First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Work Phone x
Cell Phone
Drivers license number
Are You a Monroe County, Ohio Veteran?
Who all lives in the home? Please provide name, age and gender of everyone. *
Does anyone in your home have allergies?* Choose one: Yes No
Interested pet
Why do you want this pet?*
What other pets reside in the home? (How many? What kind?)*
Have you had pets in the last 10 years? WE DO NOT ADOPT WITHOUT A PRIOR VET REFERENCE.* Choose one: Yes No
If these pets are no longer with you, please tell us why.
Do you own or rent your residence?* Choose one: Own Rent
How long have you lived there?* Choose one: Less than 1 year 1 year 2 years 3 years 4 years 5 -10 years 10+ years
Please provide name and phone number of landowner/landlord if applicable.
If you rent, do you have permission from the landowner/landloard to have a pet?* Choose one: Yes No Not applicable
Who is your current veterinarian? Please provide name and phone number. (We do vet checks) Also date of last visit. Most adoptions require that you have a vet reference. WE DO NOT ADOPT ANIMALS WITHOUT A PRIOR VET REFERENCE.*
Please list the names and contact information for 2 references.*
Where would this pet spend most of its time?*
How many hours a day would this pet be left alone?*
Who will be the primary caretaker?*
How many hours a day would you spend with this pet?*
What kind of responsibility do you feel pet guardianship involves?*
If you must give up your pet, what would you do?*
One application per pet.
You must be 18 years of age to fill out this application These pets that are up for adoption have been traumatized and/or abused and we try our very best to place them in loving forever homes so as not to add to the pet's bad experience. We are an all-volunteer organization and sometimes it takes time to review applications. Please be patient. If you don't hear from us in a timely manner, please contact us.
ADOPTION CONTRACT: I agree to care for this cat as a companion animal and ensure its physical and emotional well-being by providing regular exercise, enrichment, and a safe, loving environment. I commit to maintaining the cat’s health through annual veterinary check-ups, vaccinations, deworming, and any additional care required to sustain its health and quality of life.
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I agree to surrender this cat to Crossed Paws Animal Shelter if CPAS determines that doing so is in the best interest of the cat’s health and welfare. I agree not to sell, trade, rehome, or otherwise transfer ownership of this cat. If I am unable or unwilling to continue caring for the cat for any reason, I will return it directly to Crossed Paws Animal Shelter.
I understand that Crossed Paws Animal Shelter cannot guarantee the temperament, health, trainability, or personality of this cat. I acknowledge that CPAS makes no warranties, either expressed or implied, regarding the cat’s behavior, health, or suitability for any specific purpose.
I acknowledge that Crossed Paws Animal Shelter is a non-profit organization and agree to release it from any and all responsibilities or liabilities related to the adoption, care, or behavior of this cat.
The current adoption fee for this cat is $50.00, as the cat has received all vaccinations, including rabies, and has been spayed or neutered. I understand that I am entitled to a full refund if the cat is returned in safe and healthy condition within 72 hours of this agreement. No refund will be issued after 72 hours or if the cat shows signs of abuse or neglect.
If you are adopting a kitten, please review and mark the applicable statement:
___ The current adoption fee for this kitten is $50.00, as the kitten has received all vaccinations, including rabies, and has been spayed or neutered. I understand that I am entitled to a full refund if the kitten is returned in safe and healthy condition within 72 hours of this agreement. No refund will be issued after 72 hours or if the kitten shows signs of abuse or neglect.
___ This kitten is too young to be spayed or neutered. As the adopting owner, I accept full responsibility for ensuring the kitten is spayed or neutered by six months of age. I will provide CPAS with the scheduled date for the procedure, allowing CPAS to confirm compliance with this agreement. CPAS will provide a $25.00 voucher to assist with the cost of spaying or neutering.
Crossed Paws Animal Shelter reserves the right to deny any adoption application for any reason deemed fit, without explanation.
I certify that the information I have provided is true and correct. I understand that falsification of information will result in the denial of this adoption application.
By signing this agreement, I acknowledge that I have read and understood all terms and conditions. I am prepared to offer this pet a loving home for its lifespan and accept full responsibility as the primary owner.
Please type your name as your signature and date. *
