CATS-R-US.org ADOPTION APPLICATION

GENERAL INFORMATION
First and Last Name of applicant*
Cat You Are Interested In*
Age of applicant*
Spouse/Partner First and Last Name*
Names of roommates & other adults in the home*
Names AND AGES of children (under 18) in the home*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Have all adults in the household agreed that they want to adopt a new pet?*

ABOUT YOUR NEW CAT
In your selection of a cat, what is your preference for breed, age, male/female?*
In your selection of a cat, what is your preference for size/weight, hair length, hair color?*
In your selection of a cat, what is your preference for personality and energy level?*
In your selection of a cat, what things do you NOT want (personality, temperament, behavior)?*
Why are you interested in adopting a new cat?*
Check all that apply. Will this new cat be:*

Companion for meCompanion for family/childrenCompanion for another petFor protectionA gift
Have you ever owned a cat before?*
Have you ever owned a young kitten?*
Do you already have a veterinarian?*
If yes, who is your veterinarian?
Vet name, Clinic name, City
May we call the veterinarian you have listed for a reference?

YesNo
Please list 2 personal references (one must not be a relative), their contact information and relationship to you.
In what areas of the house will your new cat be allowed (be specific):*
How many hours per day will your new cat be home alone? Please explain.*
Will your new cat be allowed on the furniture?*
What type of discipline will you use to correct undesirable behavior?*
If your new cat escaped from your home, what steps would you take to find him/her?*

PET HISTORY
Please fill out the following information about your current and past pets. Please do not include pets you had as a child living at home - and we do not need information regarding reptiles, livestock or fish.
Current Pets

Pets you have in your household right now.
Do you currently have pets in your home? *
CURRENT PET A - Name:
EX: Fluffy
CURRENT PET A - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
CURRENT PET A - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Is this pet spayed/neutered?
CURRENT PET A - Does this pet like cats?
Describe previous interactions with cats
Do you have a second pet currently in your home?
CURRENT PET B - Name:
EX: Fluffy
CURRENT PET B - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
CURRENT PET B - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Is this pet spayed/neutered?
CURRENT PET B - Does this pet like cats?
Describe previous interactions with cats
Do you have a third pet currently in your home?
CURRENT PET C - Name:
EX: Fluffy
CURRENT PET C - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
CURRENT PET C - How long have you had this pet (and when did you get this pet)?:
EX: I've had him 10 years - from 2010 to Current
Where did you get this pet?
Is this pet spayed/neutered?
CURRENT PET C - Does this pet like cats?
Describe previous interactions with cats
Past Pets

Pets you have had in the past as an adult - starting with the most recent.
Did you have pets in the past?
PAST PET A - Name:
EX: Fluffy
PAST PET A - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
PAST PET A - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Was this pet spayed/neutered?
What happened to this pet?
Did you have a second past pet?
PAST PET B - Name:
EX: Fluffy
PAST PET B - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
PAST PET B - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Was this pet spayed/neutered?
What happened to this pet?
Did you have a third past pet?
PAST PET C - Name:
EX: Fluffy
PAST PET C - Species, Breed and Size:
EX: Dog, Boxer, 50lbs
PAST PET C - How long did you had this pet (and when did you have this pet)?:
EX: I had him 6 years - from 2010 to 2016
Where did you get this pet?
Was this pet spayed/neutered?
What happened to this pet?
Did you have more than three pets in the past?*

SUMMARY AND SIGNATURES
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION. PLEASE NOTE: Filling out this application DOES NOT guarantee an adoption. We thoroughly evaluate all of the kittens and cats in our care, and try very hard to match the right pet to the right person and situation. Adoptions are not on a first-come first-served basis. We reserve the right not to adopt. Please remember that we are all volunteer organization. We will reply to your application as soon as it has been processed (normally 2-3 days). Thank you for considering a rescue kitty!
YOU ARE MAKING A MAJOR COMMITMENT WHEN YOU ADOPT ANY PET. PLEASE REMEMBER THAT CATS CAN LIVE FOR 15 OR MORE YEARS. THOUSANDS OF CATS ARE KILLED AT ANIMAL SHELTERS EACH YEAR BECAUSE THEIR OWNERS DID NOT PLAN FOR THE FUTURE. CATS CAN GET SICK AND REQUIRE EXPENSIVE MEDICAL TREATMENT DURING THE COURSE OF THEIR LIFE. CATS NEED AFFECTION, ATTENTION AND UNDERSTANDING. YOU MAY HAVE TO ADJUST YOUR LIFESTYLE TO ACCOMMODATE A NEW PET. IF YOU ARE READY TO MAKE THIS COMMITMENT, PLEASE TYPE YOUR NAME BELOW:*
Should be Empty:

Current Pets

Past Pets