Cat & Kitten Adoption Application

Cat & Kitten Adoption Application

Thank you for your interest in adopting from us! This application will take approximately 5 minutes to complete.
General Information

A completed adoption application is required before any adoption will be considered.
Name of Applicant*

First NameLast Name
Name of Co-Applicant

First NameLast Name
Age of Applicant*
Applicants must be at least 21 years old to adopt
Applicant Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Preferably cell phoneFormat: (000) 000-0000.
Email Address*
example@example.com
What type of cat are you interested in adopting? Check all that apply.*

Kitten(s)AdultSeniorUndecided / no age preference
Is there a specific cat(s)/kitten(s) are you interested in adopting? List name(s) of all cats you're interested in, if known. Otherwise, write "unknown"*
List the name(s) of all cats you're interested in (if known)
How did you learn about the available cat or kitten?*

FacebookInstagramPetfinderPersonal ReferralOther
If the cat(s) you are interested are no longer available for adoption, would you like us to continue to process your application for pre-approval in the event that another cat interests you?*

YesNo
Are all members of the household aware/approve of the adoption?*

YesNo
Who is this pet for?*

MyselfMy familyRelativeFriendOther
Have you adopted from us previously?*

YesNo
Home & Family
Describe your home*

Single-Family HomeApartmentCondo/DuplexStudent HousingOther
Do you own or rent your home?*

OwnRent
If you RENT or live in a family member's home, please provide the landlord/homeowner's name and phone number here. If not, please put N/A.*
Who else lives in the home? Please list names, relationship to you, AND ages for all.*
Ex: Michael, husband (41); Jessica, daughter (7). Susan, mother-in-law (80).
So we can ensure the kitty is a good fit for your home, is your home busy or quiet?*

BusyQuietA mix of both, depending on the time & day
Are any members of the household allergic to cats?*

YesNo
Do you anticipate moving in the next year?*

YesNo
Current & Past Pets
Do you have any pets (dog, cat, etc.) currently?*

YesNo

If no current pets, have you had any pets (of your own) in the past 10 years?*

YesNo - this is my first pet of my ownNo - not in the past 10 years

Have your current or past cats been indoor only, outdoor only, or a combination of both?*
Do you plan to let your cat outside? If so please explain.*
Do you plan on declawing your adopted cat?*

YesNoI don't know
Are you willing/able to take your pets to yearly check-ups?*

YesNo
How would you deal with behavioral issues such as excessive meowing, destructive behavior, inappropriate urination etc.?*
Why is now a good time to add a new cat to your family?*
Does your home have space (i.e. a spare bedroom, office, or bathroom) to separate new pets from current pets during the acclimation and introduction period?*

YesNo
Are you willing to give your cat/kitten time to adjust to its new environment? (Note: this could take anywhere from several days to several months)*

YesNo
If you have to leave town, urgently or planned, where would your cat stay or who would take care of it?*
If you were no longer able to care for your pet, or had to move, what would happen to your pet?*
Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?*

YesNo
If you answered "Yes" to the above question, please explain the circumstances:
Veterinarian

Please list your current / previous / planned veterinarian(s) and their phone number(s). We will contact them to verify your current pets are up to date on shots, spayed/neutered and FeLV tested; this is a requirement for new pet adoptions. Please call their office(s) to authorize the release of information to us. If you plan to use another veterinarian but are not currently a client, please note this information.
Vet Clinic*
Vet Clinic Phone*
Format: (000) 000-0000.
Last name that the pet(s) are listed under (if applicable):*
Previous Vet Clinic
Previous Vet Clinic Phone
Format: (000) 000-0000.
Personal References

Please provide 2 NON-family references (eg. neighbors, coworkers, family friends etc.)
Reference 1*

First NameLast Name
Reference 1*
Format: (000) 000-0000.
Relationship to Reference 1*
Ex. Neighbor, coworker, roommate, family friend
Reference 2*

First NameLast Name
Reference 2*
Format: (000) 000-0000.
Relationship to Reference 2*
Ex. Neighbor, coworker, roommate, family friend
Adoption Application Agreement: Terms & Conditions
I certify that I am at least 21 years of age*

AgreeDisagree
The information I have provided on this application is true. I also recognize that any misrepresentation or omissions may result in the loss of privilege to adopt from Amy's Kittie Krew and that the cat can be reclaimed if any information is found to be false.*

AgreeDisagree
I understand that Amy's Kittie Krew has the right to deny any application for any reason*

AgreeDisagree
I agree to the adoption donation of $125 per cat/kitten.*

AgreeDisagree
I understand that this donation is applied to cover expenses such as veterinary wellness exams, FeLV/FIV testing, deworming medications, distemper vaccines, spay/neuter (done at 3 months of age for kittens), rabies and FVCRP vaccines, and any additional medical care evaluated as necessary prior to adopting*

AgreeDisagree
I understand that Amy's Kittie Krew is not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. There are traits that could change upon adoption, and I take responsibility to care for and address these issues if they do arise.*

AgreeDisagree
I understand that anything could happen in life, and if I find that I am no longer able to care for my adopted cat, I agree to contact Amy's Kittie Krew by phone and/or email to discuss return/or need for help of the adopted animal.*

AgreeDisagree
I understand that I am to immediately contact Amy's Kittie Krew in the event that my adopted cat is lost/missing*

AgreeDisagree
I attest that the cat I am adopting is for me, in my home, and NOT a gift for anyone*

AgreeDisagree
I understand that I am responsible for paying for all follow-up vaccines, wellness visits & medical procedures my pet will require in the future.*

AgreeDisagree
If I am adopting a kitten that is too young to be fixed (foster-to-adopt), I understand that I am to keep it separate from my other cats until it is fixed & FIV/FeLV tested.*

AgreeDisagreeN/A - I don't have any cats currentlyN/A - the cat I am applying to adopt has already been FeLV tested
If the cat/kitten is not adapting to their new home/family within the first two months, the adoption donation will be refunded upon your request, upon its return to Amy's Kittie Krew within that timeframe.*

AgreeDisagree
I authorize Amy's Kittie Krew to contact my references, veterinarian(s), and landlord to verify said statements.
Applicant Name*

First NameLast Name
Signature*
Date*

MonthDayYear
Date
Should be Empty:

Rows	Name	Type of Animal	Sex (M/F)	Age	Fixed? (Y/N)	Up-to-date on vaccines? (Y/N)
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

Rows	Name	Type of Animal	Why don't you have them any longer?
Pet 1
Pet 2
Pet 3
Pet 4

Cat & Kitten Adoption Application

General Information

Home & Family

Current & Past Pets

Veterinarian

Personal References

Adoption Application Agreement: Terms & Conditions