TLC Cat/Kitten Adoption Form

Full Name*

First NameLast Name
E-mail*
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If not, what is your landlord's policy on 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?
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
If other, please explain:
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:
Over the past 5 years, how many pets have you owned? (Include current pets)*
Please list breed, age, if they're still living with you? (if not, why?)
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.
Can/Will you provide your cat with monthly flea/tick prevention?*

YesNo
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(s) of cat food do you plan on feeding your new cat?*
Are you prepared to commit to a pet for 15 - 20 years (average life span), and have sufficient financial ability to pay necessary veterinarian bills?*

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

YesNo
If there is anything else you think we should know, please note it here.
If the kitten or cat is not already fixed, will you have him/her fixed within two months of receiving him/her?

Should be Empty: