Adoption Application Form

Francis of Assisi Society for Animals Inc. is a non- profit cat rescue corporation and the undersigned. *Adopter agrees to the following terms and conditions:

The adopter agrees to keep the cat/kitten indoors, provide fresh food, water, clean litter box, love and attention daily.
Adopter agrees to have the cat/kitten examined yearly by a veterinarian, to seek prompt veterinary care in case of illness or injury and keep vaccinations current.
Declawing in prohibited for any reason.
Adopter agrees to notify Francis Assisi if at any time they can no longer keep the adopted animal, and return the pet to us and not re-homed.
Francis of Assisi Society can follow up on the well-being of the adopted pet.
Potential adopter gives permission to contact listed reference(s )

Adopter First name

Adopter Last name

Date

Month

Day

Year

Signature

Signature field is empty.

Street Address

Town, State & Zip Code

Phone

Do you have any pets (now or in the past)? Please provide their names and details:

Do you own or rent your home?

Own

Rent

If you rent please provide name and contact information for your landlord

Is there smoking in the home?

Yes

Veterinarian Reference (name, phone number and/or email) if not available please provide personal or professional reference. Inform the contact we will be calling.

You can also download, fill out, and email the completed adoption form to francisofassisivt@gmail.com.