Bingo's Foundation Ltd. Adoption Application

Name
Address
City/State/Zip
Home phone
Cell Phone
E-Mail Address

Employer
Occupation
Work Address
Work Phone

Reason for Adoption
Do you have any other pets?YesNo
If yes, list them:
Previous cats?YesNo
When?
If no longer a cat owner, please explain why?

Do you own or rent your home? OwnRent
If rent, please give your landlord's name and phone number
Does your lease allow a pet? YesNo
How many people in your home?
List ages of any children living in your home or who visit frequently
Any household member(s) allergic to cats? YesNo

Name of veterinarian
Vet Address
Vet phone #
Name/Pet's name on account at vet's office

Please give two personal/work references to contact

Are you applying for a specific cat/kitten?YesNo
If yes, give name or description
If no, what are your preferences?
Male Female
CatKitten
Long hairShort hair
Color?

Will you keep your cat/kitten indoors? YesNo
Will you spay/neuter your cat/kitten? YesNo
Are you interested in adopting more than one? YesNo

Do you agree that if you are unable to keep your adopted cat/kitten that you will
contact us immediately and return the cat/kitten to us, so we may place the cat/kitten
in another home? YesNo

All vets bills incurred after the adoption are the responsibility of the adopter.
We require an adoption donation of $50.00 per cat/$100.00 per kitten.
We reserve the right to decline any applicaiton for any reason without notification.
Potential adopters will be contacted as soon as possible.
We reserve the right to do a home visit upon adoption.

Anything else you want to tell us?

Name of person completing application
Today's Date