TPP Screening Applications

Name of Applicant*

First NameLast Name

Age of Applicant*

Applicants must be at least 21 years old to adopt

Name of Co-Applicant

First NameLast Name

Email Address*

Cell Number*

Area CodePhone Number

Alternative Phone Number

Area CodePhone Number

Employment*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

What type of cat are you interested in adopting? Check all that apply.*

Kitten(s)AdultSeniorUndecided / no age preference

Are you interested in adopting a specific cat?*

Yes - I am applying for a cat I saw on-lineNo - I am still considering all options

1st cat/kitten are you interested in adopting?*

List the name(s) of all cats you're interested in

2nd cat/kitten are you interested in adopting?

List the name(s) of all cats you're interested in

Describe the type of personality and/or appearance you would like your cat to have:*

Ex: playful, friendly, lap cat, good with kids, good with other dogs, male, orange etc.

Who is this cat for?*

Are all members of the household aware of the adoption and in agreement?*

YesNo

Describe your home*

Do you own or rent your home?*

OwnRentI live with a parent, guardian or family member

If you rent or live in a family member's home, please provide their contact information here:

If you rent does your landlord require a pet deposit?

YesNoN/A

Does your landlord have a limit on the number of pets you are allowed? If yes, how many

YesNoN/A

Who else lives in the home or visits regularly? Please list names and ages for all individuals, adults and children.*

Ex: Michael, husband (41); Jessica, daughter (7). Susan, mother-in-law (80).

Are any members of the household allergic to pets (eg. dogs, cats etc.)*

YesNo

If you had to move, are you willing to find housing that accepts pets?*

YesNoMaybe

Do you have any pets currently?*

YesNo

List all current household pets:

	Name	Type of Animal	Sex (M/F)	Age	Fixed? (Y/N)	Up-to-date on vaccines? (Y/N)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5

Have you had any pets in the past 5 years that are no longer with you?*

YesNo - this is my first pet

List all previous pets that you no longer have (within last 5 years):

	Name	Type of Animal	Sex (M/F)	Age	Why don't you have them any longer?
Pet 1
Pet 2
Pet 3
Pet 4

Have your current or past cats been mostly indoor with some time spent outdoors? How often did they go out? Please explain:*

Do you plan to let your cat out for outdoor time? If so please explain.*

Did you declaw any of your past or current cats?*

YesNoN/A - this is my first cat

Do you plan on declawing your adopted cat?*

YesNoI don't know

Are you willing/able to take your pets to yearly check-ups?*

YesNo

If your pet becomes ill, are you able to afford a veterinary bill?*

YesNo

How many hours per day would the cat be alone?*

How would you deal with behavioral issues such as excessive meowing, destructive behavior, inappropriate urination etc.?*

Does your home have space (i.e. a spare bedroom, office, or bathroom) to separate new pets from current pets during the acclimation and introduction period?*

YesNo

Are you willing to give your cat/kitten time to adjust to its new environment? (Note: this could take anywhere from several days to several months)*

YesNo

If you have to leave town, urgently or planned, where would your cat stay or who would take care of it?*

If you were no longer able to care for your pet, or had to move, what would happen to your pet?*

Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?*

YesNo

If you answered "Yes" to the above question, please explain the circumstances:

Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?*

YesNo

Vet Clinic*

Area CodePhone Number

Last name that the pet(s) are listed under (if applicable):*

I certify that I am at least 21 years of age*

AgreeDisagree

The information I have provided on this application is true.*

AgreeDisagree

I understand that TPP is not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. There are traits that could change upon adoptions and I take responsibility to care for and address these issues if they do arise*

AgreeDisagree

I understand that anything could happen in life, and if I find that I am no longer able to care for my adopted cat, I agree to contact TPP by phone and/or email to discuss return/or need for help of the adopted animal*

AgreeDisagree

I understand that I am to immediately contact TPP in the event that my adopted cat is lost/missing*

AgreeDisagree

I attest that the cat I am adopting is for me, in my home, and NOT a gift for anyone*

AgreeDisagree

I understand that I am responsible for paying for all follow-up vaccines, wellness visits & medical procedures my pet will require in the future.*

AgreeDisagree

I hereby authorize TPP to contact my references, veterinarian(s), and landlord to verify said statements.

Signature of Applicant*

First NameLast Name

Date*

Date

Texas Pawprints Cat and Kitten Rescue

General Information

Home & Family

Current & Past Pets

Veterinarian

Terms & Conditions