ABOUT YOU
Name of applicant
*
Cat you want to adopt
*
Name of other applicant(s)
Number of adults in the home
*
Number and age of children (under 18) in the home
*
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
Do all adults in the household agreed to adopt a new pet?
*
Please Select
Yes
No
Unknown
ABOUT YOUR HOME
Do you live in a:
*
Please Select
House
Apartment
Condo
Townhouse
Other
Do you:
*
Please Select
Own
Rent
If you rent - Landlord/Agent's name
Please put N/A if not applicable
Landlord/Agent's Phone Number
-
Area Code
Phone Number
Does your lease or rental agreement specify you can have a pet? Can you provide a copy?
Please put N/A if not applicable
Is there a deposit or monthly fee to house a pet where you live?
Please put N/A if not applicable
Does anyone in your household have allergies to cats?
*
Is the applicant the primary owner/leaseholder/renter?
*
Please Select
Yes
No
How long have you lived at this address?
*
Do you expect to move in the next few months? When/where:
*
Do you travel a great deal? What do you plan to do with your cat when you do travel?
*
Check all that apply. Will the cat have access to:
*
Open balcony
Patio
Garage
Yard
Cat door
None of these
This cat will be kept
*
Please Select
Indoor only
Mostly indoor
Mostly outside
Outdoor only
ABOUT YOUR NEW CAT
Why are you interested in adopting a new cat?
*
What drew you to this particular cat?
*
Check all that apply. Will this new cat be:
*
Companion for me
Companion for family/children
Companion for another pet
A gift
Other
Have you ever owned a cat before?
*
Please Select
Yes
No
Not as an adult
Do you already have a veterinarian?
*
Please Select
Yes
No
I need a recommendation
If yes, who is your veterinarian?
Vet name, Clinic name, City
In what areas of the house will your new cat be allowed (be specific):
*
How many hours per day will your new cat be home alone?
*
Will your new cat be allowed on the furniture?
*
Please Select
Yes
Some of the furniture
No
What type of discipline will you use to correct undesirable behavior?
*
If your new cat escaped from your home, what steps would you take to find him/her?
*
PET HISTORY
Current Pets
Pets you have in your household right now.
Do you currently have pets in your home?
*
Please Select
Yes
No (scroll to Past Pets section)
CURRENT PET A - Name:
EX: Fluffy
CURRENT PET A - Species, Breed and Size:
EX: Dog, Boxer, 30kg
CURRENT PET A - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Please Select
Friend/Family
Rescue
Shelter
Online ad
Found it
Is this pet spayed/neutered?
Please Select
Yes
No
Not sure
CURRENT PET A - Does this pet get along with cats?
Describe previous interactions with cats
Do you have a second pet currently in your home?
Please Select
Yes
No (scroll to Past Pets section)
CURRENT PET B - Name:
EX: Fluffy
CURRENT PET B - Species, Breed and Size:
EX: Dog, Boxer, 30kg
CURRENT PET B - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Please Select
Friend/Family
Rescue
Shelter
Online ad
Found it
Is this pet spayed/neutered?
Please Select
Yes
No
Not sure
CURRENT PET B - Does this pet get along with cats?
Describe previous interactions with cats
Past Pets
Pets you have had in the past as an adult - starting with the most recent.
Did you have pets in the past?
Please Select
Yes
No (scroll to Other Information section)
PAST PET A - Name:
EX: Fluffy
PAST PET A - Species, Breed and Size:
EX: Dog, Boxer, 30kg
PAST PET A - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Please Select
Friend/Family
Rescue
Shelter
Online ad
Found it
Was this pet spayed/neutered?
Please Select
Yes
No
Not sure
What happened to this pet?
Please Select
Passed of old age
Hit by car
Died of disease
Gave Away
Gave to shelter
Put to sleep
N/A
Did you have a second past pet?
Please Select
Yes
No (scroll to Other Information section)
PAST PET B - Name:
EX: Fluffy
PAST PET B - Species, Breed and Size:
EX: Dog, Boxer, 30kg
PAST PET B - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Please Select
Friend/Family
Rescue
Shelter
Online ad
Found it
Was this pet spayed/neutered?
Please Select
Yes
No
Not sure
What happened to this pet?
Please Select
Passed of old age
Hit by car
Died of disease
Gave Away
Gave to shelter
Put to sleep
N/A
Did you have more pets in the past?
*
Yes
No
PAST PETS - anything not mentioned above:
OTHER INFORMATION
Have you ever owned a declawed cat or a debarked dog?
*
Yes/No - if yes, please describe
Have you ever moved with a pet?
*
Yes/No - if yes, please describe
Have you ever owned a special needs pet?
*
Yes/No - If yes, please describe
Check all that apply. Under what conditions would you NOT KEEP your new pet?:
*
Moved to a place that didn't allow pets
Moved to another country
Sheds too much
Litterbox problem
Kids ignored pet
Required prescription food or medication
Cat has seizures
Cat whines/cries/plays loudly at night
Cat chews clothing/shoes
New baby
Allergy
Pets didn't get along
Scratches/chews furniture
Pees on furniture
Bit or snapped at another animal
Bit or snapped at a person
Escapes from yard/house
Divorce/Separation
Unemployment or financial hardship
None of the above
What would you do with your cat if you could not keep it for the above reason(s)?
*
What type and brand of food do you plan on feeding your new cat?
*
Can you afford regular veterinary care for this cat - including yearly vaccinations, annual physical exams, dental care, etc. ($200 or more per year)?
*
Can you afford serious injury or illness costs ($1000 or more)?
*
SUMMARY AND SIGNATURES
You are making a major commitment when you adopt any pet. Please remember that cats can live for over 20 or more years, they can get sick and require expensive medical treatment during the course of their life. They need affection, attention and understanding. You may have to adjust your lifestyle to accommodate a new pet. IF YOU ARE READY TO MAKE THIS COMMITMENT, PLEASE TYPE YOUR NAME BELOW:
*
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