Simple Kitten Adoption Form

Full Name*

First NameLast Name
E-mail*
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
If not, what is your landlord's policy on pets?:
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?
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
If other, please explain:
If adopting a kitten, where would the kitten be kept when alone?
Are you planning on declawing your new cat or kitten?*

YesNoMaybe
Are your current cats declawed?*

YesNoN/A
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Over the past 5 years, how many pets have you owned? (Include current pets)*
Please list breed, age, if they're still living with you? (if not, why?)
Have you ever lost or given away a pet?*

YesNo
If you currently own a dog or cat, 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.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
Can/Will you provide your cat with monthly flea/tick prevention?*

YesNo
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:
What brand of cat food do you plan on feeding your new cat?*
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?*
If you selected outdoor, would your cat be supervised?

YesNo
If there is anything else you think we should know, please note it here.
Should be Empty: