Cat Parent Application
(If you know me personally, feel free to skip this form and contact me directly)
Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.
Are you 18 years of age or older?
Yes
No
Please describe your household occupants. How many members, ages, etc.
Please briefly describe your (or your family's) lifestyle (how much you are home, activity level, noise level, etc).
Do any members of your household smoke, or will the cat be exposed to second-hand smoke in any way?
Yes
No
Are all adult members of your household in agreement about adding a new cat to the household?
Yes
No
Do you own your own home?
Yes
No
What is your landlord's policy on pets?:
Type of Dwelling:
Please Select
House
Apartment
Condo
Mobile Home
Do you have a yard?
Yes
No
Is your yard fenced?
Yes
No
Please describe the type of fencing (height, etc., and if it will easily contain a cat).
Where will your cat spend most of his/her time?
Please Select
Indoors Only
Outdoors Only
Indoors and Outdoors
Barn Cat
Basement/Garage
Confined
If you selected outdoor, would your cat be supervised?
Yes
No
What type of neighborhood do you live in?
Apartment
Mobile Home Park
Subdivision
Rural Area
Other
Please describe your neighborhood
Are you planning on moving within the next 6 months?
Yes
No
What are your plans for your pets if you move?
What is your reason for wanting to adopt a cat?
Housepet
Mouse Patrol
Companion
Companion for pet
Gift
Other
Please describe "other" reason for wanting a cat.
What is your experience with owning a cat?
I have never had a cat
I have limited experience with cats
I have a lot of experience with cats
Other
Please describe your "other" experience with cats.
Where will your cat be kept when left alone?
Are you planning on declawing your new cat or kitten?
Yes
No
Maybe
Are any members of your household allergic to animals?
Yes
No
Please describe:
Over the past 5 years, how many pets have you owned? (Include current pets)
Please Select
0
1
2
3
4
5
6+
Please list pets currently living with you - breed and age.
Have you ever lost or given away a pet?
Yes
No
Please give a short explanation as to how lost, or why given away.
How did you lose your pet, or why did you give it away?
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?
Yes
No
N/A
Please explain:
Are your present pets spayed or neutered?
Yes
No
N/A
Please explain:
Can/Will you provide your cat with regular flea/tick prevention?
Yes
No
What types of flea/tick prevention will you use?
Pharmaceutical Grade
Over the Counter Options
Naturopathic Options
Other
Please describe the "other" option of flea/tick protection.
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 Professional
Use a book
Personal Knowledge
Other
Please explain "Other" correction for behaviour issues.
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 location
Try a different litter
Clean box more often
Have cat examined by vet
Use a cat door
Return Cat
None
Other
Please explain "Other" solution to housebreaking accident.
Are you aware that the average life span of a cat can be from 15-20 years? And are you prepared to commit to caring for your cat for that length of time?
Yes
No
Do you have a plan in place in the event that something would happen to you and you can no longer care for your cat?
Yes
No
Other
Please share your "other" plan in the event that you can no longer care for your cat.
If there is anything else you think we should know, or any reasons you can provide to let us know that you will be the perfect cat parent, please note it here.
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