Kneady Kitty Rescue Application

Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
How long at this address?: *
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Name of Employer:
Up until what time of night can we contact you via phone? *
E-mail *
Are you able to afford the adoption fee? *

Yes No
How were you referred to Kneady Kitty Rescue? *
Are you 25 years of age or older? *

Yes No
Birth Date *

Month Day Year
Do you own your own home? *

Yes No
If no, name and phone # of landlord:
Type of Dwelling: *
Name and age of ALL occupants in household (including yourself): *
If no children, do you plan on having children or will children be visiting the household frequently? *

Yes No
What is your reason for wanting to adopt a cat? *

Housepet Mouse Patrol Companion Companion for pet Gift Other
If other, please explain:
How many total hours will your new pet be left alone during the day? *
If adopting a kitten, where would the kitten be kept when alone?
Are you planning on declawing your new cat or kitten? *

Yes No Maybe
Are your current cats declawed? *

Yes No N/A
Are any members of your household allergic to animals? *

Yes No
If yes, please describe:
Who will have chief responsibility for the care of your new pet? *
Over the past 5 years, how many pets have you owned? (Include current pets) *
List each individually including breed, age, still living with you?
Have you and your spouse (if applicable) ever owned a cat together? *

Yes No N/A
If yes, when?
Have you ever lost or given away a pet? *

Yes No
If you currently own a dog or cat, how does he/she react to new cats?
Are your present pets up-to-date on their annual vaccines? *

Yes No N/A
If no, please explain:
Are your present pets spayed or neutered? *

Yes No N/A
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc? *
What plans do you have for your new pet when you are on vacation? *
Which cat(s) on our website are you interested in or what are you looking for? *
Age of cat you would consider adopting: (check all that apply) *

Young Adult Special Needs Senior Kitten
Can/Will you provide your cat with monthly flea/tick prevention? *

Yes No
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER. *
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior? *

Contact a Professional Use a book Personal Knowledge Other
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)? *

Move box to new location Try a different litter Clean box more often Have cat examined by vet Use a cat door Return Cat None Other
If other, please explain:
What brand of cat food do you plan on feeding your new cat? *
Is your entire immediate family in agreement with the decision to bring a new pet into your home? *

Yes No
If anyone is NOT, please explain:
Who would ensure your furry family does not end up in a shelter and/or returned to Kneady Kitty Rescue if you were pass away unexpectable?
Are you prepared to commit to a pet for 15 - 20 years (average life span)? *

Yes No
Are you willing to allow Kneady Kitty to make a home visit if requested? *

Yes No
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care? *

Yes No
If yes, please describe:
Where will your cat spend most of his/her time? *
If you selected outdoor, would your cat be supervised?

Yes No
If outdoors was selected, please describe the area.
Where will your cat eat? *
Where will your cat sleep? *
Do you have a plan in place in the event that you passed away? To ensure that they would be returned to the rescue, a family/friend would take on responsibility so they would not end up at a shelter?

Yes No
Please provide a friend or relative that we can contact in case we were contacted about your kitty and could not get a hold of you.
Contact Name *
Contact Phone Number *

Area Code Phone Number
If there is anything else you think we should know, please note it here.
Please remember, we are all volunteers and it may take approximately a day for us to get back to you.
Once we have received your application, you will receive an email confirmation within 24 hours.
Thank you so much for wanting to adopt a rescue cat!
Date

Month Day Year
Date
Should be Empty:

Please provide a friend or relative that we can contact in case we were contacted about your kitty and could not get a hold of you.

Please remember, we are all volunteers and it may take approximately a day for us to get back to you.

Once we have received your application, you will receive an email confirmation within 24 hours.

Thank you so much for wanting to adopt a rescue cat!