Cat Adoption Form

Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own your own home?*

YesNo
If not what is your landlords phone number

Area CodePhone Number
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?
If other, please explain:
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
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:
Is this cat a gift?

YesNo
Who will be the primary caretaker?*

MeA friendA family member
Are there any children in your house?

YesNo
If yes please list ages
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.
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 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)?*

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.
I understand that I assume full responsibility for the welfare of this pet from the date of adoption and that if the pet needs to be rehomed for any circumstance they will be returned to us.All rehoming fees are final.
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