APPLICATION FOR CAT ADOPTION "*" indicates required fields Thank you for adopting. Since 2020 we have had an overwhelming number of applications. We have a $15 application fee which helps to cover our administrative expenses of processing. We do ask what pet you are interested in; BUT please note we cannot guarantee that pet will still be available once you are approved. Once approved your application is good for one year and you will have a meet and greet with pets we do have available at that time. We will do our very best to match you with a pet. Please feel free to call us or email us for the status of your application if you do not hear back within 48-72 hours. 603-635-4495 or applications@darbster.com. Application fee-CatTotal Payment Method*Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Applicant Name:* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How did you hear about us? Home PhoneCell PhoneEmail* Enter Email Confirm Email Date of Birth* MM slash DD slash YYYY Employer: Occupation: What type of pet are you interested in? Dog Cat Age of pet interested in? Puppy/Kitten <12 Months Adult 1-6 Years old Senior 7+ Name of pet you are interested in: Personality type: Other Preferences: How many people currently reside in your household?Please enter a number from 1 to 50.Any children in the household?None12345678910For Whom are you adopting the pet Self Gift Does any member of of the family have allergies to animals?YesNoIf yes, explain: Who will be responsible for the pet's care? How many hours (per day) will the animal be left unattended?Please enter a number less than or equal to 12.Where do you live?ApartmentCondoFarmMobile HomeTownhouseHouseDo you own or rent your residence?OwnRentIf you rent, what is name of landlord and phone number? If you own, we require proof of home ownership, which can be a tax bill or proof of purchase. Please upload below.Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.A tax bill or proof of purchase. If your attachment is too big, please email it to dk@darbster.netAre pets allowed?YesNoNot SureWhere will the pet be kept?Indoors onlyOutdoors onlyBoth in/outIf outdoors will pet be?attendedunattendedcollar and tags?Will anyone be home during the day?YesNoHow many hours will the pet be left unattended?Please enter a number from 0 to 24.When no one is home, where will the pet be kept? Do you have a fenced yard?YesNoOf adopting a cat, do you plan to declaw? Yes No Not Sure If you move, what will you do with the pet? How far from the road/traffic is you home/farm located? What is the volume of traffic?LightModerateHeavyHave you ever had a pet before?YesNoDescribe the pets you still care for or that you have had in the last 5 years.NameBreedAgeNeutered?Kept whereTime in your care Add RemoveIf the animal is no longer in your care, please explain: Are your pets current on their vaccinations?YesNoPlease provide name of your veterinarian: Veterinarian Phone number:Personal References:NamePhone NumberYears known Add RemoveAre you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary? (Pets can live upwards of 15 years.)YesNoWhat precautions would you take to properly introduce a new pet into your home if you have other animals (a dog, bird, rabbit, cat, etc.)? What will you do if your new pet does not get along with your present pets? Have you ever adopted an animal from a rescue/animal control agency?YesNoWhy do you want to adopt a pet? Are you familiar with your local animal control laws?YesNoAre you willing to sign legal pet adoption papers?YesNoDo you agree to permit a visit to your home/farm by appointment?YesNoUnder which circumstances would you give your pet away or surrender to a shelter? If not listed, please indicate under ''Other''.Not Obedient EnoughIllness in familyPet became illMovingNew BabyShedding too muchBarkingChewingToo energeticDoesn’t get along with other dogsDivorceGot a new petAllergiesHousetraining problemBit SomeoneKids ignore petPets not getting alongGot too oldDoesn’t like all peopleWould not give pet away at allPets on furnitureOther Have you ever surrendered a pet to a shelter? Yes No If yes, why? By submitting this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Darbster Foundation refusing adoption privileges to me/us. If my/our request for adoption is approved and later Darbster Foundation discovers the above information is not true or correct, Darbster Foundation reserves the right to remove the adopted cat from my home. If you have exhausted all reasonable efforts to keep your pet, Darbster Foundation accepts the return of any animal adopted from our facility. Adoption returns must be scheduled in advance and are accepted by appointment only. Guardians who wish to return their adopted animal should call 603-856-9233 or email dk@darbster.com to schedule an appointment. Note- there will be an intake fee of $100 if returned after 14 days from the original adoption date.SignatureDate MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.