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To submit your application via e-mail, click anywhere in this wording, from the main menu click EDIT - SELECT ALL, then EDIT - COPY.  Click here:  e-mail  , place your cursor in the body of the e-mail message box which appears and click EDIT - PASTE.  The application can then be completed and e-mailed.


The following information is requested so we can assist you in the selection of a new pet.  The animal's welfare is our foremost concern.  The consultation process is designed to help us assist you in finding the animal most compatible to your lifestyle.


Animal Interested In:

The reason I want this particular pet is:

Are you over 18 years of age?

I am adopting for (please X one):
     Another person
     As a gift

I am prepared to adopt the pet (please X one)
     Within a week
     Within a month



City, State, Zip:

Home Phone:

Work Phone:

E-Mail Address:

How did you hear about Companion Critters, Inc.?

If from a newspaper, which one?


Please complete all of the information.  By e-mailing this application, you certify that you understand the following:
     1)  Companion Critters, Inc. reserves the right to refuse adoption  to anyone.
     2)  The information contained within this application is accurate and not misleading in any
     3)  Companion Critters, Inc. reserves the right to contact any individual on this form.

Please give careful consideration to adopting a pet.  Animals are not toys or short term commitments.  Make sure that your lifestyle allows the time, patience and expense this pet will need over the years. Animals for adoption are placed with adopters with full consideration
given to the specific needs of each animal.


Is this your first experience with a pet?

Do you currently have other pets at home?

    If yes, please list for each pet:

Have you had any pets in the past?
If yes, please list for each pet:

Have you ever taken a pet to a shelter?  
     If yes, please describe circumstances:

Under what circumstances would you find it necessary to give up your pet?

Who is/was your veterinarian?
     City, State, Zip:
      Approximately when was your last visit?
     Under who's name (owner) are the pet's records?
     May we contact your veterinarian?

How long have you resided at your present address?

Do you currently live in a house or apartment?

Do you own or rent?
    If you rent, does your lease allow pets?
    Landlord's Name:
    Telephone Number:
    May we contact your landlord?

What would you do with a pet if you had to move where pets aren't allowed or if you were no longer able to take care of you pet?

How many people live in your household?
    Do all the adults know you plan to adopt?
    If there are any children in the household, list ages:

Does anyone in your household have any known allergies to animals?

Where will this pet be kept during the day?
    Where will this pet be kept at night?

Is anyone home all day?
    If no, how many hours will the pet be left along in a 24 hour period?

Where will the pet be kept when alone?

Are you financially prepared to give your new pet routine and mergency medical care such as
rabies vaccinations, inoculations, exams for parasites, ear mites, etc.?

Would you object to a visit or call from a Companion Critters, Inc. representative to see how you and your new pet are doing?

If you presently have a cat/kitten, has it been tested for Feline Aids and Leukemia?  (This is not a standard procedure done automatically by a veterinarian, you usually need to request  this blood test to be done.)

    Results of test:

Do you want the cat for a (X all that apply)
     house pet
     companion for another pet

Will the cat be allowed outdoors?
    If yes, how many hours per day?

Do you plan to declaw the cat/kitten?
    If yes, front only or all fours?
    Do you understand what declawing is?
    Please explain what is involved in declawing a cat:

What will you do if the cat claws the furniture or shows other destructive behavior?

Do you need an explanation of how to introduce a new cat to your current pet?

Are you familiar with types of litter to use and feeding recommendations for a cat?

We request a minimum donation of $70 for one cat, $100 for two cats.  The donation is to help offset the costs incurred for veterinary care.  Each animal coming through rescue costs us an average of $200 and the rest is made up through donations and fundraisers.  Is this acceptable?