Contract

I (we) agree to treat this cat as a family pet, giving it loving care and attention.

I (we) agree to have the cat sterilized if not already done, and provide proof of sterilization via email to [email protected], fax (703-560-9795) or mail upon completion of the surgery.

I (we) agree to sterilize the cat by the above date and provide proof to 4Paws within 30 days of the surgery. I (we) understand that if I (we) do not comply with these terms, I (we) forfeit our sterilization refund. Furthermore, if sterilization is not done within 45 days of the due date, I (we) agree to give the cat back to the 4Paws Rescue Team. If required to return the cat to 4Paws for a violation of any of the terms in this contract, I (we) understand that I (we) will forfeit the entire adoption fee, including the sterilization deposit. An extension of the sterilization deadline may be granted by an authorized representative of the 4Paws Rescue Team if requested in a timely manner and for a valid medical reason. To request an extension, please contact 4Paws.

I (we) agree to keep rabies and distemper vaccinations current, and to provide, at minimum, annual medical care from a licensed veterinarian.

If the cat has been micro-chipped, I (we) agree to keep the registration information current and accurate. In addition, we agree to provide a safety break-away or elastic-type collar with an identification tag with the owner’s name and phone number.

I (we) agree to feed the cat each day and have clean drinking water available at ALL times. I (we) agree to follow any special or restrictive diet required for the cat’s health, to include food prescribed by my veterinarian.

I (we) agree to keep the cat inside my (our) residence and within my (our) control at all times. I (we) agree that the cat will be kept indoors ONLY, as access to the outdoors is dangerous for the cat. “Indoors” is inside the walled residence only, and excludes porches (unless fully enclosed), decks, balconies, patios and yards (whether fenced or not).

I (we) agree to allow a home inspection(s) at reasonable times upon reasonable notice.

I (we) agree not to sell, trade or give away the cat. I (we) agree not to give the cat to anyone as a gift. If at any time I (we) can no longer care for or keep the cat, I (we) agree to return it to the 4Paws Rescue Team. I understand that my adoption fee is refundable within 30 days of adopting the cat, minus any veterinary expenses incurred by 4Paws due to my (our) mistreatment or neglect of the cat. After 30 days, the cat will be accepted by 4Paws, but my (our) adoption fee will not be refunded. I (we) understand that I (we) are required to return the cat to 4Paws at any point in the future, for any reason, if I (we) can no longer care for the cat.

I (we) agree not to keep the cat confined in a room or small area for long periods of time.

I (we) agree that the cat will not be used, sold or traded for experimentation; nor will the cat be used as bait for fighting dogs; for making fur items for humans; for ritual killings; for eating; or for sex.

I (we) agree that the cat will not be left alone in a vehicle, no matter how short the time to prevent theft, escape, or injury/death from extreme heat or cold.

I (we) agree that the 4Paws Rescue Team may check with my veterinarian to ensure that appropriate care is being given to my current pet(s) as well as the cat(s) adopted from 4Paws.

I (we) agree not to declaw any cat adopted from the 4Paws Rescue Team. I (we) understand that declawing involves surgical amputation of the first digit of a cat’s toes. It is an extremely painful procedure that can result in unwanted behavior such as biting, skittishness, or urination outside the litter box. Unwanted scratching behavior can be managed by an attentive and patient owner who is willing to clip the cat’s claws and teach it to use a scratching post using positive reinforcement. If you require a declawed cat, please ask us about the cats available for adoption that have already been declawed.

LIQUIDATED DAMAGES: I (we) understand that I am (we are) responsible for a fee of $1,000.00 per cat if any of the terms of this contract are breached. Said amount is due and payable to the 4Paws Rescue Team within 15 days of being notified in writing of the breach. My (our) initials signify my (our) understanding of this clause. Further, should I (we) breach this contract, 4Paws Rescue Team may demand immediate possession of the cat(s), in which case I (we) agree to immediately surrender the cat(s). 4Paws’ primary concern is with the health and welfare of the cat(s). To that end, in the case of breach of clause 13 of this contract, I (we) understand that at the full discretion of the 4Paws Rescue Team, the liquidated damages may be waived upon return of the cat to the organization.

In order to recoup some of the costs of sterilizing, vaccinating, and caring for each animal, the 4Paws Rescue Team collects an adoption fee at the time of adoption. The adoption fee for a sterilized cat is $175.00. The adoption fee for an unsterilized kitten is $200.00, of which $75.00 is a sterilization deposit. This $75.00 deposit will be returned to the adopter after proof of sterilization is provided to 4Paws via email, fax, or mail (in accordance with the terms in clause 2 of this contract).

By signing this contract, I (we) swear that all statements on my (our) Application for Adoption are true. I (we) certify that I (we) have not been convicted of a charge of or related to cruelty to animals, and that no such charge is pending. I (we) understand that this pet may be repossessed in the event of misrepresentation of any facts provided in this application, if the cat’s home is found to be injurious to the health, safety or welfare of the cat, or if I (we) fail to comply with any of the provisions of this contract. I (WE) RELEASE THE PEOPLE PROVIDING THIS CAT FROM ALL LIABILITY AND INJURY SUSTAINED WHILE THE CAT IS IN MY (OUR) POSSESSION. The 4Paws Rescue Team takes steps to ensure that only healthy, friendly cats are adopted out, however, I (we) understand that no representation is made regarding the breed, health or condition of the cat, and although I (we) may return the cat at any time, neither the 4Paws Rescue Team nor the person providing this cat is liable for any damages involving this cat.

Untitled*

I HAVE READ THIS CONTRACT AND UNDERSTAND AND AGREE TO ALL TERMS.

Name*

First Last

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Phone

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Adoption Application and Contract

Adoption Application

Adoption Contract