7/17/2019 Cauzican Adoption Application and Agreement 12-22-14 Fillable Form (1) (1)

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Must Spay/Neuter By ___/___/_____

*To be filled in at time of adoption

Cauzican Care Rescue Cat Adoption Application and Agreement

Applicant Name:

Driver's License #:

Address:

Home Phone:

Work Phone:

E-mail:

Rent/Own: Landlord Name: Phone:

Veterinarian: Phone:

Regarding the following cat:

 Name: Age: ________ Color: Sex: Altered _____

List other pets that live in the household

(species/breed/age):___________________________________________________________

 ___________________________________________________________________________

The adopter agrees:

1. The adopted cat is to live in a private residence as a companion animal.

2. To provide the cat with sufficient quantities of nutritious food and fresh water each day.

3. To pay all medical expenses for this cat.

4. Never to harm the cat.

5. Not to declaw the cat.

6. To provide veterinary care upon sickness, disease, or injury.

7. To spay or neuter the cat by six months of age. If the cat is not altered prior to adoption, proof of surgery must be

emailed to the original caregiver (foster mom or Cauzican Care representative) within 30 days of the procedure or 

emailed to cherylm5573@gmail.com.

8. It the cat must be relinquished for any reason by the adopter, please notify Cauzican Care at the email address in

item 7.

I understand that failure to perform the foregoing will constitute a breach of contract. In the event of any such breach of

contract, I authorize Cauzican Care to reclaim possession of the adopted cat.

Waiver and Disclaimer

 In adopting this cat/kitten, I understand and agree that this is a shelter cat so we cannot promise that your new cat/kitten

is healthy. We strongly recommend that you take your new cat or kitten to your own vet for an exam before exposing

 your cat to other pets in your household. A quarantine period is also highly recommended. We are not responsible for

 any vet costs that you incur following adoption.

Signature: __________________________________________ Date: ________________

Cauzican Care Representative Name: _______________________________________________________

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