ADOPTION APPLICATION
*To be considered, application must be
completely
filled out (including any spousal/partner info on Pg1)
Name of Cat(s) Requested:
PERSONAL INFORMATION:
PERSONAL INFORMATION:
Name:
Age:
Name:
Age:
Address:
Address:
Apt#:
City/State/Zip:
Apt#:
City/State/Zip:
Home#:
Cell#:
Home#:
Cell#:
Email:
example@example.com
Email:
example@example.com
EMPLOYER:
EMPLOYER:
Occupation/Title:
Occupation/Title:
Phone#:
Contact:
Phone#:
Contact:
Address:
Address:
City/State/Zip:
City/State/Zip:
How long with this Company:
Years
Months
How long with this Company:
Years
Months
How long have you lived at this address?
How long have you lived at this address?
Secondary Residence: (Weekend Residence/Summer Residence)
City/State/Zip:
Do you own or rent your current residence?
Own
Rent
If renting, when does your lease expire? Month:
Year:
Does your lease permit pets?
Yes
No
Name of Landlord or Renting Agent:
Phone#:
Are you adopting for yourself of someone else?
Do you know cats can live 15-20 years?
Yes
No
Why are you adopting a cat at this point and time?
Do you have screens on your windows?
Yes
No
Do you have a terrace?
Yes
No
Is it enclosed?
Yes
No
If yes, does it have a screen door?
Yes
No
Do you have a backyard?
Yes
No
Is it enclosed?
Yes
No
Page 1
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Where did you learn about us?
Petfinder
Adopt-A-Pet.com
RescueMe.org
Other
Does your current job require extensive travel?
Yes
No
If at current job 2 years or less, who was your previous Employer?
Address:
Phone#:
What arrangements will you make for the care of your pet(s) while you are away on business or vacation?
PERSONAL REFERENCE:
Name:
Phone#:
Relationship:
Address:
City/State/Zip:
Who would you give your pet(s) to if you could no longer keep him/her?
Name:
Phone#:
Relationship:
Address:
City/State/Zip:
PERSONAL:
Do you have others living in your home?
Yes
No
What is their relationship to you? (Child, Parent, Partner, Roomate)
Name:
Age:
Relationship:
Name:
Age:
Relationship:
Name:
Age:
Relationship:
Name:
Age:
Relationship:
Does anyone in your family have allergies to animals?
Yes
No
If yes, how will you handle an animal entering your home?
ADOPTION HISTORY:
Have you had pets before?
Yes
No
Dog(s):
Cat(s):
Other
Should be Empty: