Adoption Contract Form – Gahanna Animal Hospital

To be considered a candidate to adopt, you must meet all the requirements listed below. Please initial next to each statement to confirm that you meet the requirements.

I am prepared to make a commitment to my new cat for the rest of its life. *

My current and/or previous pets have been spayed/neutered and I will have my new cat spayed/neutered if the surgery has not yet been performed. (Note: It is recommended that cats be spayed/neutered at 6 months old) *

My current and/or previous pets have had a consistent vet history of routine visits and have been kept up-to-date on vaccines. I will work with my vet and agree on a regular schedule for wellness visits, inoculations, and any other tests we agree are necessary for the health and well-being of my new cat. *

My previous pets have been indoor only. My new cat will be an indoor only cat and considered an important member of my family. *

I have not surrendered/gotten rid of any pet in the past. If, for any reason, I am unable or unwilling to keep this new cat, I agree to work with Gahanna Animal Hospital to place the cat in a good home. *

I am financially able to provide routine and emergency care for this cat for his/her lifetime. This includes but is not limited to food, boarding (if necessary), regular vet care & vaccinations, internal worm preventative and flea and tick preventative. *

Signature *

Date *

Thank you for your interest in our pets!

Adoption Contract

There is an approximate 48-hour waiting period for adoptions. The 48 hours begins after the potential adopter has visited with the adoptee and submitted a contract in person at the physical establishment of Gahanna Animal Hospital. The adoption fee includes vaccinations already administered, spay or neuter at 6 months of age, 50% off microchipping, and a 10% discount off any adolescent vaccinations not already given.

Spayed/Neutered Cats $60
Unaltered Male Kitten $80
Unaltered Female Kitten $100

Name of pet(s) you are interested in adopting: *

Personal Information:

Name *

Are you 18 years or older? *

Yes
No

If no, you will need a guardian to approve

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Mobile Phone

Work Phone

Email (this is how we will contact you)" *

Most communication will be done via email

How long have you lived at your current address? *

Do you rent or own? *

Rent
Own

Provide landlord's name *

Provide landlord's address *

Provide landlord's phone number *

Do you have permission from your landlord to get a cat? *

Yes
No

Are you aware of a pet deposit and monthly fees (if any) required? *

Yes
No

What is your family’s lifestyle like? *

Do you have children? *

Yes
No

If you have children, please list name(s) and age(s):

Adoption Questionnaire

Why did you decide to get a cat? *

What are you looking for in a pet? *

Who will be responsible for taking care of the cat? *

Where will the cat stay when no one is at home? *

Who will care for your cat when you are out of town (vacation, etc.)? *

Under what condition(s) would you have to give up your cat? *

Current & Previous Pet Information

Please provide the following information about your current pets: All current pets are required to have a history of routine vet visits, be up to date on vaccines, heartworm/flea prevention, and spayed/neutered.

Pet Name

Species & Breed

Age

Up to date on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

If you answered NO to any questions, explain:

Second Pet Name

Species & Breed

Age

Up to date on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

If you answered NO to any questions, explain:

Third Pet Name

Species & Breed

Age

Up to date on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

If you answered NO to any questions, explain:

Fourth Pet Name

Species & Breed

Age

Up to date on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

If you answered NO to any questions, explain:

Information about any previous pets that are no longer with you

Previous pets also required to have a history of routine vet visits, vaccines, heartworm/flea prevention

Pet name

Species & Breed

Age

Kept current on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

Reason pet is no longer with you

Second Pet Name

Species & Breed

Age

Kept current on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

Reason pet is no longer with you

Third Pet Name

Species & Breed

Age

Kept current on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

Reason pet is no longer with you

Fourth Pet Name

Species & Breed

Age

Kept current on vaccines?

Yes
No

Spayed or Neutered?

Yes
No

Reason pet is no longer with you

Previous Practice Name *

Current Practice Name *

Current Practice Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

What name is on your account with current practice? *

Adoption Contract

Looking to adopt a cat?

Please fill out this form as completely as possible. If you have questions please email [email protected] Thank you!

Adoption Contract

Personal Information:

Adoption Questionnaire

Current & Previous Pet Information

Information about any previous pets that are no longer with you