PLEASE NOTE: Applications filled out online, will not hold an animal for adoption. All applicants must meet the Adoptee for a companionship match.
Your online application will be held for a year. We are open 7 days a week from 11:00 a.m. till 4:00 p.m. Come and meet a new best friend. NO APPOINTMENT NECESSARY
(PLEASE NOTE: All fields are required to submit form.)
HOW DID YOU HEAR ABOUT PET ORPHANS OF SOUTHERN CALIFORNIA? Name of Cat Minimum Donation* Date *Donation of $100.00 is asked to cover FIV/FELV Test, FRVCP, Deworming, Flea Control, Spay/Neuter, Microchip, Tracking Tag for 24 hour Lost & Found Service, Felidae Cat Food, Breakaway Collar and Card Board Transport Box, "Your Out of Control Cat" book, and Cat Acclimation DVD.
If you can increase the donation fee for the cat you are adopting, please do so, if you cannot, please remember us during the holiday gift giving season and for donations of dog and cat toys, cat beds, old blankets and towels and other items all rescue groups need. But most importantly PLEASE remember to tell your friends who FALL IN LOVE with your cat (because they will) to ADOPT, don't breed or buy.
APPLICANT INFORMATION
Firstname Lastname Occupation Address City State Zip Home Phone Work Phone Cell Phone E-Mail Number of Persons in Household Relationships Number of Children Ages of Children Name of Spouse/Roommate Occupation of Spouse/Roommate
RESIDENCE INFORMATION
Do you rent or own? Type of Dwelling? If you rent, does your lease allow you to own pets? Yes No Landlord's Name Landlord's Phone Number Length of time living at current residence? Do you have a: Balcony? Yes No Patio? Yes No Pet Door? Yes No If you answered yes to any of the above questions, will the cat have access to any of them? Yes No If yes, which? Are there screens on all windows? Yes No If you have screens, how are they secured? Who, other than members of your household, has access to your home when you are not at home (i.e. housekeeper)? Where would the cat's litter box be kept? Your home atmosphere is: Very High Traffic Some Activity Usually Calm & Peaceful Would you agree to a Home Safety Check? Yes No
AREAS AVAILABLE TO YOUR CAT
At what times would the cat be inside? Outside? If outside, where? What areas of the house would be available to the cat? What areas of the house would be off-limits to the cat? Where would the cat stay when he/she is home alone? About how many hours a day would the cat be home alone? About how many hours a day do you anticipate someone spending with the cat? Where will the cat sleep at night? Will the cat be allowed on furniture? Yes No
PRESENT AND PAST COMPANION ANIMAL INFORMATION
Do you presently have a companion animal? Yes No Have you previously had a companion animal? Yes No If you now have or have had companion animals in the past, please complete the sections below. In the column "what happened" please indicate if still have, lost, stolen, sold, given away, taken to shelter, found a new home for, died, etc. (if the animal died, please state cause of death).
1. Species of Animal Age Sex Altered? (Y/N) Dates Owned / How Acquired? What Happened?
2. Species of Animal Age Sex Altered? (Y/N) Dates Owned / How Acquired? What Happened?
3. Species of Animal Age Sex Altered? (Y/N) Dates Owned / How Acquired? What Happened?
4. Species of Animal Age Sex Altered? (Y/N) Dates Owned / How Acquired? What Happened?
Have any of your animals ever had a litter? Yes No If yes, did you breed for? Fun Profit Show Accident Other Is breeding an animal something you would consider in the future? Yes No If yes, why? Have you ever had to give up a pet? Yes No If yes, please explain circumstances: If you currently have other cats, have they been tested for FELV/FIV? Yes No If yes, did they test positive or negative? If you have had animals in the past, what did you like best? least? Does any member of your household suffer from animal related allergies? Yes No If yes, how do you intend to deal with this? What are your primary reasons for adopting a cat? Companion for you For your kids For other pet Gift Other What do you like about the cat you have chosen to adopt? Who would be responsible for the care of your new cat? How would you rate your cat experience? First-time owner Have had one or two Knowledgeable & Experienced Are you considering de-clawing this cat? Yes No Maybe Do you plan on using an I.D. for this cat? Yes No If yes, what type? Are you aware of microchipping? Yes No Would you consider using a microchip? Yes No How would you encourage your cat’s appropriate behavior? How would you correct your cat’s undesirable behavior? What would you do if the undesirable behavior continued? Are you prepared to make a lifetime commitment to care for your pet including medical care, grooming, proper diet, shelter, exercise and love? Yes No Are you prepared for veterinary expenses, including emergency medical costs that will be incurred when adopting this cat for its’ entire life? Yes No Have you ever had an animal with severe medical expenses? Yes No If yes, what did you do in these circumstances? How often do you travel? Often Occasionally Seldom What provisions will you make for the cat’s care when you travel? How would you go about locating your cat if he/she became lost? If unforeseen circumstances caused you to vacate your premises and you had trouble finding a place to live that allowed pets, what would you do? If something was to happen to you and you were no longer able to care for your cat, what would you do?
Which of the following reasons might prompt you to give up your pet? (check all that apply)
Do you plan on having any or more children in the future? (Some cats due to temperament would not be appropriate for a home with children, due to our commitment to making responsible placements of our animals we ask that you consider this question seriously.) If you had to give up your cat, what would you do? Do you currently have a veterinarian? Yes No If yes, Name and city Would you like a referral to a veterinarian? Yes No Is there anything else about yourself that you would like to share with us?
By clicking the "Submit button" you certify that the above is true, and that I realize that any false information given may result in nullifying the adoption.
