Age of applicant
Applicant's VA driver's license number:
To ensure this pet adoption is in the best interest of you and the animal
you select, please answer the following questions:
List all members of your household:
Pet Ownership History:
:Please list all of your pets, including pets still with you and those you
no longer have:
(Type (Dog/Cat) Breed Age Gender Spayed/Neutered? How long owned? Still own?
If no, why?)
Do you have a regular veterinarian? Yes
Name of your veterinarian
Do you live in Apartment
Do you: Own
Are there any pet restrictions?
If renting, landlord's name:
Landlord's phone number:
How long at current address?
Are you planning on moving in the next 6 months? Yes
Are you adopting this pet for: Yourself
If other please explain.
Who will be primarily responsible for the care and supervision of this cat?
Are there any children not listed above who visit frequently? Yes
Do you live with: Parents
If other please describe condition.
Have you ever had to give up or re-home an animal? Yes
If so, please describe the
Are there any major changes planned for your family in the next year? Yes
If yes please describe.
Do any members of your household have known allergies to cats? Yes
Some behaviors might occur after you bring your new cat home.
How are you planning to handle this?
Who will care for this cat when you go on vacation or should an emergency
Are you aware that the average annual veterinary expense for a cat is between
Are you prepared for this type of expense or an emergency veterinary expense?
How many hours during the average day will this cat spend without a human?
Where will this cat be kept when you are at home?
Where will this cat be kept when left alone?
Do you plan for the cat to use: Litterbox
Have you owned a declawed cat in the past? Yes
Are you considering declawing this cat? Yes
By submitting this form I assume all risks of ownership of this cat, including
any and all liability for damage or injury caused by or to the cat. I give
my permission to Somebuddies, Inc. to contact my veterinarian to obtain information
concerning past and present pets and to contact any other references I have
provided. I certify that the information I have given is true and accurate,
and that I recognize that any misrepresentations of facts may result in my
losing the privilege of adopting a cat. I understand that Somebuddies Inc.
has the right to deny my request to adopt a cat and I authorize investigation
of all statements in this contract and the related adoption application both
before and after the adoption. I agree to allow a Somebuddies, Inc. representative,
with reasonable notice to inspect the cat and it's living condition before
and/or after the cat's adoption.
Somebuddies, Inc. reserves the right to refuse an adoption for any reason.
P. O. Box 1532
Mechanicsville, VA. 23116