Kitty Mafia Rescue Adoption Application

Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
How would you like to be contacted:
Text Call Email*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If not, what is your landlord's policy on pets? May be required to show approval from landlord:
Please list ages of all others living in the home
Type of Dwelling:*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?
Animal(s) Interested in;
What animal(s) are you interested in adopting;
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
If other, please explain:
Are you planning on declawing your new cat or kitten?*

YesNoMaybe
Are your current cats declawed?*

YesNoN/A
Name of your current Veterinary Hospital:
Name and number
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Have you ever lost or given away a pet?*

YesNo
If you currently own a dog or cat, please list breed and age. How does he/she react to new cats?
Are your present pets up-to-date on their annual vaccines?*

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

YesNoN/A
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 a ProfessionalUse a bookPersonal KnowledgeOther
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Move box to new locationTry a different litterClean box more oftenHave cat examined by vetUse a cat doorReturn CatNoneOther
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?*
How will your pet be cared for while you are on vacation?
If there is anything else you think we should know, please note it here.
I understand that by signing this form that I am not guaranteed an approval for adoption. The Kitty Mafia reserves the right to refuse this application at any time.*

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