Adoption Application
Thank you for your interest in adopting from Cat Action Team! Please complete this form to the best of your ability and note required fields.
Personal Information
Applicant Name
*
Prefix
First Name
Last Name
Applicant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Phone Number
*
Please enter a valid phone number.
Applicant Phone Number (Secondary)
Please enter a valid phone number.
Applicant Email
*
example@example.com
Applicant: What is your occupation? (If unemployed or retired, please indicate here.)
*
Applicant: Who is your employer, and how many years have you been with them? (If self-employed, unemployed, or retired, please indicate here.)
*
Cat / Kitten Adoption Survey
Name(s) of cat(s) you are interested in adopting (if applicable):
What type of cat are you interested in? (Select all that apply.)
*
Adult
Kitten
Male
Female
Short hair
Long hair
What additional traits are you interested in?
Examples: Personality type, coat color, etc.
For whom are you adopting the cat?
*
Self
Another (gift)
Have you ever owned a cat before?
*
Yes
No
Why do you want to adopt a cat?
*
How many people currently reside in your household?
*
Are there any children that live in the household?
*
Yes
No
Please list the child(ren)'s age(s):
*
Does any member of the household have any allergies to cats?
*
Yes
No
Not sure
Who will be responsible for the cat's care?
*
What is your residence?
*
Please Select
Apartment
House
Condo
Townhouse
Mobile Home
Farm
Do you own or rent your residence?
*
Own
Rent
Please provide landlord's name and phone number:
*
May we contact your landlord as part of our background check?
*
Yes
No
Are pets allowed in your residence?
*
Yes
No
Not sure
Where will the cat be kept?
*
Indoors only
Outdoors only
Both indoors and outdoors
Will the cat... (select all that apply):
*
be attended?
be unattended?
wear a collar and tags?
be microchipped?
How far from a public road is your residence located?
*
What is the volume of traffic around your residence?
*
Light
Moderate
Heavy
When no one is home, where will the cat be kept?
*
If you move, what will you do with the cat?
*
Do you have a plan in the event you can no longer care for the cat?
*
Yes
No
Please explain your plan:
*
It is estimated that a single cat can cost about $400-600 per year in food, litter, and basic medical care such as annual checkups and vaccinations. This does not include any medical emergencies that may arise. Are you financially willing and able to incur these necessary costs?
*
Yes
No
Are you planning to declaw the cat?
*
Yes
No
Not sure
Describe the pets that are currently living in your home by filling in the table below. If you currently do not have pets, leave the table blank.
Where are your current pets kept in your home?
*
Are all of your pets current on their vaccinations?
*
Yes
No
Please explain:
*
Please provide the name and phone number of your current veterinarian and the duration you have used them:
*
May we contact your veterinarian as part of our background check?
*
Yes
No
If you have had pets in the past, please describe your past ownership experience here:
*
What precautions will you take to introduce a new cat into your home?
*
What will you do if your new cat does not get along with your current pets?
*
If a disciplinary or behavior problem arises with a new cat, what steps will you take to work on it?
*
Are you willing to sign Cat Action Team's legal adoption forms and contract?
*
Yes
No
Do you agree to permit a visit to your residence by appointment?
*
Yes
No
Are you willing and able to pay the current adoption fee of $125 per cat (1 year or older), or $150 per kitten (less than 1 year)?
*
Yes
No
By signing this application, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in being refused adoption privileges. If my/our request for adoption is approved but it is later discovered that the above information is not true or correct, Cat Action Team reserves the right to remove the adopted cat from my/our home/property.
*
Please digitally sign your name using the field above.
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