You can always press Enter⏎ to continue
Welcome
Hi there, please fill out and submit this form.
37
Questions
START
1
1.) What is the name of the cat(s) you are interested in?
Previous
Next
Submit
Press
Enter
2
2.) List the following info: your first & last name, occupation, primary phone number & home address, name of spouse or significant other.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
3
3.) Do you have children? If so, what ages?
Previous
Next
Submit
Press
Enter
4
4.) How many pets do you currently have & what kinds?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
5
5.) Who will be responsible for the cat’s care (primary caretaker)? (i.e. feeding, cleaning litterbox, taking the cat to the vet etc.)
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
6
6.) What is the age of this primary caretaker?
Previous
Next
Submit
Press
Enter
7
7.) Is anyone in your household allergic to cats or experience allergies?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
8
8.) Are you prepared to provide care for this cat for 20+ years?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
9
9.) If the cat you are adopting will more than likely outlive you, what are your plans for the cats after?
Previous
Next
Submit
Press
Enter
10
10.) How long have you lived here and do you plan to move in the near future?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
11
11.) In what areas of your home will your cat be allowed?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
12
12.) Where will you keep the litter box?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
13
13.) Where will your new cat be left when alone?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
14
14.) Is this your first pet?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
15
15.) Do you plan to declaw your new cat?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
16
16.) What is the name & phone number of your current veterinarian?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
17
17.) Do you have a limit on veterinary care expenses?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
18
18.) Where would this cat go if you decide you can no longer keep him/her?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
19
19.) How do you plan to slowly transition a newly adopted cat into your home?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
20
20.) What sort of enrichment do you plan to offer your cat? (toys, play time, scratching post, laser light toy)
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
21
21.) Do you have a doggy door?
Previous
Next
Submit
Press
Enter
22
22.) What date would you be available to meet/pick up your new cat if your application is approved?
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
23
23.) Will the cat be indoor, outdoor, or both?
Previous
Next
Submit
Press
Enter
24
24.) Can you provide any references to vouch for you as a pet owner? (i.e. your current veterinarian, animal rescue organization, etc.) References must not be related to you. References are not required, but would help increase your chances of being selected as an adopter candidate. Please also list their phone number.
Previous
Next
Submit
Press
Enter
25
25.) Describe to us what you are looking for in the ideal cat you are wishing to adopt (i.e. personality type, level of energy, etc.)
Previous
Next
Submit
Press
Enter
26
26.) Do you have any specific questions you would like answered about our rescue, cat(s), policies?
Previous
Next
Submit
Press
Enter
27
27:) What is your driver's license number and the state you're licensed to drive in?
Previous
Next
Submit
Press
Enter
28
28.) Does anyone smoke inside your home?
Previous
Next
Submit
Press
Enter
29
29.) Do you understand that you are applying to adopt a cat whose medical history due to his/her genetics is unknown before it entered the rescue? Cats are tested for FIV and FeLV, vaccinated, dewormed, examined by a veterinarian, and leave in good health before placement, but beyond that we cannot anticipate future medical problems which may arise. You agree that, as the cat's legal owner, all future veterinary costs are your sole responsibility from the date of adoption.
YES
NO
Previous
Next
Submit
Press
Enter
30
30.) Do you agree to seek prompt and quality veterinary for this cat as soon as the need arises?
YES
NO
Previous
Next
Submit
Press
Enter
31
31.) How did you hear about us?
Previous
Next
Submit
Press
Enter
32
Please type your name here to confirm, acknowledge, and agree to the Adoption Terms and that you certify that all of the information contained within this application is true to the best of your knowledge.
Previous
Next
Submit
Press
Enter
33
Date of application:
Previous
Next
Submit
Press
Enter
34
What is a good phone number to reach you at?
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
35
Alternate Phone Number
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
36
Email
example@example.com
Previous
Next
Submit
Press
Enter
37
Best time of day and day(s) to reach you?
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
37
See All
Go Back
Submit