All about you!

Please note that we strongly encourage you to fill out this application on a computer - NOT A MOBILE DEVICE! Some of your answers may be cut off or excluded when a mobile device is used, and we may not be able to effectively screen your application.

Thank you for applying for a cat from Camp Cocker Rescue! Your application is the foundation of your adoption process, so please take your time in answering as your answers will help us to assess a potential match.

- The Primary Adopter should be the person filling out and submitting this application - with your own email address & phone number. A friend or relative should not fill it out for you! We need to hear directly from you, to best get to know you!

- If there is a Co-Adopter, please supply their own email address & phone number as well. It is important for us to be able to reach both adopters directly.

Our cat adoption donation fee is NOT FREE. Adopters looking for a free animal can find one at many municipal animal shelters. The adoption donation is $175, this donation does not even come close to covering our costs of rescuing, vetting, and preparing a cat for adoption - often including significant medical expenses.

Thank you SO much for your support of animal rescue!

I am prepared to make a reasonable adoption donation in the spirit of supporting the rescue expenses of this cat

I am not comfortable with making an adoption donation and will adopt elsewhere

What time frame do you have in mind for adoption? *

I am ready right now!

I am not ready right now but will be after this date: I am not ready right now but will be after this date:

You have read the adoption process section and you understand that you will need to travel to Southern California in order to adopt. *

I currently live in Southern California and long distance travel won't be necessary

I plan to travel to Southern CA by car

I plan to travel to Southern CA by air and have researched what airlines will allow me to fly home with a cat

I do not live in Southern CA and I am unwilling to travel to Southern California (in this case, we cannot adopt to you, but you can find many nice cats to adopt in your own region on Petfinder, Adoptapet or 24PetConnect) I do not live in Southern CA and I am unwilling to travel to Southern California (in this case, we cannot adopt to you, but you can find many nice cats to adopt in your own region on Petfinder, Adoptapet or 24PetConnect)

First name of primary adopter *

Last name of primary adopter *

Residence street address & unit number if applicable *

City *

State *

Zip code *

CELL phone number *

HOME phone number

Email address *

Re-enter email address to confirm it is correct (this is how we will contact you initially) *

Age of primary adopter *

Occupation / provide specific occupation if self-employed *

How many hours a week do you work? *

Name of your employer *

Employer phone number *

All about your co-adopter!

First name of co-adopter *

Last name of co-adopter *

Age of co-adopter *

Relationship of co-adopter to primary adopter *

Does the co-adopter reside at the same address? If they live elsewhere, please list their address. *

CELL phone of co-adopter *

Email address of co-adopter *

Re-enter email address to confirm it is correct (this is how we will contact you initially) *

Occupation of co-adopter / provide specific occupation if self-employed *

How many hours a week does co-adopter work? *

Name of co-adopter's employer *

Employer phone number *

All about the other residents in the home!

Names of other residents in the home - including children. Enter "none" if there are no other residents in the home. * Please include age, relationship, occupation & place of employment (as applies) for each household member listed *

	Name (or "none")	Age	Relationship	Occupation (or student?)	Place of employment
1.	Name (or "none")	Age	Relationship	Occupation (or student?)	Place of employment
2.	Name (or "none")	Age	Relationship	Occupation (or student?)	Place of employment
3.	Name (or "none")	Age	Relationship	Occupation (or student?)	Place of employment
4.	Name (or "none")	Age	Relationship	Occupation (or student?)	Place of employment
5.	Name (or "none")	Age	Relationship	Occupation (or student?)	Place of employment
6.	Name (or "none")	Age	Relationship	Occupation (or student?)	Place of employment

Is EVERY adult in the home 100% enthusiastic about adopting a cat? (we will need to meet everyone in the home at the time of the home safety check to be sure all want to bring a new cat into the home) *

Is anyone in the home allergic to animals? If so, have you discussed an allergy plan with your doctor? Is someone in the home going to be taking allergy medication or getting allergy shots in order to share a home with a cat? *

If the adults in the home ever decide to live separately, who would be committed to keeping the cat for life? (please think honestly about who is going to be the person committed to the cat should this ever happen) *

About children!

Are you planning to have children (or more children) at some point? *

Are there children that visit your home, or will your adopted cat be interacting with children outside of the home? *

The ages of children that your cat will be expected to interact with *

All about your home environment!

Who owns the home *

Landlord (copy of lease and verbal permission required from landlord)

You are the owner (property tax bill required to show proof of ownership)

You do not own but you live with the owner (if so, the owner must be a co-adopter)

You do not own but the owner is a relative (if so, written permission required)

Landlord's name, address and phone number (if applies) *

Type of home *

If you should have to move in the future, what steps would you be willing to take to find a cat-friendly place to live? *

Do you have a friend or family member who can help you care for your cat should you ever have an unexpected physical or financial challenge in being able to provide for your dog? *

What type of outdoor access will your cat be having? Please explain in as much detail as possible. *

How many litter boxes do you plan to provide in your home and where will they be located? *

How frequently do you plan to clean the litter box out? (both scooping and complete changing of the litter) *

Do you have a pet door? If so, where does it lead to? *

Do you have screens on your windows? If not, would you be willing to install screens? *

Please specifically describe any house plants or flowers in your home. (many plants/flowers are poisonous to cats) Are you willing to get rid of any plants that might be dangerous for your adopted cat? *

Please describe any patio or balcony or deck that your cat will have access to. Include how the patio or balcony or deck is enclosed (block wall? wrought iron fencing? etc.). *

Please describe all entrances/exits to your residence and what cat proofing measures are in place to keep a cat from accidentally slipping out. *

All about your expectations of a new cat!

Please describe the traits you are looking for in a cat. *

Please check or list the following behaviors that you would not tolerate (however they are not deal breakers and you would be open to working on these issues): *

getting on counters or tables

potty accidents if outside of the litter box

none

other other

If you checked any of the above behaviors that you will not tolerate, please explain how you would handle each situation if it were to arise.

All about what a cat can expect from you and your home!

Are there any other pets in the home? If so, please be specific about gender, breed, age, and personality. *

Are the other pets spayed/neutered? If not, please explain. *

If there are other cats in the home, are they indoor cats or indoor/outdoor cats? *

Do you understand that if there are other pets in the home, there may be an adjustment period where you might have to supervise everyone until the new cat can settle into the family? *

How many hours a day will the cat be alone without any people in the home? (on weekdays? on weekends?) *

Where will the cat sleep at night? *

Who will care for your cat when you go out of town? or if you have an unexpected medical emergency yourself and need someone to cat sit? *

All about the health & beauty routine!

How often do you plan to brush your cat? *

Do you have experience trimming a cat's claws? *

What specific food do you plan to feed your new cat? What specific food do you currently feed your other cat (s) or have you fed past cats? *

All about the medical!

Cats that are kept at a healthy weight and fed high quality food ingredients, can commonly live to be sixteen or longer. At what age would you consider your cat to be too old to pursue medical treatment? *

Having a pet of any age is a significant financial commitment as medical issues can come up at any time. How prepared are you to handle future medical issues? *

I am prepared for any future medical

I am only prepared for minor medical

I am not prepared for future medical

If your cat were to accumulate significant medical expenses, what is your best estimate of your monetary limit before considering euthanasia? (We're looking for a $ amount here. Please don't enter "N/A" since your intended answer may not be clear to us.) *

If there is an unplanned major medical expense: *

I am prepared financially and medical decisions will not be based on finances

I am not prepared, however I will ask friends/family for help

I am willing to consider euthanasia, due to finances

Other Other

All about what is important to you!

Tell us why you want to adopt a cat! C'mon, here's your chance to expound in as much detail as you want! We love to learn more about why our adopters are looking to adopt! *

Please tell us about your past pets that didn't quite work out and why. For example, cats you gave away, cats that escaped, or cats you lost in a break up. This will help us to understand what types of cats might not be a good match for your home. *

Please list ALL animals (current -and- previous) that you've personally owned & have been responsible for over the past 10 YEARS - beginning with animals currently living in your household. (Childhood pets would not be included)

** PLEASE ANSWER EVERY QUESTION for EACH PET LISTED HERE, being sure to include:

- What happened to your previous pet if your previous pet has passed, please provide specific cause of death, rather than "died of old age." Also be sure to include when (what year) it happened.

- VET INFO - each pet's veterinary care, inlucing any specialists

	Name (or "none")	Breed	Age	How long have you owned, or did you own?	What happened to this pet & when (year).	Name of vet(s) current & previous, including any specialists
Pet #1	Name (or "none")	Breed	Age	How long have you owned, or did you own?	What happened to this pet & when (year).	Name of vet(s) current & previous, including any specialists
Pet #2	Name (or "none")	Breed	Age	How long have you owned, or did you own?	What happened to this pet & when (year).	Name of vet(s) current & previous, including any specialists
Pet #3	Name (or "none")	Breed	Age	How long have you owned, or did you own?	What happened to this pet & when (year).	Name of vet(s) current & previous, including any specialists
Pet #4	Name (or "none")	Breed	Age	How long have you owned, or did you own?	What happened to this pet & when (year).	Name of vet(s) current & previous, including any specialists
Pet #5	Name (or "none")	Breed	Age	How long have you owned, or did you own?	What happened to this pet & when (year).	Name of vet(s) current & previous, including any specialists
Pet #6	Name (or "none")	Breed	Age	How long have you owned, or did you own?	What happened to this pet & when (year).	Name of vet(s) current & previous, including any specialists

If any unforeseen future circumstances arise that would limit your ability to take care of your cat, who in your network of family or friends would be prepared to help? *

For what reason would you ever consider giving up your pet? (if this should ever come up, your cat should be returned to Camp Cocker so that we can rehome with our thorough screening process) *

Do you agree to allow post adoption visits at mutually agreeable times? *

I agree - come visit my Camp Cocker kitty cat at anytime!

I disagree and would prefer Camp Cocker not stay in touch with me

And finally . . .

Before any adoption can take place, a home safety check must be done with all members of the household present. *

I understand and all members of our household are ready for Camp Cocker's home safety visit!

Not all of the members of the household wish to be involved in the adoption

I disagree to a home safety visit

Please list references of current (and previous) veterinarians: name, address, phone number. (Be sure to call your vets to give them advanced notice that you are applying to adopt a cat from Camp Cocker and that we check references.) *

Specialty care can be an important component of veterinary care. Please provide the names, and specialties, of any specialists who've provided care for your current or past pets. *

Do you have a veterinarian in mind who will provide care for your new cat? *

Please list at least one groomer reference with name, address, phone number *

Camp Cocker vets all of the animals that we rescue, however because we are rescuing these animals from shelters, there is no known medical history on them. We recommend that within a week of adoption, you take your new cat in to see your own vet and get a general check up so you and your vet have a baseline from where to begin. *

I agree to see our own vet within a week of adoption

I disagree, and wish to only see the vet if we notice anything medical that comes up

Camp Cocker Rescue is a nonprofit organization (tax id #20-8687566). We hope you understand that you are not purchasing a cat from us, but that this is an adoption, and that you are making an adoption donation to support our rescue group as a whole. Each animal that we rescue represents considerable expense - almost always significantly more than will be covered by adoption donations, and we rely heavily on fund raising to make up the difference. The adoption donation for a cat is not free, however we do ask potential adopters to make a donation that they are comfortable with and that is in the spirit of supporting our rescue group as a whole.

Before leaving with a cat, every adopter must sign an adoption agreement and make the adoption donation.

There will be a two week trial period where if for any reason the adopted cat is not going to work out, we will refund your full donation and void the adoption agreement.

Please find out if your employer has a matching donation program too, that is amazing when an adopter can get their donation matched!

If you would also like to consider being a monthly donor of our rescue, in any amount, you can directly help us rescue more animals! Signing up is easy at www.campcocker.com/donate!

I agree that before I can leave with a cat, that I will be making an adoption donation, and signing an adoption agreement.

I do not agree to making a donation at the time of adoption

At any time, for the life of your adopted Camp Cocker cat, you can return the cat to us. We specifically request that you do not ever give your cat away if you can't keep him/her or if your life circumstances should change. We really want to be a lifeline for your cat for the rest of his/her life. *

I agree to not ever give my cat away and to return it to Camp Cocker should I not be able to keep

I disagree and would like to be able to give the cat away if I ever want to

How did you hear about Camp Cocker Rescue? We love to know where our animals are being noticed! *

This application has been filled out and is being submitted by: (please enter name below) *

Thank you so much for your patience and time in filling out this lengthy adoption application. We put a lot of effort into trying to match adopters to a cat that is compatible with their lifestyle and needs. As a result, we have a significantly lower return rate than most other rescue groups.

It may take us longer to find a cat the exactly right home, but in the long run, it saves the cat getting moved around from home to home and it also saves our adopters the frustration of getting a pet that may not meet their expectations. We hope that you will appreciate how much time and effort we put into the rehoming process of each and every animal.

Thank you so much for your support animal rescue!