Adoption Application

Cat Adoption Application
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

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

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Occupation:*
E-mail*
Are you able to afford the adoption fee of $150 for one cat, $250 for 2, or $300 for 3? *

YesNo
Which cat(s) are you interested in?*
Young kittens do best in pairs, would you be wiling to consider adopting two kittens together?*

YesNo
Please explain*
How did you hear about us?
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If no, does your lease allow pets?
Type of Dwelling:*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?
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?*

YesNo
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
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?*

YesNoMaybe
Are your current cats declawed?*

YesNoN/A
Are any members of your household allergic to animals?*

YesNo
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, of each pet still living with you. (if not, why?)
If you currently own a dog or cat, have they lived with cats before? How do they get along?
Have you ever lost or given away a pet?*

YesNo
If yes, please explain.
Are your present pets up-to-date on their annual vaccines?*

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

YesNoN/A
If no, please explain.
Do you understand that you will be responsible for your new kitten's required medical care, including, but not limited to, spay/neuter (if not done prior to adoption), vaccines, any testing?*

YesNo
Do you agree to have your new cat(s) spayed/neutered, at your own expense, by 5 months of age. (Within 3 mos for 8 week old kitten.)*

YesNoN/A (kitten is already spayed/neutered)I would like help arranging spay/neuter
How much are you financially prepared to spend on a new pet per week? *
How much would you expect to spend on vet expenses annually ?*
Do you currently own any of the following?*

Pet CarrierLitter BoxCat toysFood and Water dishesCat bedPet gateOther
What plans do you have for your new pet when you are on vacation?*
Who is your current or most recent veterinarian? *
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 ProfessionalUse a bookPersonal KnowledgeOther
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 locationTry a different litterClean box more oftenHave cat examined by vetUse a cat doorReturn CatNoneOther
If other, please explain:
Is there any cat behavior that is unacceptable to you?*
Were you ever in a situation where you were not able to keep a pet? If so, please explain.*
Is your entire immediate family/housemates in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Are you willing to send us wellness updates/ photos of your pet?*

YesNo
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
If yes, please describe:
How will you introduce your cat to current members of the household? *
Does your home have any of the following?

Unscreened windowsPet DoorBalconyPatioBackyardNone of the above
In what areas of your home will your cat be allowed?*
Where will your cat spend most of his/her time?*
If you selected outdoor, would your cat be supervised?

YesNo
Have you ever adopted or tried to adopt a pet before? If yes, fill out info below.*

YesNo
Rescue Information

Name of RescueContact Name
Rescue's Phone Number

Area CodePhone Number
If for some reason you can not keep your cat, do you agree to return it to us?*

YesNo
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals.
Reference #1*
First and Last Name & Relationship to Self
Reference # 1 Phone Number*

Area CodePhone Number
Reference #2
First and Last Name & Relationship to Self
Reference #2 Phone Number

Area CodePhone Number
If there is anything else you think we should know, please note it here.
I certify that all above information is true and accurate. I understand if I adopt a pet, this online form will become part of the adoption record.
Signature*

Clear
Date*

MonthDayYear
Date
Thank you so much for wanting to rescue a cat!!
Should be Empty:

Cat Adoption Application

Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals.

I certify that all above information is true and accurate. I understand if I adopt a pet, this online form will become part of the adoption record.

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