First Name *

Last Name *

Partner or Spouse (if applicable)

Age *
---22 - 2526 - 3536 - 5051 - 6061 - 7071 - 8081 +

Occupation *

Address Line 1 *

Address Line 2

City *

County *

State * (please note that we only adopt cats to california residents)

Zip *

Email *

Home Phone Number (please supply one phone number for us to contact you on)

Cell Phone Number (please supply one phone number for us to contact you on)

Work Phone Number (optional)

Best Time to Call *

PERSONAL REFERENCE

Cannot be a significant other or family member.

Reference: Name *

Reference: Phone *

Reference: Best Time to Call *

Reference: Relationship to You *
FriendCo-WorkerOther

if other:

PERSONAL INFORMATION

All personal information is treated as confidential.

Housing Situation*
RentOwnOther

if other:

Time at Current Address *
---Less than one yearOne to two yearsTwo to five yearsFive to ten yearsMore than ten years

If less than two years, prior address

If you do not own your house, do you have your landlord's permission to keep a cat?
YesNo

Landlord's Name

Landlord's Phone

Are you willing to let a representative of Maine Coon Adoptions visit your home by appointment? *
YesNo

If not, why?

HUMAN RESIDENTS

How many adults and children are in this home? *

Children's Ages (if applicable)

Do any of the residents have allergies to animals? *
YesNo

If yes, what are the allergies?

CURRENT AND PREVIOUS PETS

Do you have other cats? *
YesNo

If yes, please list their names, ages, and when you adopted them

Are they spayed or neutered? (if applicable)
YesNo

Do they live indoors and/or outdoors? (if applicable)
Indoor onlyIndoor and outdoorsOutdoors only

When did they last receive routine vaccinations and rabies shots? (if applicable)
Within the last six monthsWithin the last yearWithin the last two yearsOther

if other:

How many other cats have you had in the last five years? *

Please list their names, ages, and what happened to them. If they passed away, what was the reason? (if applicable; please be specific)

How do you feel about declawing? *
Absolutely necessaryOnly if a cat is destructiveOnly as a last resortCompletely opposed to itUnsure what declawing is

Do you have other pets? *
YesNo

Please list the type and number of other pets, as well as how long you have had them. If you have dogs, please list the age(s), breed(s), and approximately how long have you had the dog(s).
(e.g. two dogs and a rabbit; a parrot and some goldfish)

How do they interact with cats?

Have you ever been turned down for adoption by another rescue? *
(please note that this does not necessarily mean that we would not adopt to you)
YesNo

If yes, which rescue group and why?

VETERINARY INFORMATION

Do you have a regular veterinarian? *
YesNo

If not, please explain why

Please list the veterinarians that you have used over the last five years, with location and phone number. Please start with your current, primary veterinarian.

ABOUT THE CAT YOU WISH TO ADOPT

Reason(s) for wanting to adopt a cat *

Name(s) of cat(s) you are interested in (if applicable)

Have you cared for a maine coon or other long-haired cat before? *
YesNo

Desired Age

Desired Sex
FemaleMaleNo Preference

ADOPTION PREFERENCES
Please indicate your preferences about the type of cat you would like to adopt.
Declawed cat: YesMaybeNo
Senior cat (10+ years): YesMaybeNo
Shy cat: YesMaybeNo
Cat needing regular medication: YesMaybeNo

Who will have primary responsibility for the cat's daily care? *

Where will the cat spend the day? *

Where will the cat spend the night? *

How will you care for its coat? *

Do you agree to provide regular health care by a licensed veterinarian? *
YesNo

Do you agree to contact Maine Coon Adoptions if you can no longer keep the cat? *
YesNo

How did you hear about Maine coon adoptions? *
FacebookAdoption FairInternet SearchWord of MouthOther

if other:

AGREEMENT

All of the information I have given is true and complete. This cat will reside in my home as a pet. I will provide it with quality cat food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed veterinarian.

I understand PET Rescue is a referral service and is not responsible for the accuracy of information received about the temperament, habits or physical condition of cats available for adoption.

I understand that it is my responsibility to see and evaluate the cat for myself before agreeing to adopt it. PET Rescue recommends the adopter have the cat examined by a licensed veterinarian within seven days of the adoption date, at adopter's expense, and to immediately return the cat if the veterinarian finds the animal has a terminal or life-threatening health problem, unless the adopter agrees to assume all costs of treatment. PET Rescue makes no guarantees about the health, quality, or condition of the adopted cat or kitten.

I am in full agreement with these terms of adoption. PET Rescue is in no way liable or responsible for any damage, accident, or injury resulting from the placement of a cat into my household.

I verify the information I have provided in this application above is true and correct, PET Rescue members have my permission to contact the people listed above and verify my references.

For more information about adoption, check out our How to Adopt page