NSF Cat Form

Full Name*

First NameLast Name
Are you 21 yrs or older?

YESNO
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long at this address?:*
Contact Phone Number

Area CodePhone Number
E-mail*
Do you own your own home?*

YesNo
If no, name and phone # of landlord:
Type of Dwelling:*
Name and age of ALL occupants in household (including yourself):*
If no children, do you plan on having children or will children be visiting the household frequently?*

YesNo
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
If other, please explain:
How many total hours will your new pet be left alone during the day?*
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 current pets breed, age
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.
If no, please explain.
What plans do you have for your new pet when you are on vacation?*
Which cat(s) on our website are you interested in?*
Age of cat you would consider adopting: (check all that apply)*

KittenYoungAdultSpecial NeedsSenior
Can/Will you provide your cat with monthly flea/tick prevention?*

YesNo
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER: PLEASE MAKE SURE YOU CALL YOUR VET TO GIVE PERMISSION TO RELEASE INFORMATION AS MANY WILL NOT GIVE US A REFERENCE W/OUT YOUR CALL, AND WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION.*
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:
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Are you willing to allow NSF to make future visits to your home?*

YesNo
Have you ever adopted or tried to adopt a pet before? If yes, fill out info below.*

YesNo
Rescue Information

Name of RescueContact Name
Rescue's Phone Number

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

YesNo
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved. PLEASE BE AWARE: If your references are not easily reachable or do not reply in a timely manner, it will delay your application. If multiple references do not reply, your application will be filed on HOLD. Please choose your references carefully and be sure to list the correct contact numbers.
Reference #1*
First and Last Name & Relationship to Self
Reference # 1 Phone Number*

Area CodePhone Number
Reference #2*
First and Last Name & Relationship to Self
Reference #2 Phone Number*

Area CodePhone Number
If there is anything else you think we should know, please note it here.
Please remember, we are all volunteers and it may take approximately a week or more for us to get back to you.
Thank you so much for wanting to rescue a cat!!
Should be Empty:

Please remember, we are all volunteers and it may take approximately a week or more for us to get back to you.

Thank you so much for wanting to rescue a cat!!