OCICAT
RESCUE

ON LINE APPLICATION

Please fill out the application below as completely as possible. Please only submit this form if you are SERIOUSLY interesting in adopting an ocicat.

* denotes a required field.


*Name:     
*Address:
*City:        
*State:       
*Zip-Code
*E-Mail Address: 
*Home Phone (include area code):
Work Phone (include area code):   
How many adults in the home?

Are there any children in the home?  no    Yes
If so, please list the ages; 

Have you owned a cat before? No Yes

If Yes, please provide us with a brief history about that cat(s), Name, sex, reason you no longer have, etc.

 

Do you currently own any pets No Yes

If you answered yes above, please complete the following:

CatName: age sex: Male Female spay/neuter yes no

Cat Name:age: sex: Male Female spay/neuter yes no

Cat Name:age: sex: Male Female spay/neuter yes no

Cat Name: age: sex: Male Female spay/neuter yes no

Dog Name: age: sex: Male Female spay/neuter yes no

Other Pets:

Please explain what happened to all previously owned pets & the circumstances: (i.e. Died from, gave away because, etc)

 

Do you have any preference as to the sex of your new Ocicat? no preference Male Female

Would you consider adopting a mix breed Ocicat? yes no

Do you allow your cats to go outside? yes no

Do you prefer to have your cats declawed? yes no

What age range would you like to adopt: under 6 mo. 6 mo. to 3 yrs. 3-6 yrs. 7 yrs. & up any age

Regarding your residence, do you : own a single home rent a single home own a condo/townhouse rent/lease condo/townhouse

If you rent, do you have a clause in your lease permitting animals? yes no

Do you currently have a veterinarian or is there a veterinarian who you have used in the past? yes no

If yes, please complete the following

Veterinarian Name & Practice Name:

Address:

Phone No. with area code: Length of time you have been going to this veterinarian:

Are your pets current on all vaccinations? yes no

If no, explain:

Please list the name address, phone numbers (including area code) of 3 personal references, other than your veterinarian:

As a part of the adoption process and before placing any cat, you will be asked to sign a contract in which you agree to certain conditions, such as allowing an Ocicat Rescue agent to visit your home prior to and after placement of the cat and surrender back to Ocicat Rescue the cat if you violate the contract or are unable to keep the cat for any reason.

 

Are you willing to sign and be bound by such a contract? yes no