Adoption Form

Feral Cat AwarenessTeam

feralcatawarenessteam@gmail.com
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
Cell Phone Number
Work Phone Number
Up until what time of night can we contact you via phone?*
Name and Address of Employer:
E-mail*
example@example.com
Are you able to afford the adoption fee of $75?*

YesNo
How were you referred to Feral Cat Awareness Team?*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
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?*

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, still living with you? (if not, why?)
Have you and your spouse (if applicable) ever owned a cat together?*

YesNoN/A
If yes, when?
Have you ever lost or given away a pet?*

YesNo
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?*

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

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/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?*
Age of cat you would consider adopting: (check all that apply)*

KittenYoungAdultSpecial NeedsSenior
Can/Will you provide your cat with monthly flea/tick prevention?*

YesNo
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 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:
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?*

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

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:
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
Where will your cat spend most of his/her time?*
If you selected outdoor, would your cat be supervised?

YesNo
Where will your cat eat?*
Where will your cat sleep?*
If there is anything else you think we should know, please note it here.
Thank you so much for wanting to rescue a cat!!
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Feral Cat AwarenessTeam

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