Applicant's First Name *
Applicant's Last Name *
Full Legal Name (as signature) *
Applicant's Age *
Street Address *
Apartment Number (if applicable)
City *
Province *
Postal Code *
Email Address *
Confirm email
Phone Number *
Please list the cat(s) that you are interested in: *
Have you or anyone in your household previously filled out an application within the last 60 days? *
No Yes
If you have applied before, has any information from the previous application changed? (number of pets, household members, etc.)
No Yes
In the event that the cat or kitten you have applied for is adopted, are you interested in any other cats that may become available at our rescue? *
Yes
No, I am only interested in this specific cat or kitten at this time.
How did you find out about us? *
Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Social Media
Other
Have you applied anywhere else for a cat?
No Yes
If yes, where else have you applied for a cat?
Is this pet for you or someone else? *
Myself
Someone else
Do you own other pets at the current time? *
No Yes
If yes, please list their names, breeds, and ages. *
Are all of your pets spayed/neutered/fixed? *
Yes
No
No pets currently living in the home
How many pets have you owned in the last 5-10 years? *
How long have each of your previous pets lived? *
What happened to them? *
If any of your previous pets have passed away, what was the cause? *
Are your pets current on their vaccinations? *
Yes
No
No pets currently living in the home
Were you ever in a situation where you were unable to keep a pet? *
No Yes
If yes, please explain? *
Veterinarian's Name *
If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, Province and Postal Code *
Again, if you have never owned a pet please list where you would go
Veterinarian's Phone Number *
Have you ever had a pet euthanized? *
No Yes
If yes, please explain: *
Please check the main reason you plan to adopt a cat: *
Companion for you
Family Pet
Companion for another pet
Other
If you answered "other" above, please explain here: *
Is this your first pet? *
No Yes
Will your new cat be an indoor or outdoor cat? *
Indoor
Indoors but allowed time outside under supervision only
Indoors but allowed time to roam freely outdoors
Outdoor only
Do you own or rent your home? *
Own
Rent
Someone else owns the Home
Someone else rents the Home
Please select your current residence type. *
House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
If you rent, does your landlord and lease allow pets?
No Yes
In what areas of your home will the cat be allowed? *
Name of Spouse or Significant Other *
(if applicable)
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to adopt a cat? *
No Yes
Has anyone in your household experienced pet allergies or asthma? *
Yes
No
Not Sure
On average, how many hours per day will your cat be left alone? *
Where will your new cat be left when alone? *
What arrangements will you make for the care of your pets in case of an emergency? *
Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
If you answered "other" above, please explain: *
What will you do with the cat when you go on vacation? *
Leave with family/friend
Boarding
Pet sitter
Take with me/us
Other
If you answered "other" above, please explain: *
Do you plan to declaw your cat? *
Yes
No
Maybe
Is there a cat behaviour that would be unacceptable to you? *
If so, what would you do if this behaviour presented itself? *
For what reason(s) would you consider returning/giving up the cat? *
What would you do with your cat if you had to move? *
Take him / her with me
Give to family or friend
Return to shelter
Other
If you answered "other" above, please explain: *
Are you willing to take responsibility for this animal for the next 10-20 years? *
No Yes
If no, please explain: *
Are you financially able to support your cat or kitten if it needs vet care? *
No Yes
Please list a personal reference *
Personal reference phone number *
Do we have permission to call your personal reference to ask questions about you as a pet owner? *
No Yes
Other comments, notes, or clarifications *
Are you interested in receiving email communications from us regarding upcoming events and information on cats coming available for adoption? *
No Yes
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact my veterinarian. I am aware that the rescue cannot guarantee the health and temperament of the animal. *
No Yes