Cat Adoption Form

Friends of Animals - Cat Adoption Application
This applicaiton must be completed by anyone interested in adopting a cat. We reserve the right to refuse an adoption for any reason. All applicants must be 21 years of age or older and provide a valid form of government issued identification. We want this to be a wonderful experience for your family, but our first responsibilty is to ensure the health, welfare and happiness of the animals in our care.
Name of cat(s) you are interested in:*
Personal Information
Name of Applicant*
Current Address:*
Street Address, Apartment #, City, State and ZIP Code
Home Phone:
Work Phone:
Mobile Phone:
Email Address:*
Occupation:
Employer:
Home Information
Do you own or rent the residence where the cat will live?

OwnRent
If renting, does your lease allow pets?

YesNo
Is a pet deposit required?

YesNo
May we call your landlord or property manager?

YesNo
Landlord or property manager's name:
Landlord or property manager's phone number:
How long have you lived in this address?
How many times have you moved in the past 5 years?
Can we visit your home to see where the cat will be living?

YesNo
History of Animal Ownership
How many previous pets have you had as an adult?
Please describe pet(s) and what happened to each of them:
Has a cat died on your premises in the last 3 months due to Leukemia, Distemper, FIP or an unknown cause?

YesNo
Have you ever had to give up a pet before?

YesNo
Do you currently have any pets?

YesNo
If yes, how many dogs?
If yes, how many cats?
Other? How many?
Are all your cats and dogs spayed or neutered?

YesNo
If no, please explain reason.
Please list all animals currently living at your home or on your property
Animal 1:
Please list name, species, breed and age
Animal 2:
Please list name, species, breed and age
Animal 3:
Please list name, species, breed and age
Animal 4:
Please list name, species, breed and age
Animal 5:
Please list name, species, breed and age
Name of veterinarian or clinic:
May we call them?

YesNo
What is their phone number?
Plans for this cat
Reasons for wanting to adopt this cat. Please check all that apply:

Personal CompanionPet for FamilyPet for ChildBreedingCompanion for other petNot sureGift (Please specify below)Other (Please specify below)
If this cat is a gift, who is it for?
Please give name and age
Other reasons you want to adopt this cat?
Is everyone in the household in favor of adopting this cat?

YesNo
Who will be the primary caregiver for this cat?
Are there children in this home?

YesNo
If yes, please list children's ages:
Are you expecting a child or planning a family?

YesNo
In anyone in your household allergic to cats?

YesNo
Does anyone in your household have asthma?

YesNo
What circumstances do you feel justify giving up a cat? Please check all that apply:

AgressionMarriageDivorceNot using the litter boxClawing furnitureNew babyAllergiesNew roommateLoss of jobSheddingScratching childPersonal medical problemsCat's medical problemsNot getting along with other petsOther (Please specify below)
Please describe other reasons you feel justify giving up a cat if not described above:
Have you ever owned a cat that was declawed or had a cat declawed?

YesNo
Do you feel that declawing is sometimes necessary?

YesNo
Are you planning to declaw your new cat?

YesNo
What percentage will your cat spend inside and outside.
Please choose an option...
What arrangements will you make for your cat when you travel or need to be away from home overnight?

BoardingPet SitterLeave food and waterOther (Please specify below)
If you answered "Other" the question above, please give details.
Are you planning to take your new cat to the veterinarian for full preventative and medical care at least once a year?

YesNo (Give details below)
If you answered "No" to the question above, please give details.
Are you prepared to provide a safe and permanent home for this cat for the next 15-18 years (the average lifespan of a cat)?

YesNo
Personal References
Please list below names and phone numbers of three friends, relatives, co-workers or neighbors. Also list their relationship to you.
Reference #1
Please list name, phone number and relationship.
Reference #2
Please list name, phone number and relationship.
Reference #3
Please list name, phone number and relationship.
I hereby attest that all the information given in this application is true and accurate to the best of my knowledge. A check represents your signature.

YesNo
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Friends of Animals - Cat Adoption Application

Personal Information

Home Information

History of Animal Ownership

Please list all animals currently living at your home or on your property

Plans for this cat

Personal References