Adoption Application

Name of Prospective Adopter (must be at least age 25)

First NameLast Name

Date of birth

MonthDayYear
Date

Email
example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number
Please enter a valid phone number.

Which pet would you like to adopt and why?

List names, relationships and ages of all household members including yourself:

Do you rent or own your home?

Do any household members smoke in or outside the home?

List names, ages and species of all current and past pets and their current status:

List name, address and phone numbers of all current and past veterinarians and the veterinarian you intend to use for the adopted cat:

Are all current pets up to date with vaccinations? If not, please explain.

Have all your pets been examined by a veterinarian on a regular basis? If not, please explain.

Have all your pets been spayed and neutered? If not, please explain.

List name, address and phone numbers of employers for the last 5 years:

If you currently have a cat, list brand and type of food given:

If you currently have a cat, is it indoor only, indoor/outdoor or mostly outdoor?

If your rent your home, please provide landlord’s name and telephone number:

List name, relationship and phone number of three non-family references:

How did your hear about Cats Under The Stars?

Give details of current and past cat ownership or other cat experience:

If you have a dog, is the dog permitted to go in and out unsupervised? Do you have a doggie door?

Will the cat or kitten you are adopting be indoor only or indoor/outdoor?

How long will the cat/kitten be left alone during the day/week?
Should be Empty: