Cat Adoption Application Form
Apply to adopt a cat from our animal shelter. Please complete this form so we can match you with a suitable companion. Expand all sections and complete all required fields.
Please acknowledge:
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I confirm that I understand that I am requesting to adopt a cat in FORT SMITH, NORTHWEST TERRITORIES, CANADA.
Contact Information
Applicant's Full Name
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First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address (Where the cat will reside)
*
Street Address
Mailing Address (ex. PO Box)
City
Province/Territory
Postal Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
About the Adopter
Who are you adopting this cat for?
Please Select
Self
Family
Child
Parent
Friend
Other
Who will be the primary care giver for this cat?
Please Select
Self
Family
Child
Parent
Friend
Other
How many adults live in your household?
*
Are there children in your household?
*
Yes
No
If yes, what are their ages?
Who are the regular visitors to the home (human/animal) with whom this pet must get along with? (Provide a list)
*
Is anyone in the home allergic to cats?
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No
Yes
Uncertain
Have all of the family members been introduced to the cat?
*
Yes
No
If no, please explain why.
Describe why you believe this will be a great forever home for this cat. (Write description)
*
How much time and thought has gone into the decision to adopt a cat? Please explain.
*
How much time and effort are you prepared to put into caring for this cat? What are the responsibilities of a cat owner?
*
Pet Ownership History
Do you currently have other pets?
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Yes
No
If no, have you ever had other pets? Explain what other pets you have had.
If yes, what other pets do you currently own? What species, breed, age, and sex are all of the pets in your home.
Explain whether you think they will get along. If they will not get along, please explain why not.
Are your other pets spayed or neutered? If no, please explain why not.
Do you currently have a veterinarian?
*
Yes
No
If yes, can we contact them?
Yes
No
Please provide your vet's name and contact information.
If no, please explain why not.
How many cats have you owned in the past 5 years?
*
If yes, where did you get these cats? And, what happened to them? (Be specific)
Have you ever surrendered a pet or had one taken away from you?
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Yes
No
If yes, please explain in detail.
Have you ever lost a pet or had one run away from you?
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Yes
No
If yes, please explain in detail.
Have any of your animals ever been injured or killed by a person, another animal, an accident, etc?
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Yes
No
If yes, please explain in detail.
About the Adoption
What type of cat are you interested in adopting?
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Kitten
Adult
Senior
No preference
What is the cat’s name that you are interested in adopting? * If you do not have a specific cat in mind please identify preferred breed, gender, etc. (Be specific)
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Explain why you are interested in this specific cat/breed?
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What are the reasons you would like to adopt this cat?
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Human companionship
Animal companionship
Other
Where will the cat spend the day?
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Loose indoors
Loose outdoors
Crate
Kept in a room in the house
Other
Where will the cat spend the night?
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Loose indoors
Loose outdoors
Crate
Kept in a room in the house
Other
On average, how many hours per day will the cat be alone?
*
Describe your travel patterns. For example, describe how often you are away from home, for how long, and for what reasons. Include travel for work, home, medical, etc. (Be specific)
*
How will you ensure the cat is looked after while you are away?
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What behaviour problems are you willing to tolerate and work on?
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Scratching furniture
Urination/Spraying
Nervousness
Fearfulness
Jumping on furniture
Shedding
Aggression
Other
How would you resolve these problems?
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Do you plan to declaw this cat?
Yes
No
Maybe
Will this be an indoor or outdoor cat?
Indoor only
Outdoor only
Both indoor and outdoor
Under what circumstances would you surrender this cat?
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Moving
New baby
Divorce
New relationship
Illness
High cost of childcare
Allergies
Vacation
Retirement/Loss of job
Aggression
Cat's behaviour
Does not get along with other pets
None of the above
Other
Have you ever been charged with cruelty or neglect to animals?
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Yes
No
If yes, please explain the circumstances.
Are you aware of the bylaws regarding cat ownership in your community?
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Yes
No
How much do you estimate the veterinary costs will be for this cat and can you afford it?
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About Your Home
What type of home do you live in?
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House
Apartment
Trailer
Condo/Townhouse
Other
Do you own or rent where you live?
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Own
Rent
Live with owner (i.e. live with family member who owns or rents)
Other
If you rent or live in home that you do not own, do you have the owner's/landlord's permission to have a cat?
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Yes
No
Not yet but I will
How long have you lived here?
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Do you live on a busy street?
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Yes
No
How will you handle your cat's exercise needs?
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How will you handle your cat's toilet needs?
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Are you willing to allow a representative of the the FSAS or SPCA in your community visit your home by appointment?
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Yes
No
If no, please explain why.
Have you made arrangements to spend a few days at home with this cat while it gets accustomed to its new home?
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Yes
No
If no, please explain why.
Why do you want to adopt a cat?
*
Final Verification
Please check to acknowledge that you are aware that falsified responses will lead to automatic rejection of this application.
*
Yes, I acknowledge
Please check to acknowledge that you have answered all questions on this application truthfully to the best of your understanding.
*
Yes, I acknowledge
Is there anything else you would like us to know?
Signature
*
By signing this form you acknowledge the information in this application.
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