ccCats
Adoption Application
Cat(s) name of interest
Why do you want to adopt this cat(s)?
Name
First, Last
Address
City
State
Zip Code
Country
Phone Number
Please enter a valid phone number.
Email
Are you over the age of 21?
Yes
No
Name of spouse/partner/roomate(s)
Is everyone in the home in favor of this adoption?
Yes
No
Number and ages of children LIVING in the home
Number and ages of children VISITING the home
Would you allow us to conduct a home visit?
Yes
No
Do you live in a house, apartment, or other?
Do you rent or own your own home?
If you rent, are there any restrictions on pets?
If you rent, please include the name, address and telephone number of your landlord.
How long will your cat be left alone on average each day?
Where will your cat be while you are at home?
Where will your cat be while you are not home?
Where will your cat be while you are out of town?
Please list any cats you own and their age.
Please list the breed(s) and age of any dogs you own.
Have you ever willingly or unwillingly surrendered an animal to someone else's care? Please explain.
Are your pets up to date on all vaccines?
Yes
No
No other pets
Are your pets spayed/neutered?
Yes
No
No other pets
Are your pets up to date on flea/tick preventatives?
Yes
No
No other pets
Are you financially prepared to care for this pet(s) even in the case of emergency medical issues?
Yes
No
Please indicate the name, address and telephone number of your current or most recent vet.
Do you agree to keep this animal up to date on vaccines and flea/tick preventatives?
Yes
No
Do you plan to declaw your adopted cat(s)?
Yes
No
Do you agree to follow-up calls?
Yes
No
If you have owned other pets in the past, list type of pet and the reason you no longer own this pet. If the pet is deceased, please state briefly the cause of death.
Under what circumstances would you "re-home" your adopted cat(s)?
Please explain any concerns you may have. Any questions or supplemental information for us to consider in your application is also welcome here.
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