Name of cat(s) your interested in:
Applicant Name
First Name
Last Name
Date of Birth
Phone Number
Full Household Address:
Please list full name and age of all household members:
Who will be responsible for care of the cat(s)?
Myself
Spouse/Significant Othe/Partner
Children
Other
Do you own or rent?
Rent
Own
If renting, please include name and number of landlord or housing authority:
Are pets allowed?
Yes
No
Unsure
Is the home a smoking or non-smoking home?
Smoking
Non Smoking
Please list all current pets: Type, Age, Spayed/Neutered, Vaccination Status, and FIV/Felv Status (cats only).
Please list any other addresses you live at throughout the year and the household member names and ages of the people that live there. If no other addresses, please type "None" or "NA"
For whom are you adopting the cat(s)/kitten(s) for?
Self
Significant Other
Family
Other
Can you provide reliable transportation to get the cat(s) to the veterinarian if needed?
Yes
No
Unsure
Please provide name and phone number of current veterinarian. They will be contacted as a reference.
Have you ever had to voluntarily surrender an animal to a rescue, shelter, or other person? If so, why?
Have you or a member of the household ever had an animal removed from possession by a family member, Humane Officer, or other Law Enforcement agency? If so, why?
How often will the cat(s) be outdoors?
Most of the time
Some of the time
Indoor Only
Outdoor Only
Only when harnessed or on a leash
What arrangements are in place for your cat(s) when or if you are away for more than a day?
Have you ever left your cat(s) alone while on vacation? What arrangements (if any) were in place for the care of the cat(s)?
Are you financially able to cover the costs of routine vet care (annual exams, vaccinations, etc), flea prevention, deworming, food, and litter?
Yes
No
Unsure
Are you financially able to cover the cost of unexpected emergency treatment for your cat(s) if needed?
Yes
No
Unsure
Please list name and phone number of 2 non-family personal references who are familiar with the type of care you provide for your current or past pets.
I understand myself or my family, friends, and/or significant other are to return the cat(s) to Lisa Meeker if for any reason, at anytime, I no longer want them or are unable to keep or care for them and will make my family, friends, and/or significant other aware of this agreement.
Agree
Disagree
I understand I will be required to provide legal identification such as a Drivers License or State ID at the time of adoption.
Agree
Disagree
I do not have legal identification
I agree that I will not declaw adopted cat(s). *Declaw - amputate toes at first knuckle in order to remove claws.
Agree
Disagree
Unsure
I agree to provide updates about the well-being of the cat(s) I am adopting through social media, text, email, or phone on a regular basis or as requested.
Agree
Disagree
Unsure
After your application is processed, we will schedule time to talk in person about the cat(s) or kitten(s) you are interested in. It is beneficial if all members of the household are present to talk.
Agree
Disagree
Unsure
I understand that there is a rehoming fee for any adopted cat(s) or kitten(s).
I understand
I don't understand
Please note any questions or concerns you may have for me:
By signing this application, I acknowledge that all information on this form is true and correct. I understand that any misrepresentation of facts may result in denial of adoption privileges. Signature:
Continue
Continue
Cat Adoption Application
Thank you for considering opening your heart and home to one of or more of these beautiful souls. This application is intended to help me do my best to make sure they are getting the best home possible. They are all very special to me and are loved dearly. Thank you for taking the time to answer these questions to ensure I find the right home for these wonderful cats.
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