Adoption Application

This form will help us learn more about you and your family and whether one of our cats would be a good match for your household. (If the cat you wish to adopt will not live in your household, this application should be completed by an adult in the home in which the cat would reside.

Thank you for understanding that these questions are designed to help us provide permanent, loving homes for our cats and kittens.
Personal Information
Date:
Full Name:
Spouse/Roommate/Partner Name:
Street Address:
City, State, Zip Code:
Date of Birth:
Home Phone Number:
Cell Phone Number:
Email Address:
Employer Name:
Position or Title:
How did you hear about Great Lakes Bengal Rescue?

Online Article

Web Search Engine

From my veterinarian

From the Bengal Rescue Network

From a breeder

From a friend

Other

Current veterinary contact information. This is required if you already have pets.
Office name:
Vetr's name:
Vet's street address:
Vet city, state, zip:
Vet phone number:
Customer name on file with vet so records can be verified:
Your Household
Number of adults in home:
Number of children in home:
Ages of children in home:
Does anyone in home have allergies to pets?
Does everyone in the home support the idea of getting a new cat?
Do you live in a:

House

Condo

Apartment

Mobile Home

Other
Do you:

Own

Rent
If you rent, provide name and contact information for your landlord so we can verify that pets are allowed in your rental unit:
How many hours per day do you spend at home?
Current and Former Pets
Is this your first kitten or cat?
List the names, ages, types and breeds of pets you have now (cats, dogs, birds, etc.)
Have you had any other pets in the last two years who are not with you now?
Have you ever adopted a pet before?
Have you ever given a pet away to an organization or individual?
Your New Cat
The ASPCA estimates the annual cost of cat ownership at $675 per cat. Emergency visits to the vet can easily cost $1,000. Can you comfortably handle these expenses?
If your new cat has behavior problems, are you willing to contact Great Lakes Bengal Rescue (GLBR) and seek advice to resolve them?
May a GLBR volunteer call or visit your home to check on your new cat’s progress?
What will you do if your new cat does not get along with the pets you have now?
Under what circumstances would find a new home for your cat?
If you begin a relationship with someone who doesn’t like your cat, what will you do?
Are you going to declaw your new cat?
Will your new cat be indoor, outdoor or both?
What will you do if your cat develops an expensive medical problem (one that costs more than $2,000 to resolve)?
Bengal questions
What Web sites have you visited to learn about the Bengal breed?
What wild cat is the Bengal derived from?
What patterns does the Bengal come in?
What do you like most about Bengals?
Please explain why you would like to adopt a cat from us:
By checking these boxes and signing my name and providing my birthdate below, I agree to the following statements:
I have read the Bengal characteristics fact sheet
I understand that most cats in the Great Lakes Bengal Rescue (GLBR) system are from unknown backgrounds and may have medical problems GLBR is not aware of.
I understand that GLBR does not offer any cash refunds after a cat is adopted, but it may take the cat back if an emergency develops and I can no longer provide a home for the cat.
I understand that GLBR reserves the right to refuse to adopt to any applicant that it does not feel is the right match for one of its cats.
I agree to relinquish this cat to GLBR if the cat is found to be abused or neglected.
I give GLBR permission to contact my veterinarian about my current pets and my landlord about my rental agreement (if applicable).
I certify that I have answered all of the above questions truthfully.
Name:
Date of Birth: