Please fill out the application below completely. Please be specific with your answers and provide us with as much information as possible. Our first responsibility is to the cat/kitten and to ensuring a permanent, lifelong match. Due to the high volume of applications and limited number of volunteers, we will only be contacting applicants that have been approved. We Thank You for understanding. Please don't forget to include the name of the cat/s you are interested in.

Which Cat/s are you interested in? Personal Pet Assistant?: YES NO

Name: Significant Other Name:
If this relationship changes, with whom will the cat remain?:

We are only able to adopt to homes in Southern California:

Address: City: Zip:

Hm Phone(including area code): Cell Phone(including area code):
Wk Phone(including area code): Email:

Occupation: Hours Per Day:

Best time and place to contact you?:

Is anyone home during the day?: Yes No
How long will the cat be left alone each day?:

Where will the cat be left when alone:

Do you live in a: House Condo Apt How long at current address:

Do you: Own Rent

If renting, please provide contact PHONE NUMBER for landlord (REQUIRED). We will call to verify that your lease allows you to have cats.:

Who is the cat for?: Self Spouse Child Family

Who will take care of the cat on a daily basis?:

What is the daily caretakers age?:

Do you have children or have plans to have children?:

Number of children and thier ages:

Does anyone in the home have animal related alergies?: Yes No

What will happen to the cat if allergies develop?:

Please list names and ages of all people living in household?:

Who will take care of the cat when you go out of town?:

Who will take care of the cat if you were to become sick, injured or unable to care for the cat?:

Have you had cat/s before? If yes, what happened to them?:

Will the cat be kept: Inside Outside
Will the cat be allowed to go outside?: Yes No

If you answered yes, please explain under what circumstances?:

Do you have a dog door installed in your home?: Yes No

Will you have the cat declawed?: Yes No

If you answered yes, please explain why?:

Where will you keep the litter box?:

Please list any pets that you currently have in your household:

If you have other CAT/S, are they?: Indoor Outdoor Indoor/Outdoor N/A

If you answered Outdoors, please explain circumstances:

Are your current cats declawed?: Yes No

If you answered yes, please explain circumstances:

If you have other DOG/S, are they?: Indoor Outdoor Indoor/Outdoor N/A

If you answered Outdoors, please explain circumstances:

Are ALL other pets spayed or nuetered?: Yes No

Will your current pet/s get along with a new cat?: Yes No

If you had to move for any reason, would you take your cat/s with you?: Yes No

Are you willing to take the cat to the vet if it were to become sick or injured and for annual exams?: Yes No

What do you consider a resonable spending limit if your cat became injured or ill.?:

Who is your Veterinarian?:

Address: City: Zip:
Phone:

Have you ever given a pet away?: Yes No

If you have given a pet away before, please explain:

What circumstances would cause you to give up a pet?:

Divorce / Speration?: Yes No
New Spouse?: Yes No
Pregnancy?: Yes No
New Baby?: Yes No
New Roommate?: Yes No
Allergies?: Yes No
Job Change / Loss?: Yes No
New House/ Apt?: Yes No
New Carpet/Drapes/Furniture?: Yes No

What "behavioral problems" would cause you to give up a pet?:

Does not use litter Box?: Yes No
Kids too Rough?: Yes No
Keeps you awake?: Yes No
Scratches Carpets, Drapes, Furniture?: Yes No
Needs too much time/attention?: Yes No

What "medical problems" would cause you to give up a pet?:

Cat incurs expensive vet bills?: Yes No
Cat requires daily treatment?: Yes No
Cat requires special diet?: Yes No
Cat becomes disabled?: Yes No
What behavioral or medical problems do you feel you CANNOT deal with in a cat?:

We reserve the right to inspect all potential homes and yards prior to placement:
Is this agreeable to you?: Yes No

Please tell us anything else that you wish to have considered in your application:

We are a 100% volunteer run organization; the Adoption Donation is used to partially recover the costs involved in rescuing the animal you are interested in. These costs include but are not limited to; Animal Shelter Fees, Spay/Neuter, Food, Housing, Vaccinations, Deworming, and any Veterinary Exams, or medical care that the animal may have required. We would not have been able to save the life of the animal you applied to adopt without the adoption donation from another that came before him or her.
Because the minimum Adoption Donation rarely covers the costs associated with each cat, we ask that adopters who are in a position to give additional funds do so at their discretion.

I am willing and able to make a minimum Adoption Donation of $125.00. Yes No

If no, please explain in detail:

I acknowledge that all of the information contained in this application is true and accurate I understand that any misrepresentations of fact may result in the removal of the adopted cat by Underdog Rescue. I understand that an adoption contract is part of the adoption process and will be enforced. Once a cat is adopted, if it is found to be neglected or abused Underdog Rescue reserves the right to reclaim the cat.
THIS APPLICATION BECOMES A PART OF OUR CONTRACT
Agree Disagree

How did you hear about Underdog Rescue?