Adopt - Texas CARES

Cat

Name of the cat looking to adopt

First Name*

Your first name

Last Name*

Your last name

Street Address*

Your street address

Street Address Cont.

Street address continued (i.e. apartment or suite)

City*

Your city

State*

Your state

Zip*

Your Zip Code

Driver's License #*

Your driver’s license number

Driver's License State*

Your Driver’s License State

Employer*

List your employer

Home Phone

Your home telephone number

Work Phone

Your work telephone number

Mobile Phone*

Your mobile/cell telephone number

E-Mail*

Your e-mail address

Spouse/SO/Roommate Name

Full name of your spouse/significant other or roommate

Spouse/SO/Roomate DL#

Driver’s License Number of your spouse/significant other or roommate

Spouse/SO/Roommate DL State

Spouse/SO/Roomate Employer

Employer of your spouse/significant other or roommate

Spouse/SO/Roomate Phone

Telephnoe number of your spouse/significant other or roommate

Spouse/SO/Roomate E-Mail

E-Mail Address of your spouse/significant other or roommate

Dwelling Tyoe

Your residence dwelling type

Home Ownership Type

Live with others
Rent
Own

Time at Address

How long have you lived at this address up to today continuously?

Moving soon

No
Yes

Are you planning to move soon?

Pets Allowed

If renting, does your lease agreement allow pets?

Pet deposit paid

Yes
No

If renting and pets are allowed, is the pet deposit paid in full

Pet Deposit Amount

If renting and pets are allowed, what is the pet deposit amount required by the lease agreement?

Pet deposit paid date

If the pet deposit is not fully paid, what date will it be fully paid?

Apartment Complex

If renting, provide the apartment complex name

Landlord

Please provide the landlord’s name

Landlord phone

Pleasde provide your landlord’s telephone number

Household adults

How name adults live in your home or apartment?

Household adults aware

Yes
No

Have you personally discussed with every adult in your household your intent to adopt a pet and they are fully aware?

Adult Agreement

Have all the adults in your household consented to the pet adoption and bring into you home?

Adults like pets

Are you aware of any adults in your household who do not like pets or would otherwise have some resertvations about this adoption?

Household Children

Tell us about the children in your household

Prior adoption with Texas CARES

Yes
No

Have you previously adopted a pet form Texas CARES

Still Have Prior TXC Pet

Yes
No

If you have adopted from Texas CARES previously, do you still have the adopted pet?

TXC pet loss explanation

If you lost the Texas CARES pet previously adopted, please briefly explain what happened.

I have owned a dog before

I have owned a cat before

I have owned another type of pet

I have lost a pet to age

I have lost a pet to illness

I have had a pet run away

I have lost a pet to a care

I have lost a pet to another reason

Yes
No

If you lost a pet to another reason, please explain

Please briefly expliain what happened

I have surrendered pet because of a move

Yes
No

I have surrendered pet because of allergies

Yes
No

I have surrendered pet because of behavior problems

Yes
No

I have surrendered pet because of lack of time

Yes
No

I have surrendered pet because of an inability to train

Yes
No

Please provide all your current (living) pet's names & ages

List each living pet’s name and age to help us more quickly with processing your application.

Where do current pets stay

Indoor
Outdoor
Both

Pet Access Door

Do you have a cat/dog door allowing pets outside access?

Yes
No

All my pets are current on their required shots

With respect to shots required by city, county or state ordinance / law, all my pets are current on their required shots.

If not current on shots, tell us why

I plan to spay/neuter the adopted animal

If you do not plan to spay/neuter, please tell us why

I plan to let the adopted pet stay

Number of hours daily the adopted will spend without a person present

Please enter a number from 0 to 24.

The number of hours no person is in contact with the pet (i.e. while you are away at work)

When alone, the adopted pet will stay inside

Yes
No

When alone, the adopted pet will stay inside (i.e. while you are at work)

What are the sleeping arrangements for the adopted animal

Where will you keep the litter box?

What do you plan to feed the adopted pet?

The adopted pet may cause allergy problems for me or someone in my household?

Yes
No
Uncertain

Your reason for adoption

Tell us why you want to adopt an animal

What attracted you to the animal you wish to adopt

Please describe any past pet problems

How long will you give the adopted pet to adjust to your home

Under what circumstances would you surrender this pet?

What would you do if the pet is destructive?

Who will be responsible for the pet?

Backup-Guardian

First Last

Please provide the name of the individual who will be the responsible Backup-Guardian for the animal(s) you wish to adopt from Texas CARES, who will commit to continuing care or ensure they are returned to Texas CARES, in the event you are no longer able for any reason.

Backup-Guardian-Phone

Please provide the phone number for your chosen Backup-Guardian provided above. We will contact them to secure their commitment of guardianship.

I will need information on how care for this pet

Yes
No

If care is needed, please explain

If requested, I would provide access to a Texas CARES representative visit my home

Yes
No

How did you hear about Texas CARES?

I have veterinarian?

Yes
No, and need a referral

Your veterinarian's name

If you already have a veterinarian, please provide their name

Your veterinarian's telephone number

If you already have a veterinarian, please provide their number

I understand and accept the financial responsibilities of owning a pet?

Yes
No

I understand and acknowledge that the pet must be transported home in a pet carrier

I acknowledge and agree

I have a pet carrier?

Yes
No

No declawing permitted*

I agree

I understand and acknowledge that Texas CARES has a strict and zero exception no-declawing policy for any adopted animals. I warrant, represent, have read and fully understand the no-declawing policy section posted on the Texas CARES website at adoptionpolicy.texascares.org. I have or will discuss any declawing questions or concerns with Texas CARES representatives and acknowledge the Texas CARES Adoption Agreement contains a no declawing covenant.

I warrant and represent that the answers provided are true and correct, to my knowledge, and I expressly give my consent to Texas CARES, their representatives and agents to verify all information provided, including but not limited to, contacting any person or entity listed on this application.

Yes
No

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Adoption Application

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