Adoption Application

Adoption Application
Full Name

First NameLast Name
E-mail
example@example.com
Are you 18 years of age or older?

YesNo
Birth Date

MonthDayYear
Do you own your own home?

YesNo
What is your landlord's policy on pets?:
Type of Dwelling:
Are you planning on moving within the next 6 months?

YesNo
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 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
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
Please explain:
Are your present pets spayed or neutered?

YesNoN/A
Please explain:
Were your previous pets spayed or neutered?

YesNoN/A
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
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
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: