Cat/Kitten Adoption Application

Cat & Kitten Adoption Application

A note to the applicant: The volunteers of TMHPR strive to match each pet with the home perfectly the first time. We ask a lot of questions, but by providing the following information, we should be able to ensure the cat is a good match for you and your family. Thank you in advance for taking the time to complete this application. Your application must be completed in full to be considered.
Today's Date *

Month Day Year
Interested in *
Pet's Name
Applicant Information
Full Name *

First Name Last Name
Applicant Date of Birth *

Month Day Year
Please Note: All Applicants/Adopters must be 21 years of age or older.
Spouse/Significant Other

First Name Last Name
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Home Phone *
Mobile Phone *
Household Information
Number of Adults living in the home? *
Have all adults consented to adopting this pet? *
Number of Children living in the home? *
Ages of Children *
Living Situation *

House Apartment Condo/Townhome
Living Situation *

Rent Own
If you rent, we require consent from the Owner/Landlord/Complex indicating approval to take the cat onto the property.
Name of Owner/Complex (if rental)
Phone of Owner/Complex (if rental)
Employment Information
Employer *
Employer's Address *
Employer's Phone *
Spouse/SO's Employer

Please Map Out A Typical Week *

Away from home less than 5 hours

Away from home 5-9 hours

Away from home more than 9 hours

Not away from home

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Your Pets
Have you adopted a pet before? *

Yes No
If yes, from which organization? *

Please List and Describe your Current and Past (within last 5 years) Pets

Name

Dog/Cat

Male/Female

Spayed/Neutered (yes/no)

Breed

Approx. Weight

Age

Up to Date on Vaccinations?

On Heartworm Prevention?

Living/Decesased

Pet 1

Pet 2

Pet 3

Pet 4

Pet 5

Pet 6

Your Veterinarian

I authorize TMHPR to inquire about the health status of my current animal(s) as well as any deceased/no longer owned animal(s) on the records under my/our name. I authorize release of vaccination records, heartworm preventative purchases, and whether or not the animal has visited a clinic in the last 12 months. If you do not yet have a veterinarian, please indicate who you would plan on using for this pet. **Please contact your veterinarian and inform them that we will be calling to verify and that they will need to be able to release this information to us.**
Do you have a current Veterinarian *

Yes No
Clinic/Veterinarian Name
Clinic Address
Clinic Phone
Plans For This Cat

This information helps us to make the best fit for the cat's personality and needs with the adopters lifestyle.
Where will this cat live? *
How will this cat be cared for when you are out of town? *
If you move, what will you do with the cat? *
What will happen to the cat if you are no longer able to care for it? *
Do you have a dog/cat door? *

Yes No
Have you ever had a cat declawed? *

Yes No
If yes, please provide additional information here. *
Have you ever taken an animal to a shelter? *

Yes No
If yes, please explain.
Please describe a typical day for a kitten/cat in your home. *
References
Please list at least 2 non-relative personal references). *
Include Name, Phone Number, and Relationship
Comments/Additional Information
How did you learn about this pet?
Please fill in any comments or additional information here
Should be Empty:

Cat & Kitten Adoption Application

Applicant Information

Household Information

Employment Information

Your Pets

Your Veterinarian

Plans For This Cat

References

Comments/Additional Information