Applicants must be over 18 years of age.  Completion of the application does not guarantee adoption.

We require all questions to be answered in full, with as much information as possible.  Thank you.

Full Name:  Date: 


City:    State:    Zip: 

Home Phone:    Work Phone: 

Email Address: 

Please give the name of the kitten you wish to adopt: 

Why do you wish to adopt this animal?  Please answer this in detail: 

Do you have dogs in the home? Yes   No   Number of dogs:     Are they accustomed to cats?   Yes   No  

How many cats / kittens do you have at this time? 

Are they spayed / neutered?  Yes   No   If no, why not? 

Are they up to date on their shots?  Yes   No  If no, why not? 

Do you live in a condo, house, apartment, mobile home, etc? 

How many in your household?

Do you have children?  Yes   No    If Yes, number of children?    Ages of children? 

Who will be responsible for the care and supervision of the animal?

Does anyone have an allergy to cats?   Yes   No  If so, explain:

What will happen to this cat if you should move? 

Are you prepared to accept the cost and care of this cat while in your home?    Yes   No 

Do you have a Veterinarian for your pet?     Yes   No 

Veterinarian: Phone Number:

Where will the cat be kept?  

Where are you wanting to house the cat:  Inside   Outside 

How will the cat access the outdoors if applicable?

What potential problems do you feel unprepared for?  (Biting, scratching, house soiling, furniture scratching, not good with children, allergies, excessive grooming or other).  

Have you ever had a cat declawed?      Yes   No

Please list two personal references including your veterinarian.  (This is required)

Name:  Phone Number:

Name:  Phone Number:

I authorize "Wags to Riches" Animal Rescue and Sanctuary to check my references: Yes   No

Be it understood if an animal is returned for any reason to "Wags to Riches" Animal Rescue and Sanctuary, according to our agreement, (which you will receive when adopting) the Adoption Donation is non-refundable.  If there is an exception, this will be decided on by the Board of Directors.  "Wags to Riches" Animal Rescue and Sanctuary reserves the right to refuse to adopt any pets to applicants we feel would not be in the best interest of the animal.  We also reserve the right to refuse any adoption, without justification, and NOT ALL APPLICATIONS OR INQUIRIES may receive a response.

I understand that "Wags to Riches" Animal Rescue and Sanctuary is not responsible for the accuracy of information received about temperament or habits of cats / kittens available for adoption.  I understand completely that it is my responsibility to evaluate the cat / kitten for myself before agreeing to adopt it.  "Wags to Riches" Animal Rescue and Sanctuary is in no way liable or responsible for any damage, accident or injury resulting from the placement of a cat or kitten into a household agreed upon.

Application completed and signed by: (Typed signature is accepted) 


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Application review by:

2nd letter followup:

Adoption completed:

Other notes: