The Cat Clinic Adoption Application

In order to be considered for the adoption of a cat/kitten, you must: 1. Be at least 21 years old 2. Have legal identification with your current address 3. Demonstrate that you are allowed to have a cat where you live 4. Understand that Cat Clinic reserves the right to deny adoption

First and Last Name

First & Last

Street Address

City

State

Zip code

Contact number

Email address

example@example.com

Occupation

Current living situation, do you own or rent?

Please list all members of your household :

Is anyone in the household allergic to cats?

What is the average number of hours a day someone is home?

Where will the cat live? (I.E. indoor only, indoor/outdoor) Please explain:

Where will the cat be during the day? At night?

Will you have a litterbox in the house? If so, where and how many? If no, please explain:

How would you describe your household (I.E. busy, quiet, busy only on weekends, etc)?

Please list all pets you currently have and include; species, age, indoor/outdoor status and how long you have had them:

Please describe the personality types of the pets currently living in your household (I.E. dominant, submissive, aggressive, alpha type, etc?):

Who will be responsible for the daily care of your cat?

Over a pet's lifetime, medical costs can run into thousands of dollars for preventative care, sickness and injury. Are you willing/able to pay for these costs and administer medications at home if necessary?

Name and number of your current veterinarian:

Cats have been known to claw furniture, carpet, drapes, and dig in potted plants, etc. How do you plan to deal with these potential problems?

How have you dealt with behavorial issues in the past?

What kind of behaviors do you feel you cannot accept?

Have you ever given a pet up? If so, why?

How will you provide care for your pet when you travel or in case of an emergency?

Reasons for wanting a cat (I.E. Companion, family pet, companion for other pet, gift, etc):

Why did you choose this particular cat?

About how much time did you spend with this cat before making your decision?

I am interested in adopting:

I understand that the adoption process includes a review of my application by the Cat Clinic and may result in a 24-48 waiting period. *

I understand that the Cat Clinic reserves the right to deny adoption of any cat/kitten:*

I certify that the above is true and correct to the best of my knowledge. Signature:*

Date

Please initial below: