Cat Adoption Form

Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone Number
Format: (000) 000-0000.
Work Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Are you able to afford the adoption fee of $150.00?
Birth Date

MonthDayYear
Do you own your own home?
If no, name and phone # of landlord:
Type of Dwelling:
Name and age of ALL occupants in household (including yourself):
What is your reason for wanting to adopt a cat?
If other, please explain:
How many total hours will your new pet be left alone during the day?
If adopting a kitten, where would the kitten be kept when alone?
Are your current cats declawed?
Are any members of your household allergic to animals?
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?
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?
If no, please explain:
Are your present pets spayed or neutered?
If no, please explain.
Were your previous pets spayed or neutered?
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?
What plans do you have for your new pet when you are on vacation?
Which cat(s) on our website are you interested in?
Can/Will you provide your cat with monthly flea/tick prevention?
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER: PLEASE MAKE SURE YOU CALL YOUR VET TO GIVE PERMISSION TO RELEASE INFORMATION AS MANY WILL NOT GIVE US A REFERENCE W/OUT YOUR CALL, AND WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION.
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?
Are you prepared to commit to a pet for 15 - 20 years (average life span)?
Have you ever adopted or tried to adopt a pet before? If yes, fill out info below.
Where will your cat spend most of his/her time?
If you selected outdoor, would your cat be supervised?
Do you agree to get the kitten fixed?
Do you agree to pay a $100.00 thats refundable when you have the kitten fixed after 6 months of age?
Please provide 2 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved. PLEASE BE AWARE: If your references are not easily reachable or do not reply in a timely manner, it will delay your application. If multiple references do not reply, your application will be filed on HOLD. Please choose your references carefully and be sure to list the correct contact numbers.
Reference #1
First and Last Name & Relationship to Self
Reference # 1 Phone Number
Format: (000) 000-0000.
Reference #2
First and Last Name & Relationship to Self
Reference #2 Phone Number
Format: (000) 000-0000.
Should be Empty: