The Pet Rescue Center | Orange County, CA | Rescue.Rehab.Rehome | 501c3 Non-Profit Organization

25800 Jeronimo Rd. Ste 100, Mission Viejo, CA 92691 • Tel: (877) 277-7938 • Fax: (949) 743-5878
The Pet Rescue Center is a tax-exempt charity under the IRS code section 501c3, tax ID#26-1439645

Cat Adoption Application If you are having trouble submitting this online form you can click to download a printable application. Please be sure to fill out all required fields. Once you click submit at the bottom you will receive a confirmation email with a note from our director of operations and the info you submitted. Please email our webmaster if you have any issues with submitting this form. If you do not receive an email confirmation of your online application - we did not receive the application. Note: For security purposes we have set a time limit on filling out this form to 45 min. If you receive a message that you "cannot submit the form twice," that means your form has timed out because you have taken more than the allotted 45 minute time to fill it out. Simply refresh the screen and re-submit the form again.
First Name (*)	Invalid Input
Last Name (*)	Invalid Input
Street Address (*)	Invalid Input
City (*)	Invalid Input
State (*)	Invalid Input
Zip (*)	Invalid Input
E-Mail Address (*)	Invalid Input
Cell Phone	Invalid Input
Home Phone	Invalid Input
	*Personal Information:*
How many people reside in your home including you?	Invalid Input
What are the ages of the people living in your home? (*)	Invalid Input
Do you live in a (*)	single family hometownhomecondoapartmentother Invalid Input
If Other, Please Describe	Invalid Input
Do you	OwnRent Invalid Input
How many square feet is your home?	Invalid Input
If renting, do you have your landlord’s permission to have a pet?	YesNo Invalid Input
Landlord’s name and phone number	Invalid Input
Does anyone in your household have pet allergies?	YesNo Invalid Input
Would you say your household is	Active Somewhat activeQuiet Invalid Input
Your Employer	Invalid Input
How many hours a week do you work? (*)	0-2020-4040+work from homeunemployed Invalid Input
Your spouse or roommate’s employer (if applicable)	Invalid Input
How many hours a week do they work?	0-2020-4040+work from homeunemployed Invalid Input
Are you willing to allow us to perform a home inspection before and/or after the adoption process? (*)	YesNo Invalid Input
If no, why?	Invalid Input
	*Your Pet Interests:*
How long have you been looking for a cat?	Just startedA few monthsFor a while Invalid Input
What age of cat are you interested in adopting?	KittenYoung AdultMatureOlderNo Preference Invalid Input
Are you interested in adopting a	Male CatFemale CatNo Preference Invalid Input
	Are you are interested in a specific
Breed	Invalid Input
Size	Invalid Input
Color	Invalid Input
	If there is a particular cat you’re interested in, either from the website or from visiting The Pet Rescue Center in person,
Please give us the name	Invalid Input
How soon are you ready to adopt?	TodayWithin a weekThis monthA few months Invalid Input
	*Pet Care Information:*
Do you currently have a local veterinarian? (*)	YesNo Invalid Input
If yes, please provide name and number	Invalid Input
May we call your veterinarian for more information?	YesNo Invalid Input
Who will be responsible for the care of the cat?	Invalid Input
What brand of cat food do you plan on feeding the cat?	Invalid Input
Do you plan to take any trips or travel in the future?	YesNo Invalid Input
If yes, what arrangements will you make for the cat?	Invalid Input
Will you be able to devote playtime for the cat?	Invalid Input
Will the cat have access to the outdoors? (*)	YesNo Invalid Input
If yes, how will you assure your cat is safe?	Invalid Input
What will you do if your new cat scratches the furniture or uses any part of your home as its personal scratching post?	Invalid Input
If yes, please explain. Where will the cat be kept during the times you are away from your home for work, errands, etc.?	Invalid Input
On average, how many hours do you expect the cat to be left alone? (*)	Invalid Input
Where will the cat be when you are at home?	Invalid Input
Where will the cat sleep at night?	Invalid Input
Where will the cat have its food and water?	Invalid Input
Are you willing to clean and manage the cat’s litter box each day?	YesNo Invalid Input
Where will you put the litter box so the cat has easy access to it all day?	Invalid Input
	*Pet History:*
Do you currently have any pets? (*)	YesNo Invalid Input
	If yes, please list the pets below
Pet 1	DogCat Invalid Input
Age	Invalid Input
Sex	MaleFemale Invalid Input
Spayed or Neutered?	YesNo Invalid Input
Is this pet comfortable around other pets?	YesNo Invalid Input
If no, please explain	Invalid Input
Pet 2	DogCat Invalid Input
Age	Invalid Input
Sex	MaleFemale Invalid Input
Spayed or Neutered?	YesNo Invalid Input
Is this pet comfortable around other pets?	YesNo Invalid Input
If no, please explain	Invalid Input
Pet 3	DogCat Invalid Input
Age	Invalid Input
Sex	MaleFemale Invalid Input
Spayed or Neutered?	YesNo Invalid Input
Is this pet comfortable around other pets?	YesNo Invalid Input
If no, please explain	Invalid Input
Pet 4	DogCat Invalid Input
Age	Invalid Input
Sex	MaleFemale Invalid Input
Spayed or Neutered?	YesNo Invalid Input
Is this pet comfortable around other pets?	YesNo Invalid Input
If no, please explain	Invalid Input
If you have more pets than listed above, please list them here	Invalid Input
If you do not currently have any pets but have had them in the past, please briefly explain what kind of pet and how they died, or why you had to get rid of them, and who you gave them to	Invalid Input
Any other comments regarding your previous pets or pet experiences?	Invalid Input
Have you previously applied and been approved for pet adoption?	YesNo Invalid Input
If yes, please list the organizations	Invalid Input
Have you ever been turned down for pet adoption? (*)	YesNo Invalid Input
If yes, please explain	Invalid Input
Under what circumstances would you consider getting rid of the cat?	Invalid Input
How did you hear about The Pet Rescue Center?	Invalid Input
Would you like to be added to our e-mail and/or mailing list?	YesNo Invalid Input
Mailing Address (if different from front of application)	Invalid Input
E-mail (if different from front of application)	Invalid Input
	In Orange County, the average yearly cost of caring for a healthy cat is around $500. This includes routine exams, vaccines, dental care, and emergency care if needed
Are you willing to accept the financial responsibility involved in the care for the cat? (*)	YesNo Invalid Input
Did you know Pet Insurance can refund up to 80% of your veterinary bills? Do you plan on obtaining Pet Insurance?	YesNo Invalid Input
	PLEASE READ BEFORE SIGNING: Submitting this application serves as a request to adopt a rescue from The Pet Rescue Center. I understand that the information that I have provided may be verified by The Pet Rescue Center. I realize that by filling out this application in no way guarantees an adoption with The Pet Rescue Center.
I Read & Agree to the terms above (*)	YesNo Invalid Input
Enter the image text (*)	Invalid Input

Cat Adoption Application

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