Adoption Form

Toebean Lovers Cat Rescue

Adoption Application
Full Name *

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

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

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

Yes No
Birth Date *

Month Day Year
Do you own your own home? *

Yes No
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? *

Yes No
Current Employer and Occupation: *
What is your reason for wanting to adopt this cat? *
Are you planning on declawing your new cat or kitten? *

Yes No Maybe
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? *

Yes No
If "yes" please explain:
Are your present pets up-to-date on their annual vaccines? *

Yes No N/A
If no, please explain:
Are your present pets spayed or neutered? *

Yes No N/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)? *

Yes No
Will you cat be indoors? *
If you selected outdoor, would your cat be supervised?

Yes No
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