Adoption Application for CATS

This is NOT an adoption contract.
Please answer EVERY applicable question. Required fields are in bold.
If this application is incomplete, you will receive an error message.
Your answers will help us make sure we have the perfect match!

Use the mouse or "Tab" key to move from field to field

.

A. Please name the pet(s) you are interested in adopting

Because of some unresolved technical issues, we sometimes don't receive the applications. If you don't hear from us within 2 days, please contact us by using the e-mail address or the phone number listed within the description of the pet(s) on Petfinder.

a1. We recommend you list several cats in case your first choice is not available. If there is more than one cat with the same name, please specify color, gender or anything that would allow us to distinguish it from the other cat.

a2. Please specify why are you interested in this/these particular cats

a3. Have you made plans on how this cat will be transported to his forever home?







B-C-D. Contact Information

 

B. APPLICANT

b1. First Name:

b2. Last Name:

b3. Age:

b4. Home Phone:

b5. Cell Phone:

b6. Work Phone:

Primary Email Address:

b7. RETYPE Your Primary Email Address:

b8. Secondary Email Address:

Important Note:

Please double check that the email addresses you entered are correct. If they are incorrect, we will be unable to reach you!

b9. Street Address:

b9. City:

b9. State:

b9. Zip Code:


Mailing Address:


(if different)

b10. Street:

b10. City:

b10. State:

b10. Zip Code:

 


C. CO-APPLICANT

c1. First Name:

c2. Last Name:

c3. Age:

c4. Cell Phone:

c5. Work Phone:

c6. Primary Email Address:

c7. Secondary Email Address:

Please double check that the email addresses you entered are correct.

d1. Ages of all other adults
and children at your home:

d2. May we visit your home prior to application approval?

YesNo

d3. How long have you lived at your current address?

d4. Do you own or rent?

OwnRentLive with parents in their home


E. Renters: Please provide your Landlord's contact information


e1. Landlord's Name:

e2. Landlord's Address:

e2. Landlord's City:

e2. Landlord's State:

e2. Landlord's Zip Code:

e3. Landlord's Phone:

e4. Do you have your landlord's permission to have a cat?

YesNo

F. Please describe the kind of cat you are interested in adopting

f1. Please tell us why you want this pet:
Check every box that applies

Companion for me/my family
Companion for my other pet(s)
Gift for someone else
Hunting/mouser
To breed
Other (please specify below)

f2. Preferred Age:

f3. Preferred Size:

f4. Preferred Sex:

f5. Reason for sex preference

f6. Preferred Temperament
Check every box that applies

Outgoing - confident
Reserved - shy
Talkative
Independent
Calm
Playful - energetic
Affectionate
Lap cat
Likes other cats
Likes dogs
Other (please specify below)

f7. How long are you willing to commit to this cat's care?
Check every box that applies

As long as it is young
As long as it is healthy
As long as it does hunt
As long as I am single
Until I/we have children
For the cat's whole life
Other (please specify below)

f8. Would you consider a Special Needs cat, such as one who requires medication for a permanent but controlled condition?

YesNoUncertain

G. Please list all the pets you CURRENTLY own:


Pet #

Pet Name

Species

Sex

Spayed or
Neutered

Where did you obtain this pet?
State the age and the breed(s).

1:

Yes
No

2:

Yes
No

3:

Yes
No

4:

Yes
No

H. Please list all the pets you have owned IN THE PAST
starting with the most recent ones:


#

Pet Name

Species

Sex

Spayed or
Neutered

Where did you obtain this pet?
What happened to the pet?
If deceased, state age & cause of death.

1:

Yes
No

2:

Yes
No

3:

Yes
No

4:

Yes
No

h5. Have you ever had a pet who

was hit by a car
ran away
was lost
was stolen
was poisoned
none of the above
Other/Please explain

I. Veterinarian Information

 

Current or Primary Veterinarian

Former or Secondary Veterinarian

i. Name:

i. Street Address:

i. City:

i. State:

i. Zip Code:

i. Phone:

PLEASE CALL YOUR VET(S) AND GIVE CONSENT TO
RELEASE MEDICAL INFORMATION POSTED ON YOUR FILE.


J. Your new cat's living conditions

j1. Where will your cat live?

Strictly indoor
Mostly indoor with some outdoor
Indoor/outdoor
Outdoor during the day and inside at night
Strictly outdoor

j2. Do you live in

an apartment
a duplex
a townhouse
a condo
a single house
a farm
a mobile home
Other (please specify below)

j3. Do you live on/near

a very busy street
a busy street
a quiet street
a cul de sac
a country road
Other (please specify below)

j4. How would you describe your household?

Active Noisy Quiet Average

j5. Who, other then family members has access to your home when you are not a home?
Check every box that applies

Housekeeper
Exterminator
Babysitter
Other (please specify below)

j6. Home features
Check every box that applies

Screened porch
Fenced yard
Doggie door
Balcony
Screens on all windows
Cat fencing
Other (please specify below)

j7. Will your cat have free roaming inside your home?

Yes No

j8. Do you plan to declaw this cat?

Yes, front feet only
Yes, all four feet
No
Uncertain

j9. How often will you groom/brush your cat?

j10. Where will you keep the litter box?

j11. How much do you expect to spend on regular health maintenance for your cat in a year? NOT including food

j12. What behavior or circumstances would cause you to give up your pet?
Check every box that applies

Not getting along with other pets
Shedding
Destructive
Scratches the furniture
Not using the litter box
Housetraining problems
New baby
Pregnancy
Divorce
Marriage
Medical problems
Financial problems
Children lost interest
Allergies
Pet not adjusting
No time
Moving
Found a new ''no pets'' apartment
Training problems
Want to travel
None
Other (please specify below)

j13. Cats have been known to claw furniture, carpet and drapes, dig in potted plants, etc. How do you plan to deal with these potential problems?

j14. Have you ever sold, given away, or surrendered a pet to a shelter?

Yes No

j15. If yes, please specify why:

j16. Please tell us why you want a cat:

j17. If and when you move, what will you do with your cat?

j18. What will you do with the cat if you can no longer keep him/her?

j19. What plans will you make for the cat during your vacation?

j20. Who will be the cat's primary caretaker?

j21. Who will take care of the cat if something happens to his/her caretaker?

j22. In case you have to evacuate because of a natural disaster, where will your pet(s) stay?

j23. What would you do if the pet becomes very ill?

j24. How far with treatment will you go?

j25. Have you, or any member of your family/household, been cited for leash law violations or cruelty to animals in the past?

Yes No

j26. If yes, please specify:

j27. Is there anything else you would like us to know about your application?

j28. How did you hear about us?


K

I/We assert that the information I(we) provided is complete, true and accurate to the best of my/our knowledge.
I/We understand that completion and submission of this application does not guarantee adoption of a cat.
I/We hereby give permission to contact my/our Veterinarian(s) and Landlord, if applicable.

Check this box to confirm

   


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