Cat Adoption Application

Please fill out this form completely if you are interested in adopting an animal from the Kalamazoo Animal Rescue.

If your browser has problems with this form, send us an email and be sure to provide contact information. You should receive a response to your application with in the next few days.

You must be 18 years or older to complete this application.

You may need to travel to the foster home in the southwest Michigan area to meet the animal you are interested in.
Please Note: All dogs are located in loving foster homes and not at the shelter. Your adoption counselor will work with you and the foster home to arrange a meet & greet.

Cat of Interest This application is being filled out for

Miss Moonpie Love Bean

who is being fostered by

Christine C

If there are any additional animals that you are interested in,
please put their name(s) and their foster parent(s) name here:

Applicant Information Your First Name: (Required)
Your Last Name: (Required)
Age (Required)
If under 21, please provide parent's or guardian's name and phone number
Address - Please Note: We do not ship animals. (Required)
City (Required)
State (Required)
Zip (Required)
Home Phone
Work Phone
Cell Phone
What is the best time and method to contact you by?
Email Address (Required)
(please enter carefully as we cannot respond to mistyped email addresses)

Ignore this. If you enter anything, the form will not be sent.:

Your Occupation
Spouse/Partner/Roommates's Occupation
If student, where do you attend?

Housing Information Do you live in a: (Required) House Apartment Condo Mobile Home
Do you own or rent? (Required) Own Rent
If you rent or own a condo or mobile home, what is the pet policy (costs, number of pets allowed, etc).
If you rent or own a condo or mobile home, what is the contact number for your landlord / condo association / mobile home complex/ homeowner? If not applicable, enter N/A (Required)
How long have you been at this address?
If you are not the homeowner (for example, living with parents), please provide the homeowner's name and phone #. If not applicable, enter N/A (Required)

Vet / Medical information Name and phone number of your primary veterinary clinic: (Required)
Have your cat(s) been tested for feline leukemia? N/A Yes No Unsure
If yes, do you know the results? N/A Positive Negative Unsure
Submitting an application for adoption constitutes agreement to verifying your current pet's or past pet's reproductive status and health with the vet on this form. Check the box to acknowledge this requirement. I agree (Required)
Please notify your vet within 24-48 hours that you have submitted an application to adopt and they may release information to KAR. Failure to do so can result in significant delays.

Continuing Care Information What kind of solution would you be willing to try if the cat scratches inappropriately? (Required)
What kind of solution would you be willing to try if the cat develops problems using the litterbox? (Required)
Would you still be able to care for this cat if your home or family situation changed (divorce, children, relocation)? Yes No Maybe
Are you prepared to make a lifelong commitment to a cat? (cats typically live 14-18 yrs? Yes No
If for any reason you are unable to continue caring for your cat, is their anyone who would be able to take it into their home and ensure its lifelong care? (Required) Yes No unsure
If yes, who? (Required)

Reference Information How did you hear about the Kalamazoo Animal Rescue?
Have you ever applied for a Cat or contacted the Kalamazoo Animal Rescue before? Yes No

Additional Comments Any Additional Comments:

By checking this box, you affirm that all of the above information is complete and correct.