Home Sweet Home Animal Rescue of long Island, Inc

273 W alt W hitm an Road, #343, H untington Station, N Y 11746

(631) 495-5787

On_________________I received from

__________________________________,
thru Home Sweet Home Animal Rescue of Long Island, Inc.
a female/male _________________________________________of age
__________

I, the undersigned, agree to adoption the described cat/kitten under the following terms:

I agree the cat will be kept INDOORS ONLY and no exceptions be brought outside unless
in a carrier.

I agree to provide veterinary treatment when necessary and provide ANNUAL CHECK-UPS and
Vaccines when required.

I agree to provide safe, sanitary living conditions and FEED QUALITY FOOD and fresh water daily.

I agree that adopting a cat is a commitment for the life of the cat, which may be up to 20 years. I further agree that I
have made provisions for my cat in the event I become disabled or die. I will include a copy of this contract and these
provisions with my personal papers (wills, etc).

I agree NOT to sell or give this cat to another person, company, organization, medical research family, animal dealer,
shelter or pound. I assume full ownership for the life of the cat.

I agree to notify Mary @ 631-495-5787 of any new address I the event I move and any change of phone number.

I agree to notify ________________________________________________ with ample time in the event I must give up the cat.
Home Sweet Home Animal Rescue will help to rehome the cat together with efforts of my own, and, only if room is
available in any of their adoption centers, will they take them back directly into their adoption program. At no time
are any cats adopted thru their program to be dropped off at any of their adoption centers. In the event that I must
give up the cat and have a friend/relative willing to take ownership, this information should be given to
_____________________as well. It is the hope of Home Sweet Home that these cats are not put in any unfavorable
situations.

I agree not to have this cat euthanized unless it has a terminal, debilitation condition. I will consult with
________________________________before this decision is made unless the cat is suffering.
I agree NOT to expose this cat/kitten to any other that has not been tested for Feline Leukemia/Aids, or that has been
tested positive for Leukemia/Aids.

I agree that I will NOT DECLAW the cat, and that doing so will be a violation of contract.

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ADOPTION AGREEMENT FOR _____________________ DATE: ____________________

H om e Sw eet H om e A nim al R escue - or any rescue group working under their support may check up on the
adoptive home by phone or personal visit. Should we learn the cat is not being cared for as promised or that any terms of the
adoption agreement are violated, the adoption will be terminated in accordance with Article 26 of the NYC Agricultural and
Market Laws. The decision is final.

The adoption donation is $____________ and these donations are not refundable.
I AGREE TO ASSUME ALL RISK AND RESPONSIBITY AS TO HEALTH, DISPOSITION, BEHAVIOR OR CONDUCT OF
THIS CAT AND AGREE TO NEVER MAKE ANY CLAIMS AGAINST HOME SWEET HOME ANIMAL RESCUE OF
LONG ISLAND, OR ANY GROUP REPRESENTING THEM IN THIS ADOPTION OR ANY OF ITS REPRESENTATIVES
BECAUSE OF SAID CAT OR ANY INJURY IT MAY CAUSE OR DO OR ANY FUTURE MEDICAL EVENTS THAT MAY
ARISE.

SIGNATURE: ______________________________DATE:_________________________
ADOPTERS NAME:_________________________________HOME PHONE:____________________________
ADDRESS:_____________________________________________________________________________________
CELL PHONE:_______________________________________ EMAIL ADDRESS:__________________________
CATS NAME:____________________________AGE:___________SEX:______COLOR:______________________

MEDICAL CARE INFORMATION

SPAY/NEUTER - ___________________
FLV/FIV TEST - ___________________

____________________

FVRCP VAC 1 - ___________________

FVRCP VAC 2- ___________________
(booster shot for cats/kittens under 1 year should be given approximately 4 weeks after the initial vaccine)
RABIES - ____________________ (mandatory under NYS Law)
OTHER -

____________________

WORMING:

Medication: _________________/ Dates: _____________________ _______________________

FLEA PREVENTION: Medication: _______________________/ Dates: ___________________________