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Adoption Application
ADOPTION APPLICATION for Furry Nation Salvation
Please put N/A if any questions do not apply. Thank you for taking the time to fill out our application. Please be truthful on the application as we will deny any with false information.
Adopter's Name
*
First
Last
How old are you?
*
Please bring your driver's license when you come to adopt your new furry friend
Adopter's phone number
*
Please use your cell number if possible. For faster communication, we may text you.
Email Address
*
What is the name (or group name) of the pet that you would like to adopt?
If unsure, what are you looking for? (Personality, color, breed, sex, age)
If the pet you are interested in is already claimed - Would you be interested in another we may have?
Do you have a preference on location for adoption?
New Smyrna Beach/Port Orange
Cocoa
Doesn't matter
Not sure
Furry Nation Salvation has TWO main locations for adoptions. We always post the location of the animal with any social media posts or ads you may see.
Co- Adopter's Name
*
First
Last
If you are a single adopter please put your name in both sections.
Co-Adopter's phone number
*
If single adopter, please put a secondary phone number (and name) of a family member or close friend.
How old is the co-adopter
*
If single adopter, please put a secondary phone number (and name) of a family member or close friend.
What is your relationship to the Co-adopter?
Husband/Wife
Fiancee
Girlfriend/Boyfriend
Friend
Family member
Mother/Father
Other
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you rent or own?
*
Own
Rent
Live with parents
Lease to own
Staying/renting a room in a home owned by someone else
According to public record, is the house in your name or someone else's?
*
We do verify home ownership through public record
If you rent, what is your landlord’s name
*
Put N/A if you do not rent
If you rent, what is your landlord's PHONE NUMBER
*
Put 000000000 if you do not rent
Have you paid the pet deposit already with your landlord?
*
Yes, the pet deposit is already paid!
No we have NOT paid any deposit
We will pay deposit once we adopt the pet
There is NO FEE for pets where I rent
I own my home- and this does NOT apply to me
Please know-we do verify this information
How long have you lived in your current home?
*
Employment Status
*
Employed
Unemployed
Retired
Stay at home parent
Disabled
Other
Place of Employment
*
if you do not have a place of employment please put your co-adopter's information if available.
What do you do for work?
*
Examples: Wait tables, management role, cashier, receptionist, grounds keeper. If you do not work put N/A
Work Phone Number
How long have you worked here?
*
Current Dwelling
*
House
Townhouse
Duplex
Apartment
Mobile home
Condo
Do you have a Facebook page?
*
Yes
No, I DO NOT have a facebook page
Yes, I do, but my page is deactivated
What is your Facebook name?
Do you have an Instagram page?
*
Yes
No
What is your Instagram name?
When did you decide you wanted to adopt an animal?
*
Are you or anyone in your home allergic to cats?
*
No, there are NO allergies to cats in this home
Yes, we may have someone in this home that is allergic to cats
Unknown if anyone is allergic to cats
Have you ever had a cat/kitten in your ADULT life? (copy)
*
Since moving out on your own?
What are the names of the adults that live in your home?
*
Please list the number of children & ages that are living in your home?
*
Example: 3 children: Daughter 5, Son 6, Son 2
How many pets currently live in your home now?
*
Are all of your animals spayed/neutered?
*
Please list the pet's name, breed and age of your CURRENT pets
*
Example: 3 pets: 1) Henry a Lab-7 years old, 2) Snowball-Tabby cat 4 years, 3) Lana- Guinea Pig 2 years old
What pets have been under your care throughout the last 5 years (Including current and those no longer in your care). Please include pets name, breed, and age, and if you still have him/her.
*
Example: 1) Dog- Randy- 5 years old (current pet) 1) Cat-Rudy-died at 7 due to kidney issue 2) Dog-Bobbie-Died at 2 (car accident) 3) Hampster- FreddyBear- (Current pet)
Do you have a dog or cat door in your home leading to outside?
*
A screened in porch or pool area (with no access to the outdoors) would be considered Inside. Please explain here if needed.
Have you ever had to give your pet away? If yes, please explain.
*
If you currently have a cat where do they live?
*
Inside Only
Outside
Both (inside and outside)
Inside (mostly) with supervised outdoor time
With someone else
I do not have a cat now
A screened in porch or pool area (with no access to the outdoors) would be considered Inside. Please explain here if needed.
Are you looking for a strictly indoor cat or indoor/outdoor?
*
Inside ONLY
Outside
Inside/outside
Depends on the cat
Undecided
Inside (mostly) with supervised outdoor time
Are you planning on Declawing?
*
Yes
No
Undecided
Depends on the cat
Did you know cats have a low thirst drive and giving them SOME CANNED WET FOOD is necessary in their DAILY diet to maintain a long & healthy life? You will avoid many health issues (less vet bills) this way!
*
Yes
No
Had no idea
CAT’S NEED WET FOOD NOW FOR FEWER PROBLEMS LATER- The leading cause of death with cats 5 years and older is Dehydration related illnesses (urinary tract issues, blockages, kidney problems, diabetes) because of their typical dry food only diet. Being on a dry food only diet can lead to an array of health problems and peeing outside of the litter box is one of them. Urinary tract infections are common with cats on a dry food only diet and once they pee in the cat box and get pain- they start peeing other places. Cats are true carnivores and have a LOW-thirst drive (unlike humans and dogs), which is why it is essential for all cats to have SOME canned wet cat food in their DAILY diets. Wet food is CLOSER to their natural diet than dry food as it is high in water/moisture, and animal (meat) based protein. Cats are use to getting their daily water needs from their food and the reason wet food is so important! PROS of wet food: Higher in moisture at 75%, higher in ANIMAL based protein, Less carbs (cats don’t need carbs). CONS of dry food: Low in moisture (10%)- 3 times more carbs than wet food (cats have no need for carbs), More Plant based protein (cats need animal based protein). ************RECOMENDED *********** Think of wet food as your cat’s main source of diet if you can. We recommend one 5.5 oz. can a day per cat (half in morning and other half at night). Or two cans a day of the 3 oz. cans. At the very minimum a half of a 5.5 oz. can given daily is a great start (add 1-2 tablespoons of water to it too). This will help your cat get the needed moisture and protein they need. Leaving out dry food and fresh water is fine (get a cat water fountain too), but please don’t forget their daily wet food. I’ve seen too many of our adopted cats die or develop expensive health problems in their new homes as they were on a dry food only diet. One as young as 2 years old. Ask your vet how important wet food is – they will definitely tell you! Read this for more info: Catinfo.Org or our own blog here: FurryNationSalvation.Org/WetFood
Did you know that keeping your pet's mouth healthy can give your pet a LONGER life span? 70% of cats and 80% of dogs have some form of dental disease by the time they are 3 years old. There are easy NO-brushing ways to help your pet fight dental disease and help him live a longer and happier life!
*
Yes
No
Had no idea
Good oral hygiene can help prevent diseases or secondary infections, such as liver, heart, kidney, and joint disease from bacteria originating in the mouth and spreading through the body by the bloodstream. There are brushing and NO-brushing techniques to help your furry family members. Enzymatic pet toothpaste (beef or poultry) & toothbrush is the best way, but there are oral care gels, dental wipes, and even a liquids you add directly to your pet's water bowl. Dental disease is very painful and pets suffer silently - Please help them fight this disease! My dog and cat fight over the toothpaste (yes they see this time as a special treat), so don't think this task is impossible. If you adopt from us, we will show you how easy it is!
Did you know peeing OUTSIDE the litter box has been linked to a Dry food only diet?
*
Yes
No
Had no idea
Feeding ONLY dry food makes cats prone to urinary issues in both males and females. If a cat has an urinary tract infection, he/she may try to pee in their litter box only to experience discomfort when doing so. This could start the trend of them seeking other locations to pee which would cause them less pain! Cats have a low thirst drive and reason why giving your cat wet food DAILY is so very important as they need the high moisture content in it (78%)! Dry food is very low in moisture (10%). Want to learn more.....read this blog: FurryNationSalvation.org/WetFood
What would cause you to return a pet? Please check ALL that apply.
*
Play biting
Scratching furniture
Climbing curtains
High activity level
Unexpected move
Too vocal
Ear mites
Break-up
Fleas
Special diet
Peeing outside the box
Failure to intergrate with other pets
Excessive meowing/crying
Unexpected medical issue (later in life)
Long term medications (later in life)
Diabetes later in life
None
Current Veterinarian's name (or your last vet if you don't have one currently)
*
If you don't have any pets now, please put your last veterinarian.
Veterinarian's Phone Number (If no current pets, please put your LAST Vet)
*
If you do not have a veterinarian now, please put your LAST vet's phone number
Are you aware that animals can live 20 years or longer depending on the type and breed?
*
Are you aware that an animal shelter can euthanize upwards of 50 pets in a SINGLE DAY? Our local "NO KILL" shelter still euthanzed 349 pets last year. These are not safe places. Please never let the shelter be the last place your pet lives (we take any animal back if it is not working out).
*
Are you willing to allow a representative of FNS to visit your home?
*
Anything else you would like to mention or want us to know to help match you with a furry friend? Feel free to elaborate on anything needed.
*
Name
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