Karolyn's Kitty Haven Cat Application Form

Form
KAROLYN’S KITTY HAVEN CAT ADOPTION APPLICATION FORM
IMPORTANT!!!!!!!

To be considered as an applicant for adoption you MUST complete this form in its entirety. Any questions that DO NOT apply to you, please type "N/A" DO NOT leave blank!
Date

MonthDayYear
Date
Which cat are you interested in?
Cat Description
Your Name

First NameLast Name
Age
Phone Number
Please enter a valid phone number.
Email
example@example.com
May we contact you through text / call / email?

YesNo
Name of Significant Other
Do you have children?

YesNo
If so, how many?
Ages
Do you have roommates?

YesNo
If so, how many?
Ages?
Do you live with any other relatives? (Grandparents, cousins, etc.)

YesNo
If so, how many?
Ages
Is anyone in the house hold allergic to cats?

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you live in a...

ApartmentHouseCondoTown House
If needed, do you have landlord permission to adopt this cat?

YesNo
Landlord Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Would the cat have access to a balcony?

YesNo
Do all windows / doors have secure latches and screens?

YesNo
Occupation
Employer
Current Veterinarian
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cat Experience

First TimeHave had one or twoKnowledgable and experienced
Time away from home...

Home all dayHome part timeAway 7-10 hours
The kitty will be...

Indoor ONLYIndoor / OutdoorOutdoor ONLY (includes garage)
Home atmosphere

BusySome activitySerene & Quiet
Describe your ideal cat for your lifestyle:
Will the cat be allowed on the furniture?

YesNo
Are there any places in the house where the cat will NOT be allowed to go?
Where will the cat sleep at night?
How many litter boxes do you have?
Where will you keep the litter box? (please be specific)
Where will you keep the litter box? (please be specific)
How will you discipline the cat?

Hit/SmackYell/ScreamSpray/Bottle of waterAsk for adviceGive UpThrow things at catDisapproving tone/Removing affection
Do you have any other pets?

YesNo
If so, which?

CatDogReptileSmall AnimalAquatic AnimalBirdOther
How many?
Please list breed and ages
Do you have a doggy door?

YesNo
Do your other pets go outside? (excluding dogs)

YesNo
Are your other pets spayed / neutered?

YesNo
Are any of your pets declawed?

YesNo
Do you plan on declawing this cat?

YesNo
Have you ever bred animals?

YesNo
What will you do if the cat scratches the furniture?

Trim nails regularlyGive up catGet kitty scratching post / cat furnitureUse soft pawsNothing
Have you ever been in a situation where you have not been able to keep a pet?

YesNo
If yes, please explain:
Have you ever turned a pet into a shelter?

YesNo
If yes, please explain:
Are you able to afford vet care, good food options, and supplies for this cat?

YesNo
Are you able to care for this cat for its entire life? (cats can live 15-20years)

YesNoI don't know
If you are unable to care for the cat, do you have someone who will take primary care of the cat?

YesNo
Do you have a cat sitter?

YesNo
If no, would you like a reccomendation?

YesNo
What type of food do you feed your current pets; if not current animals, please list what you would feed this cat

Raw meat, home made, raw prepared dietsCanned Food - Wellness, Wholehearted, NuloDry Kibble - Taste of The Wild, Wellness, Wholehearted, NuloCanned Food - Fancy Feast, FriskiesDry Kibble - Meow Mix, Purina
Please list specific brand:
Under what circumstances would you not be able to keep this cat? (check all the apply)

AllergyDivorce / SeparationNew Significant OtherPregnancy / BabyMovingNew RoomateJob Change / LossDisability / IllnessCat has health problemsScratched a childMy child is too roughScratched furniturePeeing in the houseCat does not get along with other petsNeeds too much attentionSheddingExpensiveOther
Please list any other reasons you may not be able to keep this cat
Would a zoom / in-person interview with a foster be okay?

YesNO
Would a home visit by one of our fosters be okay?

YesNo
Can we contact you with any further questions regarding your application?

YesNo
Please tell us what happened to your last pets that your no longer have or have passed away
Please tell us why you are interested in adopting another cat and why you are interested in the cat you listed above
Please tell us the date you can take home your new furry friend!

MonthDayYear
Date
You understand there is an adoption fee which covers the cats sterilization, vaccinations, dewormings, microchip, blood testing, and flea medication?

YesNo
You understand you that you will be presented an adoption contact that must be followed and signed in order to move forward with the adoption. Failure to do so will result in a reconsideration of application.

YesNoNot Sure
Should be Empty:

Form

KAROLYN’S KITTY HAVEN CAT ADOPTION APPLICATION FORM