Adoption Application

Name(s) of cat/kitten(s) applying for:

Name of Applicant

Name of Secondary Applicant (if applicable)

Age(s) of Applicant(s)

Email

Phone

Address

Place of Employment

Dwelling Ownership

If renting, what is your landlord's name and phone number?

Type of Building

Are you planning on moving within the next 6 months?

Yes

No

Do you have children living with you or regularly visiting?

Yes

No

Please list name(s) and age(s) of all children:

Describe your home environment:

Calm and quiet

Fun and active

Noisy and busy

A combination

Are any members of your household allergic to animals?

Yes

No

Have you ever adopted from a shelter or rescue before?

How long ago?

Name of shelter/rescue and phone number:

What are you looking for in a cat/kitten?

Are you planning on declawing your new cat/kitten?

Yes

No

Maybe

List all current pets living with you:

Are any of your current cats declawed?

Yes

No

n/a

List all PAST pets

Have you every lost or given away a pet?

Yes

No

If yes, please explain the circumstances.

What is the name, address, and phone number of your current veterinarian?

Are your present pets up-to-date on their annual vaccines?

Yes

No

n/a

Will you provide your cat with monthly flea/tick/heartworm prevention?

Yes

No

Where will your cat/kitten spend most of their time?

If adopting a kitten, where would the kitten be kept when alone?

If you currently own a dog or cat, how do they react to new cats?

How long do you think it will take your new cat/kitten to adjust to your home?

What type of solution would you be willing to try if housebreaking accidents continue after the first week? Check all that apply.

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 professional

Personal knowledge

Google

Other

If you acquire another pet in the future, and it does not get along with your cat/kitten, how would you handle the situation?

Under what circumstances would you not be able to keep your cat/kitten?

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

Yes

No

What makes you a great adopter?

Many factors go into determining which applicant will be matched with a particular cat. If you are not chosen for this cat, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place each cat in the home that will best suit its needs.

I have completed this application truthfully and I understand the application process.

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