Adoption Application
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Instructions
Thank you for your interest! Submitting an Adoption Application is the first step toward adopting a rescued kitty that matches your preferences. We adopt to residents of Northeast Ohio. Adoptions to residents outside this area are considered on a case-by-case basis.
INSTRUCTIONS
Viva Los Gatos Cat Rescue reserves the right to decline any adoption without explanation. Submitting an application is not a binding agreement to adopt. It is simply part of the process that leads to a final adoption decision.
Viva Los Gatos will consider applications from individuals age 21 and older who can provide a safe, stable and nurturing environment for the lifetime of the cat.
(1) Fields marked with an asterisk (*) are required. You must enter a response to proceed to the next page.
(2) You can click "Save for Later" at any point. The link is at the bottom of each screen. When you save your application, you will receive an email with a link that will return you to your application.
(3) This form requires an electronic signature. Use your finger to sign if you have a touch screen. Otherwise, place your cursor in the signature box, press the left button and sign.
(4) When the form is complete, you will have the opportunity to "Preview Submission." Click the link at the bottom of the page and review your application.
(5) When you are satisfied with your responses, click the "Submit" button at the bottom of the page. We will not receive your application unless it is submitted!
Thank you again for your interest! We look forward to speaking with you soon!
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ABOUT YOU
First Name
Last Name
Middle Name or Initial
If none, enter N/A.
Date of Birth
Use MM/DD/YYYY format. Include slashes in entry.
Address
City
Zip Code
County
Choose one.
Cuyahoga
Geauga
Lake
Medina
Summit
Other
How long have you been at this address?
Previous Address
Email
Cell Phone
Home Phone
Work Phone
Employer Name
Your Position
How long with this employer?
How did you hear about us?
Check all that apply.
Previous Adoption
Word of Mouth
Facebook/Social Media
Viva Los Gatos Website
Special Event
Ad/Flyer
Online Adoption Site
Other
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YOUR HOUSEHOLD
Residence Type
Choose one.
Single Family
Duplex
Cluster Home
Townhouse
Rental Apartment
Condo
Mobile Home
Farm / Rural
Other
Own or Rent
Choose one.
Own
Rent
If Rent, enter landlord / owner full name. (Required)
If Rent, enter landlord / owner phone number. (Required)
Household Members
Check all that apply.
Just me
My Spouse / Partner
My Parent(s)
Roommate(s)
Children
Other
Please enter the total number of people in your household, including you.
Please enter the ages of any children in the household.
If no children, enter N/A.
Spouse/Partner Full Name
If no spouse/partner, enter N/A.
How does each member of your household feel about adopting a cat?
Any cat allergies in your household?
Choose one.
Yes
No
How would you describe your environment?
Check all that apply.
Very active
Moderately active
Mellow
Very noisy
Moderately noisy
Mostly quiet
Outside noise
Lots of visitors
Occasional visitors
Mostly me/us
Other pets that visit
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YOUR INTERESTS
Enter the name(s) of specific cat(s) you are interested in.
Why do you want to adopt a cat or kitten?
When did you decide to adopt a cat or kitten?
Age Preference(s)
Check all that apply.
Kitten (Less than 1 year old)
Adult (1+ years old)
Senior
No Preference
Other
Personality & Behavior Traits
Check all that apply.
Timid/Shy
Mellow
Lap Pet
Playful
Affectionate
Protective/Territorial
Hunter
Other
Compatibility (People)
Check all that apply.
OK with young children
OK with teens/older children
OK with adult men
OK with adult women
OK with seniors/elderly
Other
Compatibility (Animals)
Check all that apply.
OK with dogs
OK with other cats
Not applicable; cat will be the only pet
Other
This Pet is For...
Choose one.
My household and me
To give as a gift
Other
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CARING FOR YOUR CAT
Lifestyle
Choose one.
Indoor cat only
Outdoor cat only
Both indoor and outdoor
Will you declaw your cat?
Choose one.
Yes, front only
Yes, front and back
No
Where will your cat sleep?
How much access to the residence will you allow the cat?
Check all that apply. Describe any restrictions under Other.
Full access to house/apartment
Full access including basement
Living areas only
Limited to certain rooms, areas, etc.
Crate
Other
Where will your cat stay while you are at work?
Describe short term care plan if you are on vacation or travel for business.
What are your long term plans if you or another primary caregiver is no longer able to care for your pet(s)?
Reasons why you might give your cat away.
Check all that apply.
Too expensive
Sheds too much
Fleas
Allergies
Urinating/defecating outside box
Chews or destroys household objects
Marriage/Divorce
Having a baby
Children no longer take care of it
New residence doesn't allow pets
None of the above
Other
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CURRENT & RECENT PETS
Pet 1
Please do not include childhood pets.
(Pet 1) Name
(Pet 1) Type
Choose one.
Cat
Dog
Other
(Pet 1) Age
If deceased, check below.
(Pet 1) Breed
(Pet 1) Spayed / Neutered
Choose one.
Yes
No
(Pet 1) Declawed
Choose one.
Yes
No
(Pet 1) Lifestyle
Choose one.
Indoor only
Outdoor only
Both indoor and outdoor
(Pet 1) Deceased
Choose one.
Yes
No
Cause of Death
Pet 2
(Pet 2) Name
(Pet 2) Type
Choose one.
Cat
Dog
Other
(Pet 2) Age
If deceased, check below.
(Pet 2) Breed
(Pet 2) Spayed / Neutered
Choose one.
Yes
No
(Pet 2) Declawed
Choose one.
Yes
No
(Pet 2) Lifestyle
Choose one.
Indoor only
Outdoor only
Both indoor and outdoor
(Pet 2) Deceased
Choose one.
Yes
No
Cause of Death
Pet 3
(Pet 3 ) Name
(Pet 3) Type
Choose one.
Cat
Dog
Other
(Pet 3) Age
If deceased, check below.
(Pet 3) Breed
(Pet 3) Spayed / Neutered
Choose one.
Yes
No
(Pet 3) Declawed
Choose one.
Yes
No
(Pet 3) Lifestyle
Choose one.
Indoor only
Outdoor only
Both indoor and outdoor
(Pet 3) Deceased
Choose one.
Yes
No
Cause of Death
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REFERENCES
Please note that only ONE personal reference can be a family member.
Veterinarian / Practice Name
If you don't currently have a vet, please enter "None."
Veterinarian Phone
(Personal Reference 1) Name
Must not be a household member
(Personal Reference 1) Relationship
Only one reference can be a family member
(Personal Reference 1) Phone
(Personal Reference 2) Name
Must not be a household member
(Personal Reference 2) Relationship
Only one reference can be a family member
(Personal Reference 2) Phone
(Personal Reference 3) Name
Must not be a household member
(Personal Reference 3) Relationship
Only one reference can be a family member
(Personal Reference 3) Phone
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SIGNATURE
Electronic Signature
Hover mouse in space, left click and hold while you sign. If you have a touch screen device, use your finger to sign.
Clear
Date Signed
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SUBMIT APPLICATION
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Adoption Application