Cat Adoption Application
Animal Name or ID # that you are interested in (if you don't know, just put CAT):
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Are you 18 years or older?
*
Yes
No
Employer:
*
Criminal History (Please include ALL offenses involving animals):
*
Household Information
Who is living in your home? *
*
Adults
Children under 5
Children over 5
Please list all members of your household (include their relation to you, names, ages):
*
Have your children been around animals before?
*
Yes
No
N/A
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
Other
Do you own or rent?
*
Own
Rent
If rent, provide name and phone number of landlord:
Does your landlord allow cats?
*
Yes
No
How many hours a day will you be home?
*
Does anyone in your home have allergies to dogs or have asthma?
*
Yes
No
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato) *
Can you afford regular vet care for this pet? Can you provide vet care for this animal if it were to need surgery, is ill, or there is an emergency?
*
Yes
No
Do you agree to have annual check ups and all vaccinations administered by a licensed veterinarian?
*
Yes
No
What length of time will you allow your new pet to adjust to his new home?
*
Are you willing to work through your new pet's issues, if any?
*
Yes
No
Maybe
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
*
Yes
No
How often and what type of exercise do you plan on giving the pet?
*
Who are you adopting this pet for?
*
What is your reason for adopting? *
*
Where will the animal you are wishing to adopt be kept during the day? *
*
Where will the animal you are wishing to adopt be kept at night? *
*
Current/Previous Pet Information
List any pets you own or have owned in the past five years. Please list their name, breed, age, and if they are deceased/living
*
How many of these pets are spayed/neutered? *
*
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?
Please provide the name and phone number of your CURRENT and/or PREVIOUS veterinarian or clinic. This information will be used in the application process.
*
Reference Information
Please list 2 personal references (include name, phone number, and relation to you):
*
Submit
Should be Empty: