Kitten Adoption Interest/Application Form

Full Name*

First NameLast Name
Which kitten are you hoping to adopt?*

FableKaidaBoth
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long at this address?:*
Home Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Name and Address of Employer:*
Are you able to afford the adoption fee?*

YesNo
Are you planning on moving within the next 12 months?*

YesNo
If yes, what are your plans for your pets if you move?
Are you 18 years of age or older?*

YesNo
What is your current employment status?*

EmployedUnemployedStudentRetiredOther
Type of Dwelling:*
Name and age of ALL occupants in household (including yourself):*
If YOU are not the legal owner of the home you reside in, please provide contact info for the homeowner, property management, or landlord. (this includes parents or other relatives)*
If no children, do you plan on having children or will children be visiting the household frequently?*

YesNo
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
If other, please explain:
Are your current cats declawed?*

YesNoN/A
Are you planning on declawing your new cat or kitten?*

YesNoMaybe
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Who will have chief responsibility for the care of your new pet?*
Over the past 5 years, how many pets have you owned? (Include current pets)*
List each individually including breed, age, still living with you? (if not, why?)
Have you ever lost or given away a pet?*

YesNo
If yes, please explain:
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered? And/or were your previous pets?*

YesNoN/A
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?*
Who is your current or most recent veterinarian? *
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 KnowledgeRehome the petGet the cat declawed
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 CatNone
Do you plan on getting pets insurance for them? Or are you interested in receiving information on pets insurance?

Yes, I already plan on getting itNoNot sureI am interested in recieving more information about it
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
How many hours a day will your pets be alone?*
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
I plan to have my new kitten/cat be a....*

Indoor and outdoor kittyIndoor only kittyBarn catUnsure
Name of Veterinary Clinic you currently use or plan to use for your new pet:*
Please list two personal references that are familiar with you and your household in this format: NAME, RELATIONSHIP TO YOU, PHONE NUMBER (out-of-area references are acceptable if you are new to the area)*
Should be Empty: