Please enable JavaScript in your browser to complete this form.Cat PreferenceName *FirstLastAddress *Phone NumberBirth Date *Email *ResidenceHouseDuplexApartmentCondoMobile HomeOccupancy *I ownI rent*I live with parent/guardian*If you rent, what is the name & number of landlord/condo manager?Other Residents & Ages of Children (if applicable) Does anyone in your home have allergies?Yes*NoIf yes, who and what type of allergy?Who is this pet for? *MyselfMy FamilyRelativeFriendCat will be kept *IndoorsOutdoorsBoth Indoors & Outdoors (explain below)Explain Indoors & Outdoors:Have you ever had a companion animal before? *YesNoList current & past pets here:Please list current and past pets you have own in the past ten years, indicating breed, gender, spayed, neutered, pet’s age, if you still have them and if not why not?Do you need information or assistance with proper introduction techniques? (Every cat is different and will respond differently to new environments and new family members, which requires proper introduction methods in order to ensure a happy & healthy transition) *Yes, I would like informationNo, I am already familiar with introduction techniquesVeterinarian Name *FirstLastVet Clinic Name *Vet Phone NumberVet EmailWill you declaw the cat you would like to adopt? *NoYesFront Paws OnlyAs your new cat transitions to your routine, it may take a month (or more) to adjust. Are you willing to devote time to the transition process and work with your newly adopted cat? *YesNoPlease don’t adopt a kitty and expect them to immediately fit into your home without the proper introduction protocol. Some cats may transition fine with little to no issues, others may take a few weeks to months to “come out of their shell” – please give them time to settle in. 30 days is absolute minimum for transition work for many cases. Please don’t adopt then bring them back after a week because they didn’t fit in. *MUST READ* I acknowledge that I have read and fully understand the contract presented below and by entering my full name and pressing, "Submit," I represent and warrant that I am the individual identified and I understand and agree to be bound by the legal contract set forth below. *I AgreeTo meet a pet, a potential adopter should fill out the adoption application, meet the pet and have a compatibility interview. We give preference to adopters in the immediate area of Pittsburgh. We do not use a first-come, first-serve process and we decide who is going to be the best match for each pet. The process is intended to ensure a best-fit, long-term successful adoption for both the family and pet. * If you rent, provide a copy of your lease and addendum allowing pets to KQCR * By signing this adoption application, you agree to provide vaccinations, health check-ups and any additional veterinary care, by a qualified veterinarian, on a yearly basis. * Your adoption fee is a donation to KQCR and is nonrefundable. * When adopting a cat or kitten, you must bring a secure cat carrier along when picking up your new pet. By signing this form, I/we acknowledge that the information on this form is true and correct. I/we agree to all provisions indicated on this form. I/we understand that any misrepresentation of fact may result in Kitty Queen Cat Rescue, Inc. refusing adoption privileges to me/us. If my/our request for adoption is approved and later Kitty Queen Cat Rescue, Inc. discovers the above information is not true or correct, this application becomes null and void. Because of my breach of contract, Kitty Queen Cat Rescue, Inc. reserves the right to remove the adopted pet from my home, and I will be held responsible for any associated legal costs incurred as part of said reclamation process. In order to ensure the best homes for our rescued pets, we reserve the right to deny any adoption application. NameSubmit