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Whiskers Adoption Application
Whiskers Adoption Application
Which animal are you interested in adopting?
(Required)
Enter the animal's first name ONLY
Why are you interested in adopting this pet or adopting from Whiskers?
(Required)
How did you hear about Whiskers?
(Required)
Adoption Event
Word of Mouth
Facebook
Instagram
Rescue Partner
Friend/Family Member
Former Adopter
Foster Parent
What is your commitment to this pet?
Whiskers is committed to our rescued pets for the remainder of their lives. However, we understand that this is not a commitment that every family can make, given the timing and circumstances. Therefore, we ask this question to help us understand which pets will be most successfully placed with you. Please answer the questions below as honestly as possible to ensure both you and the pet have the best experience.
What is your intended commitment?
(Required)
Adoption (permanent)
Other (please explain)
Please explain your intended commitment
(Required)
Please tell us about any recent or upcoming life events (travel, surgery, remodeling, family expansions, relationship changes, other) that would affect the application process and the ability to acclimate a Whiskers pet to their new surroundings.
(Required)
Whiskers may require a home visit by a volunteer or staff member; is this acceptable?
(Required)
Yes
No (explain below)
Please explain why a home visit is not possible.
(Required)
About You
Name
(Required)
First Name
Last Name
Email
(Required)
Phone Number
(Required)
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Date of Birth
(Required)
Month
Day
Year
Are you currently employed?
(Required)
Yes
No
Are you able & willing to assume financial responsibility for the ongoing care of this animal?
(Required)
Yes
No
If this animal were to require veterinary care, how would you plan to provide care?
(Required)
About Your Home
Please provide detailed and complete answers to this section. We are committed to ensuring a mutual fit between you and the pet in which you are interested.
Do you own or rent your home?
(Required)
Own
Rent
Does your lease & landlord allow pets?
(Required)
Yes
No
Does your housing have any requirements for cats(e.g. must be declawed)? Please provide details below.
(Required)
About Your Household
Please list all people and pets who live in your home more than 50% of the time.
Including yourself, how many adults live in your home?
(Required)
Only Me
2
3
4 or more
Other
How many children live in your home?
(Required)
None
1
2
3
4 or more
Please list the age of each child living in your home
(Required)
How many dogs live in your home?
(Required)
None
1
2
3
4 or more
Does your home have a dog door?
(Required)
Yes
No
Other
How many cats live in your home?
(Required)
None
1
2
3
4 or more
Are all your pets spayed or neutered
(Required)
Yes
No
No, I would like information about low or no cost spay and neuter clinics.
Do you have any other pets in your home?
(Required)
Yes
No
Please provide details about the other pets living in your home.
(Required)
Whiskers Policies
Whiskers understand that each home is unique. To ensure a healthy, happy and successful outcome for your future adopted pet, we maintain and uphold specific policies regarding the placement of our animals. Please review and consider these questions carefully.
Have you ever surrendered a pet to a shelter or rescue?
(Required)
Yes
No
Please explain the circumstances that required you to surrender your pet:
(Required)
Proper nutrition is essential to the health of any pet; will you agree to feed a high-quality food that lists protein as the first ingredient & limited grain content? (Whiskers can make cost-sensitive recommendations).
(Required)
Yes
No
Other
Have you ever euthanized a pet?
(Required)
Yes
No
Please explain the circumstances that your required you to euthanize your pet:
(Required)
Do you plan on declawing your pet?
(Required)
Yes
No
I would prefer to adopt a previously declawed cat
I would like alternatives to declawing
Other
Who will care for your pet when you are out of town?
(Required)
Family member or friend
Paid service or individual
None of the above
Other
Would the pet you are adopting be:
(Required)
Indoor only
Indoor & Outdoor
Other
Veterinary Information
Regular veterinary care is important for your pet. If you do not have an established relationship with a clinic or Vet we are happy to make recommendations in your area.
Which veterinary clinic do you use?
What is the name of your veterinarian?
Alternate Contact
All Whiskers pets are microchipped and the registration is administered by our rescue. Please provide the name, phone number and email address of a trusted adult who lives OUTSIDE of your primary residence. This person will be listed as an alternate contact if your pet is found or injured and we are unable to contact you.
Alternate Contact Name
(Required)
First
Last
Alternate Contact Phone Number
(Required)
Alternate Contact Email Address
(Required)
Whiskers for Life
Whiskers’ commitment to each rescue pet begins when they are brought into our care and continues until the end of their lives. This commitment of counseling, support, resources, and in some cases, surrendering the pet back to the rescue is a binding contract between Whiskers and you as an adopter. We encourage you to reach out if any issues arise as soon as possible. We have the knowledge and resources to help with acclimation and behavioral problems. It is never too soon to contact us.
Under which circumstances would you surrender an adopted cat back to Whiskers?
(Required)
Agreements - Please Read Carefully
Whiskers’ commitment to each rescue pet begins when they are brought into our care and continues until the end of their lives. This commitment of counseling, support, resources, and in some cases, surrendering the pet back to the rescue is a binding contract between Whiskers and you as an adopter. We encourage you to reach out if any issues arise as soon as possible. We have the knowledge and resources to help with acclimation and behavioral problems. It is never too soon to contact us.
(Required)
I have read and understood the above statement. By clicking this box, I legally agree to the stipulation described above. If I am unable or unwilling to comply with the stipulation, I will immediately return the pet to Whiskers at my own expense, forfeiting my adoption fee.
I acknowledge that I understand Whiskers is transferring the ownership of this pet to me. Therefore, I am willing and able to assume the cost for this pet's health, healthcare, and welfare (including veterinary care) from this day on and for the duration of the animal's life.
(Required)
I have read and understood the above statement. By clicking this box, I legally agree to the stipulation described above. If I am unable or unwilling to comply with the stipulation, I will immediately return the pet to Whiskers at my own expense, forfeiting my adoption fee.
I agree to follow ALL guidelines provided for proper slow introductions with ALL other animals in the home for the safety & empathy for the changes these pets will experience in a new home.
(Required)
I have read and understood the above statement. By clicking this box, I legally agree to the stipulation described above. If I am unable or unwilling to comply with the stipulation, I will immediately return the pet to Whiskers at my own expense, forfeiting my adoption fee.
I acknowledge that all Whisker's pets are microchipped; I understand that Whiskers Rescue will remain registered on the chip as a guardian; however, I will be listed as the owner. All Whiskers' chips come with FREE LIFETIME updates, and I agree to update my address or phone number for the microchip as soon as any of my contact or residency information has changed. If a Whiskers cat is ever lost, be sure to get in touch with us immediately for assistance
(Required)
I have read and understood the above statement. By clicking this box, I legally agree to the stipulation described above. If I am unable or unwilling to comply with the stipulation, I will immediately return the pet to Whiskers at my own expense, forfeiting my adoption fee.
I certify that all of the information provided in this application is correct. I AGREE to communicate updates on this pet as requested specifically in the first few months of adoption. I UNDERSTAND and AGREE that if false statements have been made, Whiskers reserves the right to reclaim ownership of this pet.
(Required)
I have read and understood the above statement. By clicking this box, I legally agree to the stipulation described above. If I am unable or unwilling to comply with the stipulation, I will immediately return the pet to Whiskers at my own expense, forfeiting my adoption fee.
Comments
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