First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone

Which LOAR animal are you interested in?*
Choose an animal: ***Kitten Special 2 for $150 ***Not on List/Unsure - Cat ***Not on List/Unsure - Dog Andy Baby Jane Baxter Brendal Buzz @The Cats Brew Carla (fka Mercedes) Coraline Dakota Dani (fka Penny) Deanna Elsie/L.C. Etta Frasier @The Cat's Brew Grommet Gypsy Halley Jack Jessie @ Petsmart Luna @ Petsmart Maggie Martin Molly Nemo Piper Poptart @ The Cat's Brew Ravioli Rhett Ripp Risotto @The Cats Brew Roz Ruthie @The Cats Brew Salem Sam Shortcake @The Cats Brew (Bonded w Sundae) Skittles Storm @ The Cat's Brew Sundae @The Cats Brew (Bonded w Shortcake) Taz @ The Cats Brew Theodore Toffee @ Petsmart Twix Wendy

First name of adopter*

Last name of adopter*

Middle Initial of First Adopter*

DOB*

Please list your spouse or partner's first name. If not applicable, list "none".*

Please write in your spouse or partner's last name. If not applicable, write in "none".*

Please provide the middle initial of a spouse or partner. If not applicable, write in "none".*

DOB - Second Adopter*

Are there other adults who live in your home? If so, please provide their full name (including middle initial) & date of birth. If none, enter "none"*

Do you or anyone in your home have allergies?*

What do you think a pet requires to live a healthy and happy life? *

In the event you would become unable to care for your pet, do you have a backup person in mind, someone who would care for your cat or guarantee its return to LOAR?*
Choose one: Yes No

Have you ever given up a pet? If yes, please explain*

Do you own or rent your home?*
Choose one: Rent Own

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

If you rent, please enter your landlord's name, the complex name, and phone number.*

If you rent, have you received the approval of your landlord to have an cat? Please note, we will verify landlord approval.
Choose one: Yes No

Will you allow a representative from Little Orphan's to visit your home and meet all family members?*
Choose one: Yes No

It may take one (1) month or longer for a new cat to adjust to a new home and routine. Are you willing to patiently work with the cat during this length of time, for adjustment and training? *
Choose one: Yes No

What are your plans for helping this new cat adjust to your household and routine?*

Please list the ages of children in the household or who visit regularly. *

Are you available to supervise the interaction between the new cat and the children at all times? If not, please explain how you will safely separate the cat from being unattended.*

If applying for a cat, do you have a quiet area away from children and dogs for food and litterbox? Please describe this area.*

If your lifestyle changes, or you have to unexpectedly move, will the changes include the cat you are applying for? Please explain your consideration and plan for the cat.*

Please provide the names, breed, age, sex and status (still own, passed away, etc.) of your current and past pets.*

Please provide the name, city, & phone number of the veterinarian/clinic that has your pet's records. Please give them permission to communicate with us to expedite your application.*

List at least two references (who are not family members) AND provide their phone numbers.*

Will the cat be kept inside or outside?*
Choose one: Inside Only Outside Only Inside and Outside

Where will the cat be kept when you are home? Please describe this area.*

Where will the cat be kept when you are not home? Please describe this area.*

How much time will the cat spend alone during the day?*

Who in the household will care for the pet?*

If this animal became seriously ill, would you be able and willing to care for the animal financially?*

Are you able to financially care for an animal by providing yearly routine veterinarian care?

How did you hear about Little Orphans Animal Rescue (LOAR)?*

Have you applied with any other animal rescue?

Do you understand that once you adopt your new cat, you are responsible for any property damage or bites to humans or other animals caused by the pet you have adopted?

Do you understand that if you adopt a cat that has trouble adjusting or fitting into your family, you are to contact LOAR for advice and/or return the animal to LOAR if the adjustment is not successful?

Disclaimer: The first and most important duty of LOAR's unpaid volunteers is the daily care of cats and dogs. While your application will generally be completed within 5 business days, incomplete applications and references who do not return our calls will prolong the process. LOAR has the right to decline any application for any reason . Specific reasons for a declined application will not necessarily be disclosed to the applicant and all decisions are final .

By entering your name and date you certify that the information entered on this application is true and you understand the requirements and disclaimer, enter your name and date. *