First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
Place of employment of primary adopter*
Do you live outside city limits* Choose one: Yes No
Do you rent or own your property?*
If renting, landlords name and phone number*
What type of shelter will you provide?*
Will your shelter be heated?*
Do you prefer feral or tame cats?* Choose one: Tame Cats Feral Cats Either
Will you be adopting a kitten or an adult cat?* Choose one: kitten adult
Please explain what you are looking for in your adopted animal. (examples include friendly farm pet, pest control, just wanted to save a life)*
How many cats are you interested in adopting?*
Only fill out this section if you are interested in adopting a pregnant stray or feral. If during the spay process we find the feline to be pregnant we will not follow through with the spay procedure. By signing below in this section you agree to adopt a pregnant animal and care for its young until MAR is able to step in and adopt out the young. At that point an attempt to re-trap the mother will be made in order to proceed with the alteration to prevent further unwanted kittens.
I AM AWARE that MAR will not guarantee their ability to be able to re-trap the mother (type your initials)*
I Agree to allow MAR to adopt out the off spring from the pregnant animal I have adopted if I am unable to keep or rehome the kittens myself. (type your initials)*
Enter your name to serve as a digital signature:*
Date:*
EVERYONE MUST FILL OUT THE FOLLOWING (use initials where indicated)
I Agree to provide shelter, food, water, and continued care for the animal above. (INITIALS)*
I Am Aware that this animal may have been recently spayed/neutered and vaccinated. In rare cases, complications from these procedures may arise. If so, I will contact Mitchell Animal Rescue and report my concerns. MAR does not guarantee the health of the animal. (Initials)*
I Agree to adopt the animal “As Is.” All information on the animal will be provided at the time of adoption. In rare cases some of the animals may not get the opportunity to have vet work done due to the given situation and inability to handle the animal. I am responsible for knowing what I am adopting and providing all future care. (Initials)*
I Agree to release the animal in an enclose area where he/she will be protected from other animals for the first 48 hours to allow the animal to safely recover from his/her alteration. (Initials)*
I Am Aware that cats are extremely territorial animals and if released into a new area may try to return to the area in which it was trapped. I will notify Mitchell Animal Rescue if I can no longer can locate the animal I have adopted. (Initials)*
I Am Aware that I am adopting a stray or feral animal. In most cases these animals have had limited interaction with humans and will not be tame. The history and temperament of the animal may be unknown. (Initials)*
I Agree to contact Mitchell Animal Rescue if circumstances change and I am no longer able to care for the animal above. I will also contact the rescue if the animal’s health becomes jeopardized or the animal becomes deceased. (Initials)*
I Agree to promptly return the carrier if any in which my animal went home in to for it is property of MAR and will need to be used for the next adoption. Return carriers to the same location at which you picked up your cat at. (Initials)*
I Agree If adopting an unaltered kitten to spay/neuter when of age to support the goal of reducing unwanted animals. (Initials)*
I Am Aware that Mitchell Animal Rescue is a non-profit organization dedicated to the protection and care of animals, as well as the reduction of unwanted and homeless pets. (Initials)*
PLEASE READ THIS FULLY AND THEN SIGN AND DATE:
I agree now and at all times in the future to waive any and all claims of liability , whether of negligence or any other cause of action, against Mitchell Animal Rescue, it’s directors, officers, employees and all volunteers working under its supervision for any of the following: any personal injury, property damage or any other type of harm, resulting from my participation in any and all activities I engage in under the supervision of Mitchell Animal Rescue, its directors, officers, employees, and volunteers. These activities include, but are not limited to, the trapping, handling, caretaking and transporting of feral and stray cats, and the handling or use of equipment related to trapping, handling, caretaking and transporting stray and feral cats. I understand that the involvement and participation of Mitchell Animal Rescue, its directors, officers, employees and volunteers under its supervision, is contingent upon my agreeing to this waiver.
IN SIGNING THIS WAIVER, I ACKNOWLEDGE THAT FERAL AND STRAY CATS ARE WILD ANIMALS, CAN BE UNPREDICTABLE IN THEIR BEHAVIOR AND ARE CAPABLE OF INFLICTING SERIOUS BODILY INJURY, AND I WILLINGLY ASSUME THIS RISK.
Digital Signature of Adopter:*