Adoption Application
Name
First Name
Middle Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Do you have any adoption applications pending with other organizations?
Are you interested in a certain cat/kitten? If so, please list name/s.
What is the most important trait you are looking for in a cat?
What is your time frame for adoption?
Date of birth:
Occupation:
Employer:
Are there other adults over the age of 18 at your residence? If so, please list their full names and ages below.
Number of children in household? Ages?
Which describes your home environment?
Library
Grand central station
Something in between
Where will the cat spend it's time? Where will s/he sleep? What area's will be off limits?
Have you personally had a cat before?
Yes
No
As a child/family pet
Why are you interested in adopting a cat?
Who will be the cat's primary care taker?
Do you:?
Rent
Own home
Live with parents
Live with friends
Other
You live in a:?
Single family home
Condo
Apartment
Townhouse
Other
Landlord's name and number:?
If you're not the leaseholder, please provide their name and number.
How many times have you moved in the last 5 years?
Are cats allowed where you live?
Are you willing to allow a representative to do a home check before and after adoption?
Yes
No
Other
Other animals in your care:? List names, ages, breeds and time in your care.
Have all of your pets been spayed/neutered?
Yes
No
Some of them
Other
Are all of your animals current on vaccines?
Please tell us about the animals in your past. How long you had them, how long they lived, what became of them.
Current Veterinarian: list name of practice, address and phone number.
Names of pets this vet has seen:
Previous veterinarian name and contact info:
Names of pets this vet has seen:
Please provide two personal references not living in your home (name, relationship and phone number).
How will you respond if the cat scratches your carpet or furniture?
How do you feel about declawing?
How will you respond if your cat fails to use the litter box and how will you handle that?
How often do you think your new cat will have to go to the vet?
Are you willing and financially able to provide annual checkups, vaccines and any medical care necessary?
How often and what will you feed your cat?
How much do you anticipate a cat costing per year? Including food, litter, vet care, emergency vet care.
Do you have a way of covering vet expenses, especially in an emergency?
Please describe your neighborhood:
Will you let the cat outside?
Yes
Not at all
Supervised
Yes, with collar/tags
On a leash/harness only
Other
How long are you willing to allow the new cat to adjust to your home?
If your cat was lost, What would you do to find her/him?
How will you introduce your new cat to your current animals? What will you do if they do not get along?
Please select any reason that you have given up a pet in the past or would consider giving up a pet:
Allergies
Aggression
Had a baby
Medical reasons
Destructive behavior
Litter box issues
Financial reasons
Other
Have you or any member of your family ever been convicted of animal cruelty or abuse? If yes, list full names.
How did you find us?
If you ever had to give up your adopted cat, how would you proceed with that?
Here's where you get to say whatever you would like:
Electronic signature:
Submit
Should be Empty: