CAPIC - CAT ADOPTION & PET INFORMATION CENTER ADOPTION APPLICATION
AND HOLD HARMLESS WAIVER FORM 908 393-2007-Website Application.
NAME___________________________________________CAT/KITTEN__________________
first last
ADDRESS_____________________________________________HOME PH______________
street town zip
CELL PH___________________________________ WORK PH_________________________
EMAIL ADDRESS______________________________________________________________
Do you own your home? _________ If NO- does you landlord allow pets? _________________
(Lease or proof from landlord must be provided).
How long at current address?_____________________How many adults?___________________
Children?____________Ages_____________________________________________________
Do you plan on declawing this cat/kitten? NO________ OR YES ________
Will cat/kitten be inside cat only?____________ If no explain why not_____________________
____________________________________________________________________________
Other pets in home and ages ______________________________________________________
_____________________________________________________________________________
Name of current Veterinarian _______________________________City____________________
Veterinarian Phone Number ___________________________Previous vet__________________
May we call your vet for references? _________YES OR _________NO
Will medical/veterinarian visits be a problem financially? __________Yes OR _______No
Previous pet(s) owned/Ages_______________________________________________________
Reasons for death ______________________________________________________________
Have you ever given up or returned a pet for any reason? ________YES OR ________NO
If yes explain____________________________________________________________________
Reference____________________________________________Phone number_______________
Relationship to you_______________________________________________________________
By signing below you agree to the following. I am over 18 years of age. If I live home with my parents I have permission to adopt the cat(s). I realize pet ownership is a commitment and this pet(s) may live longer than 20 years. I agree to have this pet spayed/neutered (5 months and over 4 pounds) if adopted before spay/neutered and will provide CAPIC with receipt from vet. I agree to give this pet a good home. I agree that if for any reason I am unable to keep the cat I agree to notify CAPIC first. By signing this waiver I hold harmless for any reason Cat Adoption & Pet Information Center, CAPIC volunteers, CAPIC Board Officers, Trustees etc., in the adoption of this cat(s) as well as Amwell Pet Supply, Belle Mead Animal Hospital, and the owners and employees, or any other location if the adoption takes place on another premises. I also agree to the kitten/cat adoption rules provided by CAPIC.
Name________________________________________________Date______________
Adoption Fee ___________________________
AND HOLD HARMLESS WAIVER FORM 908 393-2007-Website Application.
NAME___________________________________________CAT/KITTEN__________________
first last
ADDRESS_____________________________________________HOME PH______________
street town zip
CELL PH___________________________________ WORK PH_________________________
EMAIL ADDRESS______________________________________________________________
Do you own your home? _________ If NO- does you landlord allow pets? _________________
(Lease or proof from landlord must be provided).
How long at current address?_____________________How many adults?___________________
Children?____________Ages_____________________________________________________
Do you plan on declawing this cat/kitten? NO________ OR YES ________
Will cat/kitten be inside cat only?____________ If no explain why not_____________________
____________________________________________________________________________
Other pets in home and ages ______________________________________________________
_____________________________________________________________________________
Name of current Veterinarian _______________________________City____________________
Veterinarian Phone Number ___________________________Previous vet__________________
May we call your vet for references? _________YES OR _________NO
Will medical/veterinarian visits be a problem financially? __________Yes OR _______No
Previous pet(s) owned/Ages_______________________________________________________
Reasons for death ______________________________________________________________
Have you ever given up or returned a pet for any reason? ________YES OR ________NO
If yes explain____________________________________________________________________
Reference____________________________________________Phone number_______________
Relationship to you_______________________________________________________________
By signing below you agree to the following. I am over 18 years of age. If I live home with my parents I have permission to adopt the cat(s). I realize pet ownership is a commitment and this pet(s) may live longer than 20 years. I agree to have this pet spayed/neutered (5 months and over 4 pounds) if adopted before spay/neutered and will provide CAPIC with receipt from vet. I agree to give this pet a good home. I agree that if for any reason I am unable to keep the cat I agree to notify CAPIC first. By signing this waiver I hold harmless for any reason Cat Adoption & Pet Information Center, CAPIC volunteers, CAPIC Board Officers, Trustees etc., in the adoption of this cat(s) as well as Amwell Pet Supply, Belle Mead Animal Hospital, and the owners and employees, or any other location if the adoption takes place on another premises. I also agree to the kitten/cat adoption rules provided by CAPIC.
Name________________________________________________Date______________
Adoption Fee ___________________________
CAPIC ADOPTION APPLICATION
Please print the below information to apply to adopt a CAPIC cat or kitten. You may also copy and paste this application and email it back to catnabber1@yahoo.com
Please print the below information to apply to adopt a CAPIC cat or kitten. You may also copy and paste this application and email it back to catnabber1@yahoo.com
A COMPLETED APPLICATION DOES NOT GUARANTEE APPROVAL FOR ADOPTION. Capic does a vet check and a reference check in the application process. Prospective adopters will be notified once approval is done.