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Ready to Start? Fill Out The Animal Adoption Form below.

The first step towards adopting your new pet is to fill out our Adoptions Form below! You must live in MA, NH or CT to adopt with us at this time. We are a 100% volunteer-run organization and ask for your understanding as we may take more than a couple days to process your applications. You can find the details on what to expect after you fill out your application and our complete animal adoptions process here.

Also, due to the Covid 19 Pandemic, applications for animal adoptions have increased drastically. Our amazing adoption coordinators are processing your applications as quickly as possible. We thank you for your patience. You can find more information on how the pandemic has affected the adoption process here.

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1Adoption Application Form - Cats

2About the pet

3References

4Authorization

• I live in MA, NH or CT

Safe With Us is only able to adopt to residents of MA, NH and CT. I am a resident of one of these states.

Primary Applicant information

Contact information for the primary applicant

Applicant Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Co-applicant?

• Yes, I have a co-applicant

Co-applicant information

Contact information for the co-applicant

Co-Applicant Name *

First

Last

Email

Phone *

Address

• Same as primary applicant

Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Primary applicant information

Back to the primary applicant

Over 18? *

• Yes
• No

Home type *

• Single family
• Duplex
• Apartment/Condo
• Mobile Home

Do you: *

• Own
• Rent
• Live with a Parent or Guardian

Landlords / Condo Association / Home Owners Name *

First

Last

Landlords / Condo Association / Home Owners Phone *

Name of each adult who lives in the home *

Please include the applicant and co-applicant name

Do you have children in the home? *

• Yes
• No

Under 18's

What ages are the children?

Does anyone in the house have allergies to animals? *

• Yes
• No

List the allergies

Next

I understand that Safe With Us does not allow the adoption of pets to be placed with anyone but the applicant/co-applicant (i.e. friend or relative). *

• I agree

Do you have a specific cat(s) in mind?

• Yes
• No

Check our website for the current adoptable pets.

Which cat(s) do you have in mind? *

Please note, we may may have multiple applications for individual pets!

If the cat(s) are no longer available ... *

• Yes
• No

If the cat(s) you are interested in are no longer available for adoption, would you like us to continue to process your application for pre-approval in the event that another cat interests you?

Are you interested in adopting a ... *

• Kitten (under 1 year)
• Adult (1 to 9 years old)
• Senior (10+ years old)
• No preference

Gender preference *

• Male
• Female
• No preference

Do you have a gender preference?

Appearance preference *

• Short haired
• Medium haired
• Long haired
• No preference

Color or breed preference?

Please describe any color, breed or similar preferences

Personality / temperament preference?

Please describe any temperament or personality preferences

List your current pets and breeds *

Please include name, animal (cat/dog), breed

Current pet temperaments and "fixed' status *

Please list each pet and describe their temperament, and if they are fixed or not (spayed/neutered).

Have you ever surrendered an animal to a shelter?

• Yes
• No

If yes, why?

Have you ever had a pet euthanized?

• Yes
• No

If yes, why?

What is your experience with cats?

• First time cat owner
• Grew up with cats
• Have one or more cats now
• Have had cats with special needs

Do any of your current cats go outdoors? *

• Yes
• No

Will the new cat be allowed outdoors? *

• Indoor only
• Outdoor only
• Both indoors and outdoors

Will the cat be declawed? *

• Yes
• No

How will you handle destructive behaviors? *

What behavior will you not tolerate? *

Are there any reasons you would consider returning/giving up your cat? *

Are you prepared to give the cat time to adjust to it's new environment? *

• Yes
• No

This can take several weeks

When you adopt your new cat, what is your plan for acclimation and introductions? *

How will you handle a major life change? *

Major life changes such as changes in work or work schedules, divorce, changes in living situation etc happen. What will happen to your cat?

PreviousNext

Veterinarian contact information

Current, or prior veterinarian contact details. If this is your first pet, please use N/A.

Practice Name *

Pets name *

Name of pets (as they appear on vet records)

Owners Name *

First

Last

Name of owner of pets, per vets records

Practice Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email

Personal reference #1

At least one reference must be a non family member

Name *

First

Last

Phone *

Email

Relationship length and type

How long have they known you, and in what capacity?

Personal reference #2

At least one reference must be a non family member

Name *

First

Last

Phone *

Email

Relationship length and type

How long have they known you, and in what capacity?

Personal reference #3

At least one reference must be a non family member

Name *

First

Last

Phone *

Email

Relationship length and type

How long have they known you, and in what capacity?

PreviousNext

I agree to allow a home visit prior to adoption *

• I agree

Is there anything else you would like to let us know?

How did you hear about Safe With Us Animal Rescue?

• Petfinder
• Adopt-A-Pet
• Friends/Family
• Social Media
• Other

Adoption Application Agreement

I, the undersigned, understand that this is a basic application for adoption of a pet under the care of Safe With Us Animal Rescue. I understand that an application must be processed, which includes but is not limited to, reference and vet checks, and a home visit. I understand that an adoption of a pet requires full completion of the process and that filling an application out does not guarantee me the pet that I am interested in. Likewise, filling out an application does not mean that I have to adopt the pet that I am interested in.

Applicant Name *

First

Last

Co-Applicant Name

First

Last

Date *

Phone

Submit

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