Adoption Form

Toebean Lovers Cat Rescue

Adoption Application
Full Name*

First NameLast Name
Cat’s name:
E-mail*
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If not, what is your landlord's policy on pets?:
Type of Dwelling:*
How many adults live in the home?
How many children? Ages?
Are you planning on moving within the next 6 months?*

YesNo
Current Employer and Occupation: *
What is your reason for wanting to adopt this cat?*
Are you planning on declawing your new cat or kitten?*

YesNoMaybe
Over the past 5 years, how many pets have you owned? (Include current pets)*
Please list animals if they're still living with you? (if not, why?)*
Have you ever lost or surrendered an animal?*

YesNo
If "yes" please explain:
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.
What brand of cat food do you plan on feeding?*
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Will you cat be indoors?*
If you selected outdoor, would your cat be supervised?

YesNo
Veterinarian's name and phone:*
If there is anything else you think we should know, please note it here.
One personal reference with phone #:*
We appreciate your interest in a TLC Rescue kitty. Our adoption fee covers spay/neuter, FeLV and FIV testing, full vaccination, deworming, flea treatment and microchipping. Complimentary registration for the microchip at adoption.

We offer a reduced companion fee for adopting two cats.

By submitting this application you certify that all information provided is truthful and give TLC Rescue permission to contact references provided.
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Toebean Lovers Cat Rescue