Name
*
First Name
Last Name
Email
*
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
*
(###)
###
####
Occupation and Work Hours
*
Please provide a name and phone number for 3 character references (family, friends or other)
*
Do you:
*
own your home?
rent your home?
If renting, does your landlord permit pets?
Do we have your permission to contact your landlord to confirm pets are allowed and deposits have been paid?
Yes
No
Landlord's Name
First Name
Last Name
Landlord's Phone Number
(###)
###
####
If renting, what will happen to the pet when you have to move, particularly to another rental?
Who will be the primary caregiver?
*
All Household Members' Names and Ages
*
Are all members of your household supportive of bringing a new cat into the home?
*
Yes
No
What best describes the atmosphere of your home?
*
busy/active
some activity
quiet
Have you had sufficient exposure to know if you or your family members are allergic to cats or other animals?
*
Yes
No
How much time would you have daily to spend with the adopted pet?
*
How much time would the adopted pet spend on his or her own?
*
List the ages and genders of all of your current pets, if applicable. (Write "no current pets" if you do not have any.)
*
Are your pets spayed or neutered?
*
Yes
No
I do not currently have any pets.
If you answered "No" to the above question, please explain.
If you do not have any pets now, have you had pets before? If so, where are they now?
Have you read "Welcoming Your New Cat" and "Pet Introductions" and agree to follow the steps outlined?
*
Yes
No
Do you have a "safe room" to allow the adopted cat to become comfortable (away from other pets, if applicable)?
*
Yes
No
If you currently have pets, how do you think they will respond to a new pet?
Are you willing to take responsibility for this adopted pet for the next 10-20 years?
*
Yes
No
What will happen to the adopted pet when you are on vacation?
*
In the instance you are no longer able to care for the adopted cat, what arrangements would you make?
*
Do you agree to contact Regina Cat Rescue if you are unable to care for the adopted pet and can not find alternate arrangements?
*
Yes
No
Do you agree to follow the City of Regina Animal Bylaw #2009-44 which prohibits cats from roaming outdoors?
*
Yes
No
If adopting a cat, do you plan to declaw him/her?
*
Yes
No
Do you consent to accepting a follow-up call from Regina Cat Rescue regarding the wellbeing of the adopted cat/kitten?
*
Yes
No
What is the name of the cat or kitten you are interested in adopting?
*
Thank you for your application! As we are a volunteer-based organization, please allow up to 4 days for us to review applications. If you do not hear back from us within 7 days, please follow up with an email to info@reginacatrescue.com to ensure your application was received.
Note that in the event there are multiple inquiries for a cat or kitten, Regina Cat Rescue will select the best suited home in the interest of a successful adoption.