Kizzy's Place Cat Adoption Application

Kizzy's Place Cat Adoption Application
The following information is requested so that we can assist you in the selection of a new pet. This form is designed to help us determine if the adoption is in the best interest of the cat and to assist you in finding an animal most compatible with your household & lifestyle. Kizzy’s Place reserves the right to refuse an adoption for any reason.

In order to be considered as a prospective adopter you must:

Have identification showing your present address.
Have the knowledge and consent of your landlord.
Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet.

Completion of this application does not guarantee adoption.
Applicant Information
Name of the cat you are interested in: *
Your full name: *
Your age: *
Street Address: *
City, State, Zip *
Home Phone: *

- Area Code Phone Number
Cell Phone:

- Area Code Phone Number
E-mail: *
Employer:
Character reference and phone number:
Household Information
Are all members of your household in agreement with this adoption? *

Yes No Don't Know
Who will be the pet's primary caregiver? *
Do you live in a *

House Apartment Condo Mobile Home
Do you own or rent? *

Own Rent
If rent, provide name and phone number of landlord to obtain permission for this animal to live in your home:
How many adults are in your household? *
How many children are in your household? *
If children, what are their ages?
Have your children been around animals before?

Yes No
Does anyone in your home have allergies to animals or have asthma? *

Yes No
Current/Previous Pet Information
Would this be your first pet? *

Yes No
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Where are these animals now?
Please provide the name and phone number of your current and/or previous veterinarian or clinic to contact for a reference: *
Enter N/A if you have no other pets
Have you adopted from an animal welfare group before?

Yes No
If yes, what group?
Have you ever given up a pet?

Yes No
If yes, what were the circumstances?
If you have cats, have they been tested for Feline Leukemia and Feline Immunodeficiency Virus (FIV)

Yes No
If so, what were the results?
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato) *
How many hours each day will your new pet be home alone? *
Where will your new pet sleep at night? *
Where will your new pet stay when nobody is home? *
Are you willing to have a representative from Kizzy's Place come to see where the pet will be living *

Yes No
Will you have the cat declawed? *

Yes No
Will you keep the cat inside or outside? *

Inside Outside
If you move, will you take the cat with you? *

Yes No Depends
What length of time will you allow your new pet to adjust to their new home? *
What will you do if the cat claws furniture or shows other destructive behavior? *
Are you willing to work through your new pet's issues, if any? *

Yes No
Are you aware that a new environment is stressful for your new pet, and they may exhibit uncharacteristic behavior? *

Yes No
Do you understand that a cat can be an 20+ year commitment, and can cost a significant amount of money to care for? *

Yes No
What circumstances would lead you to give up your new cat? *
If you had to give up your cat, what would you do with him/her? *
How did you find out about Kizzy's Place? *

Adoptapet.com Petfinder.com Facebook Friend/Family Member Other website PetValu Petsmart Animal House
I understand that Kizzy's Place reservers the right to refuse an adoption for any reason
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Kizzy's Place Cat Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information