Adoption Form

Name*

FirstLast
E-mail*
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
Address*

Street Address

CityState / Province

Postal / Zip Code
Cat/Kitten(s) of Interest
Employer*
Do you own your own home?*

YesNo
How many adults live in your home?*
How many kids live in your home?*
Please list kids’ ages.
Are any members of your household allergic to animals?*

YesNo
Are you planning on declawing your new cat or kitten?*

YesNoMaybe
How many pets do you currently own?*
Please list breed and age.
Are your current pets spayed/neutered?*

YesNo
If no, please explain:
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?*

Contact the rescueGive cat awayPut outsideOther
If other, please explain:
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Where will your cat spend most of his/her time?*
Is there a doggy door in which the cat can get outside?*
Do you have a vet that your currently use?*
Signature*

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