Cat/Kitten Adoption Application
Name-First/Last
Address
City, State
Home Phone
Work Phone
Email
Employer
Cat/Kitten Name
Alfie (Cat - D2022024)
Annabelle (Cat - S2022004)
Bryer (Cat - U2021119)
Bunny (Cat - U2022038)
Carolina (Cat - S2021095)
Ellie (Cat - D2022048)
Elvira (Cat - D2022035)
Grumpy Cat (Cat - U2022001)
Guinness (Cat - U2022049)
Indy (Cat - U2022004)
Jet (Cat - U2022033)
Lola (Cat - S2021108)
Maya (Cat - U2022032)
Penguin (Cat - D2022044)
Precious (Cat - D2022030)
Stormie (Cat - U2021087)
Stormy (Cat - U2022045)
Stubbs (Cat - U2022012)
Sunny (Cat - U2022043)
Trixie (Cat - D2022041)
Wilbur (Cat - S2022005)
Yeti (Cat - D2022033)
Male, Female, Sex Doesn't Matter
Kitten-Under 5 months ,Adult Long Hair ,Short Hair
Personality Type
Color
Why do you want to adopt a cat?
How many people reside in your household? Please list names of all adults
Any children in the household ?
No
Yes
If yes, ages:
For whom are you adopting the cat?
Any member of the family have allergies to animals
No
Yes
If yes, please explain:
Who will be responsible for the cat's care?
Where do you live?Apartment , Condo, Farm, Mobile Home ,Townhouse
Do you own/rent?
If you rent, what is the name of your landlord and phone number
Are companion animals allowed?
No
Yes
Where will the cat be kept? Indoors only, Outdoors only, Both in/out
If outdoors, will the cat be? Attended ,Unattended ,Collars & tags?
Will anyone be home during the day?
No
Yes
How many hours will the cat be left unattended?
When no one is home, where will the cat be kept?
If you move, what will you do with the cat?
Have you ever had a companion animal before?
No
Yes
Describe the name, breed, age, spayed/neutered(yes/no), kept where, time in care of the animals in your household
Describe the animals no longer in your care: Name, breed, age, spayed/neutered, kept where, time in care, reason no longer in your care
Are your companion animals current on their vaccines?
No
Yes
Name & Phone number of your Veterinarian/Or Vet you plan to use
Are you planning on declawing?
No
Yes
Are you financially able and willing to provide annual checkups and medical care?
No
Yes
What precautions would you take to properly introduce a new cat into your home if you have other animals?
If a disciplinary or behavioral problem arises with your cat, what steps will you take to work on it?
Have you ever adopted an animal from a rescue/animal control agency?
No
Yes
Have you ever had an adoption rejected from a rescue/animal control facility?
No
Yes
If yes, explain
Are you willing to sign legal adoption papers
No
Yes
Do you agree to permit a visit to your home/farm by appointment?
No
Yes
We understand that some owners might have to rehome their pets due to unexpected circumstances. Please provide the name of a friend or relative who will commit to providing a safe/loving home for your cat. A cat that is not rehomed properly may find itself dumped outside or in a high kill shelter or worse. Backup Adopter's Name & Phone Number
*
Name, Phone/Email of Reference #2-Non-Family
*
Name, Phone/Email of Reference #3Non-Family
*
Signature
Clear
Date