Adoption Application for Cats

CAT ADOPTION APPLICATION

This is NOT an adoption contract!
To adopt a DOG, copy and paste this link:

https://form.jotform.com/230546381070147 or https://tinyurl.com/54uy4ddb
Which CAT are you interested in adopting?*
Why are you interested in this particular cat? Please specify.*
Applicant Information
Applicant's Name*

First NameLast Name
How would you prefer to be addressed in a conversation?*
Examples: Mr. Smith / Mrs. Smith / Ms. Smith - John / Joan - Johnny / Joanie - Dr. Smith - Reverend etc...
Applicant's Age*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Applicant's address*

Street Address

Street Address Line 2

CityState

Zip Code
Co-Applicant's Name

First NameLast Name
Co-Applicant's Age
Co-Applicant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Co-Applicant Email
example@example.com
Ages of all other adults and children at your home:*
Are all other people living in the home in agreement with getting a pet? If not, please explain. *
May we visit your home prior to application approval?*
Do you own or rent?*

OwnRentLive with parents in their home
If renting please provide your landlord's name and phone number.
Pet Information

PETS YOU CURRENTLY OWN - Indicate: Pet name, age, sex, species, if the pet is spayed or neutered and where you obtained this pet.

Rows
PET 1
PET 2
PET 3
PET 4

PETS you have owned IN THE PAST 10 YEARS, starting with the most recent ones. Indicate: Pet name, age, sex, species, if the pet was spayed or neutered where you obtained this pet, what happened to the pet. If deceased, state age & cause of death.

Rows
PET 1
PET 2
PET 3
PET 4

Please tell us why you want this cat (Check every box that applies):*

Companion for me/my familyCompanion for my other pet(s)For emotional supportTo distract me/us during Covid-19 restrictionsGift for someone elseHunting/mouserTo breedOther
How long are you willing to commit to this cat's care? (Check every box that applies)*

As long as it is youngAs long as it is healthyAs long as it does huntAs long as I am singleUntil I/we have childrenFor the cat's whole lifeOther
Have you ever had a pet who... (Check every box that applies):*

was hit by a carran awaywas lostwas stolenwas poisonednone of the aboveOther
Veterinarian Information
Current or Primary Veterinarian' s Name*
PLEASE CALL YOUR VET(S) AND GIVE CONSENT TO RELEASE MEDICAL INFORMATION POSTED ON YOUR FILE.
Current or Primary Veterinarian' s Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Current or Primary Veterinarian's Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Former or Secondary Veterinarian's Name
PLEASE CALL YOUR VET(S) AND GIVE CONSENT TO RELEASE MEDICAL INFORMATION POSTED ON YOUR FILE.
Former or Secondary Veterinarian's Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Former or Secondary Veterinarian's Address

Street Address

Street Address Line 2

CityState

Zip Code
Your new cat's living conditions
Where will your cat live?*

Strictly indoorMostly indoor with some outdoorIndoor/outdoorOutdoor during the day and inside at nightStrictly outdoor
Do you live in*

an apartmenta duplexa townhousea condoa single housea farma mobile homeOther
Do you live on/near*

a very busy streeta busy streeta quiet streeta cul de saca country roadOther
Will your cat have free roaming inside your home?*

YesNo
Do you plan to declaw this cat?*

Yes, front feet onlyYes, all four feetNoUncertain
Have you ever sold, given away or surrendered a pet to the shelter? If yes, please specify why.*
How much do you expect to spend on regular health maintenance for your cat in a year? NOT including food*
Do you know how to deal with potential problems, like your cats clawing on furniture, on carpet and drapes, digging in potted plants, etc.?*
What behavior or circumstances would cause you to give up your pet? (Check every box that applies):*

Not getting along with other petsSheddingDestructiveScratches the furnitureNot using the litter boxHousetraining problemsNew babyPregnancyDivorceMarriageMedical problemsFinancial problemsChildren lost interestAllergiesPet not adjustingNo timeMovingFound a new ''no pets'' apartmentTraining problemsWant to travelNoneOther
If and when you move, what will you do with your cat?*
What will you do with the cat if you can no longer keep him/her?*
What plans will you make for the cat during your vacation?*
Who will be the cat's primary caretaker?*
Who will take care of the cat if something happens to his/her caretaker?*
In case you have to evacuate because of a natural disaster, where will your pet(s) stay?*

My pets will stay home with food and waterMy pets will be boarded locallyMy pets will come with meOther
What would you do if the pet becomes very ill?*
How far with treatment will you go?*
Almost done...
Is there anything else you would like us to know about your application?
Date*

MonthDayYear
Date
*

I/We assert that the information I(we) provided is complete, true and accurate to the best of my/our knowledge.
*

I/We understand that completion and submission of this application does not guarantee adoption of a cat.
*

I/We hereby give permission to contact my/our Veterinarian(s) for release of my/our pets' medical information, and Landlord, if applicable.
Should be Empty:

CAT ADOPTION APPLICATION

To adopt a DOG, copy and paste this link:

Applicant Information

Pet Information

Veterinarian Information

Your new cat's living conditions

Almost done...