Adoption Application

Name of cat looking to adopt

First Name

Last Name

Address

Address Cont.

City

State

Zip Code

DL#

DL State

Employer

Home Phone

Work Phone

Cell Phone

Email

Spouse/Roommate Name

Spouse/Roommate DL#

Spouse/Roommate DL State

Spouse/Roommate Employer

Spouse/Roommate Phone

Spouse/Roommate Email

Dwelling Type House Apartment Condo Town House Mobile Home

Home Ownership Type Live with others Rent Own

Time at Address

Moving soon? Yes No

f you're Leasing, does your lease allows pets? Yes No

If Leasing is the pet deposit paid in full? Yes No

Pet Deposit Amount

If deposit not paid, it will be paid in full by ...

Apartment Complex Name

Landlord Information (Name, Phone, etc.)

# Household Adults

Adult(s) aware of adoption? Yes No

Adult(s) in aggrement

Adult(s) like pets?

Tell us about the children in your house

I have adopted from Texas CARES before Yes No

I still have the pet that I adopted before Yes No

If you lost the adopted pet, please explain

I have owned a dog before Yes No

I have owned a cat before Yes No

I have owned another type of pet Yes No

I have lost a pet to age Yes No

I have lost a pet to illness Yes No

I have had a pet run away Yes No

I have lost a pet to a care Yes No

I have lost a pet to another reason

If you lost a pet to another reason please explain

I have surrendered adopted pet because of a move Yes No

i have surrendered adopted pet because of allergies Yes No

I have surrendered adopted pet because of a behavior problem Yes No

I have surrendered adopted pet because of a lack of time Yes No

I have surrendered adopted pet because of the unability to train Yes No

Please tell us about your current pets

Where do your current pet(s) stay Indoor Outdoor Both

All of my pets are current on their required shots Yes No

If your pets are not current on their shots, please tell us why

I plan to spay/neuter the adopted animal Yes No

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

untitled element

I plan to let the adopted pet stay Indoor Outdoor Both

# of Hours adopted pet will spend alone

When alone, the animal will stay inside Yes No

Please tell us about the planned sleeping arrangements for the adopted animal

Where will you keep the litter box

Please tell us what you plan to feed the adopted animal

The adopted animal may cause allergy problems from me or someone living with me Yes No

Why do you want to adopt an animal Companion Child companion Pet companion House_pet Gift

Tell us more about why you want to adopt an animal from us

What attracted you to the animal you wish to adopt

Tell us about any past problems you have had with pets

Tell us about how long you will give the adopted animal to adjust to your home

Under what circumstances would you surrender this animal

If the animal becomes destructive what do you plan to do

Explain who will be responsible for the animal

I will need information on how to care for this animal Yes No

If you will need care information, please explain what you will need

I will NOT let a Texas CARES employee come inspect my home Yes No

Tell us how you heard about Texas CARES

Vet name

vet_phone

If we were to call your vet, what would we expect them to tell us about you

I will need vet referral information Yes No

I understand and accept the financial responsiblities of owning an animal Yes No

I have a pet carrier Yes No

I understand that the adopted animal must leave the premises in a pet carrier

Thank you for your Submission!