MIME-Version: 1.0 Content-Location: file:///C:/616A0CB4/CATADOPTIONAPPLICATION&CONTRACT.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ANIMAL PROTECTION SOCIETY – FRIDAY HARBOR

ANIMAL PROTEC= TION SOCIETY – FRIDAY HARBOR

111 Shelter Road   PO Box 1355   Friday Harbor, WA  98250=

(360) 378-215= 8

pets2homes@interisland.net     www.apsfh.org

 

ADOPTION APPLICATION – CAT/KITTEN

 

TO ENSURE THAT THIS ADOPTION I= S IN THE BEST INTEREST OF BOTH YOU AND THE ANIMAL YOU SELECT, WE ASK THAT YOU AN= SWER THE FOLLOWING QUESTIONS.   THOUGH IT MAY TAKE YOU SOME TIME TO COMPLETE, PLEASE BEAR IN MIND TH= AT YOU ARE CONSIDERING MAKING A COMMITMENT TO FEED, SHELTER, PROTECT AND LOVE = AN ANIMAL FOR THE REST OF ITS LIFE!

 

NAME:_______________________________________= _____________    DATE__________________= ___

 

PHYSICAL ADDRESS____________________________________________________________________=

 

MAILING ADDRESS:___________________________________________________________________= _

 

HOME PHONE:_______________________________WO= RK PHONE:___________________________

 

EMAIL ADDRESS____________________________________________________________________= ____

 

Please list the names of all your household members and their ages, if under 18:

 

____________________________________________=       ___________________________________________

 

____________________________________________=       __________= ________________________________

 

Do you rent or own your home?_____________________Landlord’s name__________________________

 

  =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;      Landlord’s phone_________________________

 

Under what circumstances would you give up t= his pet?__________________________________________

 

Have you ever given up ownersh= ip of a pet? _____________If yes, please explain:___________________

 

 

 

Please list pets you have now or pets you ha= ve had in the past 3 years:

 

  =           Species        &= nbsp;           &nbs= p;  Breed        &= nbsp;           &nbs= p;     Age        &= nbsp;        Altered?        &= nbsp; Length of Ownership

 

 

 

 

=  

=  

 

CAT ADOPTION CONTRACT

 

I agree to the following requirements related to the adoption of my new cat or kitten:

 

= I WILL TAKE CARE OF THIS CAT FOR ITS LIFETIME.&nb= sp; IF I BECOME UNABLE TO CARE FOR THIS ANIMAL, I WILL FIND IT A GOOD HO= ME OR RETURN IT TO AN ANIMAL SHELTER.=   I WILL NOT ABANDON IT.<= /b>

 

= I WILL PROVIDE THIS CAT WITH MEDICAL CARE AND ANNUAL IMMUNIZATIONS AS NEEDED.=

=  

I WILL NOT HAVE THIS CAT= 217;S CLAWS REMOVED.

= I WILL PROVIDE THIS CAT WITH SCRATCHING POSTS, IF NEEDED.  IF THIS CAT’S CLAWS HAVE ALR= EADY BEEN REMOVED, I WILL KEEP THE CAT INDOORS AT ALL TIMES AS RECOMMENDED BY THE HUMANE SOCIETY OF THE UNITED STATES.

=  

= I WILL PROVIDE THIS CAT WIH PROPER FOOD, FRESH WATER, ADEQUATE SHELTER, EXERCISE, TRAINING AND KIND TREATMENT AT ALL TIMES.

=  

= I WILL RETURN THIS CAT TO THE SHELTER WITHIN 7 DAYS IF A VETERINARIAN HAS DETERMINED THIS CAT IS ILL, OR IF THIS CAT IS NOT COMPATIBLE WITH OUR FAMILY SITUATION.

=  

I ACCEPT FULL RESPONSIBILIT= Y FOR ANY RISKS ASSOCIATED WITH THE OWNERSHIP OF THIS PET.<= /p>

=  

= _______________________________        &= nbsp;      ________________________________= _

= DATE        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       SIGNATURE

=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;     

__________________________________<= /p>

STAFF SIGNATURE__________________________ &n= bsp;       PRINT NAME

=  

= APS FILE #___________________________   __________________________________

=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      ADDRESS

= CAT NAME:___________________________

=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      __________________________________<= o:p>

= PAYMENT DUE:_______________________

=         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      ___________________________________=

= DEPOSIT__________PD IN FULL_________  HOME PHONE        =      WORK PHONE

=  

= CASH______CHECK____________DATE____________