Name of cat or kitten you are interested in adopting (if you don't have a specific one in mind, you can note that instead) How did you find out about this cat? Petsmart Meet & Greet Event Petco Meet & Greet Event Saw on Adopt-a-Pet Website Saw on Petfinder Website Met at Kitten Yoga Event Referral from a friend/colleague Referred by another rescue At another event Other Email Phone Do you live within a 90 mile radius of Sioux Falls? Please note we do not adopt outside of this area due to the distance. Select Yes No How long have you lived at this address? Do you rent or own your home? Select Own Rent If you rent, please list your landlord's name and phone # (if you own, put "n/a") What is your age? What is your marital status? Select Married Divorced Widowed Single Please list names and ages of all other people who live in your home. Does anyone in your home have a known cat allergy? Select Yes No If you have children how will you introduce them to your new pet? What is your occupation and how long have you worked at your current job? Have you ever surrendered or rehomed a pet? If so please explain what happened. If your life circumstances change, your cat develops medical issues, you have to move, etc. do you have a plan for your cat? Please explain. Please list previous pets and why you no longer have them. Please list all current pets, species/breed, gender, age, vaccination status, and if they are fixed. If you have cats have they been tested for FIV/FelV? Select Yes, they are negative Yes, they are positive No, they have not been tested N/A - Do not currently have a cat or cats Have your current pets been around cats/kittens? How will you introduce them to your new pet? Please be specific. How much do you estimate yearly cost for your cat will be? Will you allow your cat to roam outside? Select Yes Maybe No Will you take your cat outside on a harness and leash? Select Yes Maybe No Will you declaw your cat? Select Yes Maybe No List a personal reference who is not an immediate family member. Please include relationship to this person and their phone number and/or email. Who do you want to adopt this cat for? Please describe why you want to adopt a cat/kitten and explain what your home life looks like. Please give us as much detail as you can. This will help give us an idea of what kitty may be the best fit for you! SETNR requires that all of our kittens and cats be spayed/neutered. In the case that a kitten is too young for sterilization (which can be done at approximately 4-5 months of age), we may allow a kitten to go to an adoptive home if you agree to have the kitten sterilized at our vet. We can handle the scheduling details and the operation is part of your adoption fee so there is no extra cost to you. If your kitten is younger than 4 months, do you agree to abide by our spay/neuter policy? SETNR's adoption fee includes two rounds of distemper vaccines, a rabies vaccine and a microchip. In the case that a kitten is too young for the shots based on accepted veterinary vaccine schedules, we may allow a kitten to go to an adoptive home and vaccines can be provided when they are due by visiting our adoption events, and the microchip and rabies vaccines are provided at the time of spay/neuter by our veterinarian. Do you understand and agree agree to abide by these policies?
Sioux Empire TNR Coalition reserves the right to deny or refuse an application for any reason. By signing this application, I certify that the above information is true and accurate. Any falsification of this information will be an automatic denial for this application and any future applications through SETNR. I have carefully read, understand and will comply with said requirements in both the application and the contract.