Adoption Form

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?

Birth Date

MonthDayYear

Do you own your own home?

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?

Current Employer and Occupation:

What is your reason for wanting to adopt this cat?

Are you planning on declawing your new cat or kitten?

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?

If "yes" please explain:

Are your present pets up-to-date on their annual vaccines?

If no, please explain:

Are your present pets spayed or neutered?

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)?

Will you cat be indoors?

If you selected outdoor, would your cat be supervised?

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.

Toebean Lovers Cat Rescue