Second Chance Cat Adoption Application
Our mission is to carefully match every animal with the best home for its needs and to ensure a long lifetime of safety, love, and companionship. There are many applications that are declined for a variety of reasons based on Second Chance's many years of experience with cat and dog adoptions. This does NOT mean that any volunteer of Second Chance is making a judgement about an applicant's ability to provide a good home for a cat or dog.
Second Chance typically limits the adoption of cats to within 60 miles of Raleigh, North Carolina.   Adoptions must be completed in person and we do not provide transportation for out of state adoptions.
*Indicates questions which require an answer
*Date:		_______________________________________________
*Best way to contact you?		_______________________________________________
What cat are you interested in?		_______________________________________________
What age cat are you looking to adopt?		_______________________________________________
Why do you want to adopt at this time?		_______________________________________________
When did you decide to get a new cat?		_______________________________________________
What qualities are you looking for in a cat?
Other qualities desired?		_______________________________________________
*What is the intended purpose of this cat?
*What kind of lifestyle do you want your cat to live?
What is your reason for this choice?		_______________________________________________
Do you have any of the following:
How would you describe your home environment?
I want a cat that seeks attention:
My cat needs to be able to be left alone:
How do you feel about a cat that gets into everything?
It is most important to me that my cat:		_______________________________________________
Who is your current veterinarian?		_______________________________________________
Vet's phone number :		_______________________________________________
May we contact your veterinarian as a reference?		_______________________________________________
Who will be primarily responsible for the care of the cat and what is their age (if under 21)?		_______________________________________________
Please list all of the pets currently living in your household.
Name and Species -		_______________________________________________
Spayed or Neutered -		_______________________________________________
Location kept - Indoor/Outdoor/Both :		_______________________________________________
Declawed?		_______________________________________________
Current Age:		_______________________________________________
Name and Species -		_______________________________________________
Spayed or Neutered -		_______________________________________________
Location kept - Indoor/Outdoor/Both :		_______________________________________________
Declawed?		_______________________________________________
Age:		_______________________________________________
Name and Species -		_______________________________________________
Spayed or Neutered -		_______________________________________________
Location kept - Indoor/Outdoor/Both :		_______________________________________________
Declawed?		_______________________________________________
Age:		_______________________________________________
Please list all previously owned pets.
Name and Species -		_______________________________________________
Spayed or Neutered -		_______________________________________________
Location kept - Indoor/Outdoor/Both :		_______________________________________________
Declawed?		_______________________________________________
What happened to them and their age?		_______________________________________________
Name and Species -		_______________________________________________
Spayed or Neutered -		_______________________________________________
Location kept - Indoor/Outdoor/Both :		_______________________________________________
Declawed?		_______________________________________________
What happened to them and their age?		_______________________________________________
Household Members Information (including roommates or frequent vistors)
Are there any children under age 18 in your household?		_______________________________________________
If yes, please list their ages & genders:		_______________________________________________
Are any members of your household allergic to cats?
Do all family members agree with getting a new cat?
Housing Information
*Do you own or rent your residence?		_______________________________________________
If You Rent :
Does the owner permit the number of cats you will have?		_______________________________________________
Have you paid any applicable pet deposits?		_______________________________________________
What is the name of the property owner/agent :		_______________________________________________
Contact name and telephone number :		_______________________________________________
May we contact the owner and/or its agent?		_______________________________________________
Are there any of the following situations where you might give away your cat?
Moving to another state Having a baby Scratches the furniture Too Expensive Getting a divorce or married Found a new "no pet" apartment Fleas or sheds too much Finished school/moving back home Children will no longer care for it Other None                                               :		_______________________________________________
Are you prepared for the financial responsibility ($500+ per year)?
Are you willing to provide your cat with an annual wellness visit to a veterinarian?
Cats can often live 15 to 20 years. Are you prepared to make a lifetime commitment to this cat?
Would you have any objections if a 2nd Chance volunteer wanted to make a follow up visit to your home after the adoption?		_______________________________________________
Have you ever applied to adopt a pet from 2nd Chance before?		_______________________________________________
If yes, what happened with the application? Adopted, Didn't find the right pet, Declined Please explain  :		_______________________________________________
Have you ever applied to adopt from any other private pet adoption organization?		_______________________________________________
If yes, which one and what happened with the application? Adopted, Didn't find the right pet, Declined :		_______________________________________________
How did you find out about 2nd Chance?
Brochure Posters Candy Boxes TV Radio Second Chance Website Petfinder Website Pets911 Website Other Website Newspaper Article Pet Connections in the N&O N & O Ad Independent Ad Friend/Referral Volunteer Vet Event PetSmart in Cary PetSmart at Brier Creek Other  :		_______________________________________________
ADOPTION PROCEDURES: At the adoption appointment, the medical background of the cat will be reviewed with you. It is important to bring a cat carrier to transport your new cat. If you do not have a cat carrier, the cat will not be discharged to you at that time. We request that you pay the adoption fee by check. If you need to pay the adoption fee in cash, the discharge volunteer will ask you for a form of picture identification. Your cooperation in this matter will be greatly appreciated. The applicant understands that any false, incomplete or misleading statements on this application is grounds for denial of the application and/or the immediate return of the cat to 2nd Chance. You will also be asked to review and sign an Adoption Contract at the time of discharge.
By hitting the save button below your application will be sent to an adoption counselor for review.  This button does NOT save the application to your computer.  Thank you!