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Adoptable Cats & Kittens
Cat’s name you are applying for:
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Lil Kitty (F)
Jasper (M)
Zeke (M)
Milo (M)
Dash (M)
Additional cat you are applying for (if adopting a pair):
Lil Kitty (F)
Jasper (M)
Zeke (M)
Milo (M)
Dash (M)
Applicant Name
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Age
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Co Applicant
Age
Address
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Address
Street Address Line 2
City
State
Zip Code
Primary Phone
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-
Area Code
Phone Number
Secondary Phone
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Area Code
Phone Number
Work Phone
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Area Code
Phone Number
Thank you for considering adopting a rescue cat! Before you decide to adopt a pet, please consider the time, effort, and funds (estimated $1000 or more annually for food, supplies, vaccinations, and veterinary care) necessary to properly maintain an animal. Responsible pet ownership requires a commitment to provide care and companionship for the life of the animal. The decision to adopt a pet is an important one. In order to ensure that you and your pet will be happy for years to come, we need to take time to discuss your and the animal's individual needs and personality traits. Please take a few moments to carefully read and complete this application.
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About Your Home
Do you currently live in a
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Single Family Home
Duplex
Apartment
Condo
Townhouse
Dorm
Mobile Home
Rooming House
Other
Do you:
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Rent
Own
Live with friends/family
Other
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If renting, is your name on the lease?
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Yes
No
If renting or living with others, do you have permission to have this cat?
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Yes
No
If you are not the property owner, we will verify your residence's pet policy.
Landlord's Name
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Landlord’s Phone
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Area Code
Phone Number
If your present relationship/living situation were to change and you were no longer able to care for the cat, you would need to inform us of this change and return the cat to us to be placed in a new home. Initial here:
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Do you plan to move soon?
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Yes
No
How long have you been at your current residence?
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Does anyone in your household have allergies to pets that you are aware of?
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Yes
No
Is anyone in your household nervous around or unsure of cats?
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Yes
No
Who will be primarily responsible for the care of this cat (name)?
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What is their relation to you?
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Is someone home during the day?
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Yes
No
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Who?
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On average, how many days a week would the cat be alone?
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On average, how many hours a day would the cat be alone?
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Where will the cat be kept when no one is home? (Check all that apply)
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Indoor/Outdoor (cat door)
Indoors (run of the house)
Indoors (specific room)
Outdoors (yard)
Outdoors (barn)
Outdoors (garage)
Outdoors (catio)
Other
Where will the cat spend most of the day when you are home? (Check all that apply)
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Indoor/Outdoor (cat door)
Indoors (run of the house)
Indoors (specific room)
Outdoors (yard)
Outdoors (barn)
Outdoors (garage)
Outdoors (catio)
Other
Where will the cat sleep at night? (Check all that apply)
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Indoor/Outdoor (cat door)
Indoors (run of the house)
Indoors (specific room)
Outdoors (yard)
Outdoors (barn)
Outdoors (garage)
Outdoors (catio)
Other
The noise/activity level in your home is:
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High
Medium
Low
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Your Experience with Cats
How would you describe your cat owning experience? (Check all that apply)
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I have had cats of my own as an adult
I grew up with cats or have worked with them but have not had my own as an adult
I have never had one or have limited experience with them
How knowledgeable are you regarding cats?
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Very
Somewhat
Little or None
How many cats have you had in the past 5 years?
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Why do you no longer have these cats? (Check all that apply)
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I still have it/them
Gave away
Lost
Died
Sold
Other
For the following questions, if they do not apply to you, please answer N/A.
If you gave a cat away, why?
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If you lost a cat, did you attempt to locate them? How long did you try? If not, why?
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If you had a cat die, what was the cause? If it was from a contagious disease, how long ago was it?
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If you sold a cat, why?
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Have you ever surrendered a cat to a shelter or rescue?
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Yes
No
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Why?
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Have you ever had a cat euthanized?
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Yes
No
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Why?
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Do you currently have pets?
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Yes
No
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Are they current on all vaccinations and preventatives?
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Yes
No
If there are cats in the home, have they been tested for feline leukemia?
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Yes
No
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Result
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Positive
Negative
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If there are cats in the home, have they been tested for FIV?
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Yes
No
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Result
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Positive
Negative
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Do you have a veterinarian for your current pet(s)?
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Yes
No
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If yes, please provide the vet's name, clinic name, address, and phone number
Veterinarian Name
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Clinic Name
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Clinic Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Veterinarian Phone Number
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Area Code
Phone Number
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Please list all current pets. Include type of pet (dog, cat, rodent, etc.), gender, if they are fixed or not. If they aren’t fixed, explain why not. List age, and where the pet is kept (indoors only, outdoors only, indoor/outdoor). If there are no pets in the home, simply put “None.”
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How do you feel your current pet(s) will adjust to a new cat in the home?
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Have you had experience with behavioral or medical issues with your previous or current pet(s)?
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Yes
No
Unsure
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If yes, please explain
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If there are any children in the household, please explain their experience with cats
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Preferences
What temperament/activity level are you looking for in a cat? (Check all that apply)
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High energy
Mellow
Affectionate
Quiet
Playful
Outgoing
Dominant
Spontaneous
Friendly
Shy
Snuggly
Independent
Vocal
You prefer a cat that: (Check all that apply)
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Loves children
Tolerates children
Loves strangers
Tolerates strangers
Loves other cats
Tolerates other cats
Don’t care if they get along with other cats
Loves dogs
Tolerates dogs
Don’t care if they get along with dogs
Loves other animals
Tolerates other animals
Don’t care if they get along with other animals
Other
Would you enjoy brushing or grooming your cat:
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Never
Rarely
Occasionally
Daily
Weekly
Monthly
Your ideal cat would:
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Cat habits you cannot tolerate:
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Additional Information
Which of the following best describes your reasons for wanting this cat? (Check all that apply)
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Companion for self
Companion for another pet
House cat
Barn cat
Breeding
Mouser
Office cat
Gift
Other
How long have you been actively searching for a new pet?
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What have you done to prepare for your new pet?
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If the cat got out/was lost, what would you do?
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What food do you plan to feed this cat?
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Dry
Wet
Other
Brand (if known)
Would you like food recommendations?
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Yes
No
Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter, and exercise
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Yes
No
Are you willing to make a long term commitment to care for this cat for its entire lifespan, which could be as long as 15 years or more?
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Yes
No
What would your monthly budget for this cat be? ($ amount)
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If you move, what would you do with the cat?
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For what reasons would you to give up this cat? (Check all that apply)
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Excessive meowing
Biting
Aggression
Shedding
Scratching/destroying furniture
Divorce/separation
Spraying/marking territory
Financial problems
Allergies
Moving/relocating
Attacking strangers
Excessive vet bills
Chronic illness
New person in home doesn't like cats
Having a baby
Scratches or bites children
Other pet(s) don't like the new cat
None of the above
Other
Would you have this cat declawed?
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Yes
No
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If yes, why?
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Are you aware of the potential side effects of this operation?
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Yes
No
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If you go away for a few days, or on a vacation, who will take care of the cat?
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This cat would be kept:
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Indoors only
Outdoors only
Indoors & outdoors
Additional comments about why you want to adopt this particular cat
Do you agree to provide regular vet care for this cat by a licensed veterinarian?
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Yes
No
Do you agree to keep this cat up to date on vaccinations?
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Yes
No
Do you agree to keep the cat up to date on preventatives?
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Yes
No
Do you agree to contact us if you can no longer keep this cat?
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Yes
No
Are you willing to do a home check, in person or via video call, prior to being approved to adopt this cat?
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Yes
No
Do you understand that this is required before final placement? Initial here
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Personal References
Please list two people who are familiar with you and your pets, but do not live in your household.
Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
-
Area Code
Phone Number
Relationship
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Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
-
Area Code
Phone Number
Relationship
*
We reserve the right to refuse adoption to any applicant for any reason. This questionnaire becomes part of the contract upon approval.
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I certify that the information shown above is true and correct to the best of my knowledge. I also acknowledge that the falsification of any of the responses canresult in my being denied adoption of this cat. This cat will reside in my home as a pet. I will provide it with quality cat food, plenty of fresh water, indoor shelter ,affection, and annual physical examination and vaccination under the supervision of a licensed veterinarian.
Applicant signature
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Date
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Month
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Day
Year
Co- Applicant Signature
Date
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Month
/
Day
Year
Submit
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