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 EventWord of MouthFacebookInstagramRescue PartnerFriend/Family MemberFormer AdopterFoster ParentWhat 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 YouName(Required) First Name Last Name Email(Required) Phone Number(Required)Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed 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 HomePlease 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)OwnRentDoes 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 HouseholdPlease 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 PoliciesWhiskers 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 InformationRegular 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 ContactAll 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 LifeWhiskers’ 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 CarefullyWhiskers’ 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.EmailThis field is for validation purposes and should be left unchanged.
