Adoption Application

This application must be filled out completely. Leaving fields blank will delay the approval process and may result in the denial of your application.

Please note that we only adopt within the state of Michigan, and within a reasonable distance of Grand Rapids

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

State *

Apartment Number (if applicable)

Zip Code *

Phone Number *

Email Address *

Alternate Phone Number

Date of Birth (must be 21 to adopt) *

How did you find out about us? *

If Staff/Volunteer, Family/Friend, Veterinarian please include their name, if Other please explain:

If you have met our cats and/or know which cat(s) you are interested in adopting, please include their name(s).

Please indicate whether you have met our cats, seen them online, or learned about them somewhere else

Is this pet for you or someone else? *

Are there other pets living in the home at the current time? (Even if they are owned by someone else) *

If yes, please list their names, breeds, and ages. Please include all pets who live in the home, even if they belong to someone else.

If any of the pets listed are not owned by you, please include the first and last name of the pet's owner

Are all pets in the home spayed/neutered/fixed? *

How many pets have you owned in the last 10 years? *

Where are they now? *

Are all pets in the home current on their vaccinations? *

Have you ever rehomed a pet (given/sold a pet to someone else, returned to a shelter or rescue)? *

If yes, please explain? *

Veterinarian's Name (include Veterinarian information for all pets currently in the home, even if they belong to someone else) If you do not have pets currently, include the vet you used for any past pets, and the one you plan to use for your new pet. *

Veterinarian's Address, City, State, and Zip Code *

Veterinarian's Phone Number *

If you have pets, will they adjust to a new pet in the house? *

Please check the main reason you plan to adopt a pet: *

If you answered "other" above, please explain here:

Please describe in detail the pet you are looking for (personality, adult or kitten, any other specifics you are looking for in a pet). *

Do you own or rent your home? *

Please select your current residence type. *

If you rent, or the home is owned by someone else, list name and phone number of landlord or owner of the house:

How long have you lived at this address? *

If you rent, does your landlord and lease allow pets? *

Including yourself, how many people live in your household? *

Please list the ages & relationship of those who live in your home. *

Is everyone in your household aware that you are planning to adopt a pet? *

Does anyone in your household have allergies to cats *

Employment Status *

If you chose "other" above, please explain:

If you are employed, what is your current occupation? *

On average, how many hours per day will your pet be left alone? *

How much do you think the annual medical bills will be for your pet? *

What would you do if the bills went over this amount? *

Will this pet be kept inside, outside, or both? *

Please provide a description of this pet's living conditions. Provide as much detail about your home as possible. *

Does your home have a dog door with access to the outside?

Have you been educated on the practice of declaw? *

Do you plan on having your cat declawed? *

Please explain your declaw preference *

How will you handle scratching of furniture, if applicable?: *

Will you keep the animal up-to-date on vaccinations and flea preventative? *

If no, please explain: *

Do you have a plan for your pets if you are no longer able to care for them? Please explain in detail. (We may require name and phone of person who will care for your pets). *

What will you do with the animal when you go on vacation? *

If you answered "other" above, please explain: *

For what reason(s) would you consider returning/giving up the animal? *

What would you do with your animal if you had to move? *

If you answered "other" above, please explain: *

Please include 2 references we may contact if needed (name and phone number required): *

Are you willing to take responsibility for this animal for the next 10-20 years? *

If no, please explain: *

Will you allow us to perform home checks? *

If you answered "no" above, please explain *

I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *

I understand having my application to adopt approved is preliminary approval contingent on all members of the household meeting the adoption team and the cat(s). In addition, I understand that all decisions regarding this app, whether approved or denied, are final. *

I understand the cat I am requesting may not remain available, and that Second Chance Cats of West Michigan reserves the right to determine whether the cat is a good fit for my family pending me meeting the cat and the adoption team. *