Adoption Application

APPLICATION FORM FOR CATS
Please note; filling in this application does not guarantee an adoption, this form helps match the right cat to the right home.

In Order to be considered for adoption:
- You Must be over 18 years old
- Have valid government issues ID like a drivers license with current address
- Consent of all adults living in the home
Full Name*

First NameLast Name
Best Contact Number

Area CodePhone Number
Up until what time of night can we contact you via phone?*
E-mail*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Cat for Adoption (if known):*
If you are not looking at a specific cat, just type CAT in this box
Age of cat you would consider adopting: (check all that apply)*

KittenYoungAdultSpecial NeedsSenior
What is your reason for wanting to adopt a cat?*

HousepetMouse PatrolCompanionCompanion for petGiftOther
Type of Dwelling:*
How long have you lived at this address?:*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?
Is there a plan for the cat if you fall ill and can no longer provide a home?*
Do you own your own home?*

YesNo
If no, name and phone # of landlord:
Do you know of any restrictions to pets in your building?
Birth Date*

MonthDayYear
Current Occupation:

Name and age of ALL occupants in household (including non-family members)*

	Name	Age	Occupation
1)
2)
3)
4)
5)

Name and age of ALL occupants in household (including non-family members):*
If no children, do you plan on having children or will children be visiting the household frequently?*

YesNo
If other, please explain:
How many total hours will your new pet be left alone during the day?*
If adopting a kitten, where would the kitten be kept when alone?
Are you planning on declawing your new cat or kitten?*

YesNoMaybe
Are there any smokers in the home?*

Nobody smokesYes, but we only smoke outsideYes, we smoke inside
Are any members of your household allergic to animals?*

YesNo
If yes, please describe:
Who will have chief responsibility for the care of your new pet?*
Over the past 5 years, how many pets have you owned? (Include current pets)*

List the last 6 animals you've owned in order of most recent

	Name	Species	Age	Status
1)
2)
3)
4)
5)
6)

List each individually including breed, age, still living with you? (if not, why?)
Have you ever lost or given away a pet?*

YesNo
If you currently own a dog or cat, how does he/she react to new cats?
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?*
Can/Will you provide your cat with monthly flea/tick prevention?*

YesNo
Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER.*
What plans do you have for your new pet when you are on vacation?*
Have you ever had, or dealt with a difficult cat; behavioral issues(shy/timid, reactive, litter box issues), medical issues (giving medication, etc). Please explain the situation and how you handled it.
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a bookPersonal KnowledgeOther
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Move box to new locationTry a different litterClean box more oftenHave cat examined by vetUse a cat doorReturn CatNoneOther
If other, please explain:
What brand of cat food do you plan on feeding your new cat?*
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
Are you prepared to commit to a pet for 15 - 20 years (average life span)?*

YesNo
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
If yes, please describe:
Where will your cat spend most of his/her time?*
If you selected outdoor, would your cat be supervised?

YesNo
If there is anything else you think we should know, please note it here.
Yes, I would like to be added to the mailing list for the quarterly PET CHAT newsletter!*

YesNo
Please remember, we are all volunteers and it may take a few days to respond. We do aim to be as prompt as we are able.
Thank you so much for wanting to rescue a cat!!
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APPLICATION FORM FOR CATS

Please remember, we are all volunteers and it may take a few days to respond. We do aim to be as prompt as we are able.

Thank you so much for wanting to rescue a cat!!