Adoption Application for Cats

Date

I’m interested in adopting   cat kitten

Name

Date of birth

Address (number. & street)

Address (city/town & zip)

Home phone

Work phone

E-mail

How many people live at this address? (total)

How many children?

Ages of children

I’m looking for   Indoor cat Indoor and outdoor cat

What characteristics are you looking for in a cat?   companion to another cat   mouser  independent  couch potato  playful  affectionate

Please note: all members of the household must visit the shelter to meet the cat(s) or kitten(s) before an adoption can be approved.

Does anyone in your household have allergies to animals?   Yes No

Tell us about your home

I live in a(n)   single family two-family condo apartment other

If other, please describe:

How long have you lived there?

Do you . . .   own your home? rent

if you rent, are pets allowed?   Yes No

Please note that we do everything we can to ensure that our animals go to good homes, so we will call your landlord to confirm that pets are allowed. we will also check with your veterinarian.

Landlord's name

Landlord's phone number

How many years have you lived here?

(If under eight months, please list previous landlord.)

Landlord's name

Landlord's phone number

How many years did you live here?

Are you moving soon?   Yes No

Tell us about your pets

Any other pets at home?   yes no

If so, what kind of pets?

What are the ages of your current pets?

Were they neutered or spayed?
Yes No

If you have a dog/cat, has he/she ever lived with a cat/dog?   Yes No

Have you had pets in the past?   Yes No

What happened to them?

What kind of pets were they?

How long would your pets be alone during the day?

Do your cats go outside?
Yes No

Have you ever had a cat declawed?   Yes No

Animal Welfare Considerations

Have you ever surrendered an animal to a shelter before?   Yes No

If so, why?

Vet's phone number

Vet’s name

(Please note that you have to give permission to your vet for him/her to talk to us.)

Vet's address (street, city, zip)

Signature (to be signed in person)

Printed name