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 Name
Last Name
Applicant's Age
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Applicant's address
*
Street Address
Street Address Line 2
City
State
Zip Code
Co-Applicant's Name
First Name
Last Name
Co-Applicant's Age
Co-Applicant Phone Number
Please enter a valid phone number.
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?
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Own
Rent
Live 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.
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.
PET 1
PET 2
PET 3
PET 4
Please tell us why you want this cat (Check every box that applies):
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Companion for me/my family
Companion for my other pet(s)
For emotional support
To distract me/us during Covid-19 restrictions
Gift for someone else
Hunting/mouser
To breed
Other
How long are you willing to commit to this cat's care? (Check every box that applies)
*
As long as it is young
As long as it is healthy
As long as it does hunt
As long as I am single
Until I/we have children
For the cat's whole life
Other
Have you ever had a pet who... (Check every box that applies):
*
was hit by a car
ran away
was lost
was stolen
was poisoned
none of the above
Other
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.
Current or Primary Veterinarian's Address
Street Address
Street Address Line 2
City
State
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.
Former or Secondary Veterinarian's Address
Street Address
Street Address Line 2
City
State
Zip Code
Your new cat's living conditions
Where will your cat live?
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Strictly indoor
Mostly indoor with some outdoor
Indoor/outdoor
Outdoor during the day and inside at night
Strictly outdoor
Do you live in
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an apartment
a duplex
a townhouse
a condo
a single house
a farm
a mobile home
Other
Do you live on/near
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a very busy street
a busy street
a quiet street
a cul de sac
a country road
Other
Will your cat have free roaming inside your home?
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Yes
No
Do you plan to declaw this cat?
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Yes, front feet only
Yes, all four feet
No
Uncertain
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):
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Not getting along with other pets
Shedding
Destructive
Scratches the furniture
Not using the litter box
Housetraining problems
New baby
Pregnancy
Divorce
Marriage
Medical problems
Financial problems
Children lost interest
Allergies
Pet not adjusting
No time
Moving
Found a new ''no pets'' apartment
Training problems
Want to travel
None
Other
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?
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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 water
My pets will be boarded locally
My pets will come with me
Other
What would you do if the pet becomes very ill?
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How far with treatment will you go?
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Almost done...
Is there anything else you would like us to know about your application?
Date
*
-
Month
-
Day
Year
Date
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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.
S U B M I T
Should be Empty: