Poppyseed Project Adoption Application

Thank you for your interest in adopting from Poppyseed Project! Poppyseed's cats and kittens are spayed/neutered, microchipped, combo tested for FeLV/FIV, have received treatment and preventatives for parasites and fleas, and have received their age appropriate vaccines.
Applicant Name:*

First NameLast Name
Co-Applicant:

First NameLast Name
Home Address of Applicant:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name of the cat(s) you are applying for:*
Type "undecided" if not sure yet.
Should the cat(s) you are applying for no longer be available, please least any others you are interested in:
Are you 21 or older?:*
Please select your employment status:*
Place of Employment:
How long have you been employed there?
What is your reason for wanting to adopt a cat? (Check all that apply)*

Companion for myselfCompanion for Family Member in the homeMy pet died recentlyCompanion for another petEmotional support/service animalChange in living situation that allows pets nowOther
Preferences? (Check all that apply)*

Long-hairedShort-hairedQuietChattyShyOutgoing/DominantRelaxed/MellowEnergetic/PlayfulIndependentSeeks AttentionGood with other catsGood with dogsGood with childrenLikes laps/being held
In regards to your living space, please select one:*
May we contact your landlord to confirm that pets are allowed at the home you are renting?*

YesNo
Landlord Name*
Landlord Phone*
If you are a student, explain your plans for your cat(s) at the end of the school year, and describe if/ how living conditions might change for your cat(s):*
Have you ever needed to rehome or surrender a pet?*

YesNo
If yes, please explain the circumstances which caused you to need to rehome or surrender your pet.*
List the ages of children in your home:*
Please list all current pets in the home, including their breeds and ages: *
(example: Pet 1. Male Dog, Dalmation, age 13, likes cats, energetic)
Are all current pets spay/ neutered and up to date on vaccines?*
Is anyone living in your home allergic to cats?*

YesNo
If yes, please explain how the allergy will be managed:*
If you are on vacation, or away from home, who will care for your cat?*
Will your cat be:*

Indoors onlyOutdoors onlyIndoor/outdoor
Are you considering declawing this cat?*

YesNoUnsure
Check any aspects of cat care that you are NOT comfortable with:

Litterbox scoopingMedicatingPettingBrushing (if needed)HoldingVet VisitsI'm comfortable with all.
It can take a cat weeks to months to fully adapt to your home, family, and other pets. Adjustment behavior might include: vocalization, hiding, undereating, overeating, conflicts with other pets, lethargy/cold symptoms, etc. Are you willing and able to provide the necessary time, patience, understanding and/ or medical attention to help your cat through this time?*

YesNo
Do you have a "safe room" away from activity, children, and other pets that a cat can adjust in during the first week of coming home?*

YesNo
Are there any behaviors that you find unacceptable?*
In the event that you become incapacitated (ex: inability, illness, injury, death), please explain your plan to care for this cat. *
Please list the practice name and phone number of your current Veterinarian, as well as any Vets used in the last 3 years:*
Please list a personal reference (non-relative):*

First NameLast Name
Personal reference phone number:*
Please enter a valid phone number.
Thank you for applying !

PLEASE NOTE: We thoroughly evaluate all of the kittens and cats in our care, and strive to make a purrfect match between cats and adopters. Adoptions are not on a first-come first-served basis. We reserve the right to deny an application at our discretion. If approved to adopt, this application becomes part of our Adoption Contract.
Please agree to the following statements and sign. Any statement not checked will be cause for denial of application.*

I agree to provide my cat(s) with basic needs - food, water, space, shelter, litterbox or elimination area, attention, playtime, veterinary care, and a fear-free environment.I authorize the Veterinarian's office(s) listed above to release information on my current and previous pets to the Poppyseed Project, for the purpose of vetting this adoption application.I certify that all of the above information is true, and understand that any false information given will result in nullifying this application.
Should be Empty:

Thank you for applying !