Southern Counties Rescue ~ Adoption Application

We foster our cats in our homes with our own pets and family so we know their personalities.
Thank you very much for taking the time to complete the application. I would appreciate it if you answer every question. Please give as much detail as possible, providing phone numbers and appropriate contact persons where requested. In most cases the adoption fee is a minimum donation of $135 and it is less than our expenses. You must be 23 years of age or older to adopt. Completion of the application doesn't guarantee adoption. 
All cats are spayed/neutered, microchipped, current on vaccinations, tested for FELV/FIV, dewormed and flea free.
Driver's License information will be requested when you adopt. Please have your driver's license with you.
* Has anyone in the household experienced allergies or asthma? 
 
* What is the primary reason(s) for adopting this cat?
 
* Do you object to a home visit?
* Please:
* Do you have a limit on the cost of vet treatment?
 

List all cats you have now & in the past 10 years. If no cat, enter "none" in cat name.

0/250 characters
Tested for FeLV & FIV, Was the test result pos or neg?
 
Still Own? If no, why do you no longer have this cat? If deceased, from what?
 
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0/250 characters
Tested for FeLV & FIV, Was the test result pos or neg?
 
Still Own? If no, why do you no longer have this cat? If deceased, from what?
 
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0/250 characters
Tested for FeLV & FIV, Was the test result pos or neg?
 
Still Own? If no, why do you no longer have this cat? If deceased, from what?
 
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0/250 characters
Tested for FeLV & FIV, Was the test result pos or neg?
 
Still Own? If no, why do you no longer have this cat? If deceased, from what?
 
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0/250 characters

List all dogs you have now & in the past 10 years. If no dog, enter "none" under dog name.

0/250 characters
Still Own? If no, why do you no longer have this dog? If deceased, from what?
 
0/250 characters
Still Own? If no, why do you no longer have this dog? If deceased, from what?
 
0/250 characters
-------------------- General Information ----------------------
0/450 characters
* Do you travel often? Who would take care of your pet when you travel?
 
* Do you want to declaw this cat?
 
* Are you able to talke care of this cat for its entire life (cats can live 15-20 years)?
* Do you expect any major changes in your life in the next five years?
If yes, please check what they might be:
 
* Under what circumstances would you not be able to keep this new pet? (Please check all that apply)
 
THIS APPLICATION BECOMES PART OF OUR CONTRACT:
 I certify that all the above information is true and accurate. I understant that if I adopt a pet from Southern Counties Rescue, this document will become part of the adoption record.
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Thank you for completing this Application. Someone should get back to you within 2 days. If you do not hear from someone please email soCountiesRescue@att.net. Please remember we are all non-paid volunteers with other jobs.
* Indicates Response Required