Kitty Konnection: Adoption Application

Which kitty you are interested in adopting? If you do not have a particular kitty in mind, leave blank.
Applicant's First Name *
Applicant's Last Name *
Street Address *
Apartment Number (if applicable)
City *
State *
Zip Code *
Driver's License or State ID# *
Cell Phone Number (xxx-xxx-xxxx) *
Alternate Phone Number Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Please re-enter your email address *
What is your age? *
Employment Status *
Occupation: *
Employer: *
What is your work or school schedule? *
What school do you attend? *
Spouse/Roommate name:
How did you find out about Kitty Konnection?
Please tell us where
Do you currently have any cats? *
How many cats do you have? *
What are their ages and how long have you had them? *
Do they get along with other cats? *
Are your cats current on vaccinations? *
Were you cats tested for FeLV/FIV? *
Are your current cats spayed/neutered? *
Are any of your cats declawed? *
If your current cats are declawed, were they declawed when you got them, or did you have it done? *
Have you had cats previously? *
Please share details about your previous cats: how many, for how long, where are they now?
Do you currently have any dogs? *
How many dogs do you have? *
Please list your current dog(s) age, breed, and how long you have had them. *
Are your dogs: *
Are your dogs good with cats? *
Please provide information on your dog(s) previous experience with cats *
Are your dogs current on vaccinations? *
Are your current dogs spayed/neutered? *
Veterinarian's Office (if you don't have a current vet, where do you plan to go?) *
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Veterinarian's Address * Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number *
I live in a: *
Do you own or rent your home? *
Are you subject to Association limits on pets? *
What is your Association limit number on pets? *
Do you have written permission from your landlord to have a cat? *
Landlord Name: *
Landlord phone number: *
Are there children in the home? *
How many children? *
How old are the children? *
Have any of the children had a cat before? *
Including yourself, how many adults live in your household? *
Your cat be: *
Do you expect to declaw your kitty? *	Unsure Yes No
How many hours per day will there be NO ONE home with your kitty Monday-Friday? *
How many hours per day will there be NO ONE home with your kitty Saturday-Sunday? *
How will your cat spend its DAYS when someone IS home? (check all that apply) *	whole/part house access single room sunroom screened porch basement garage crate
How will your cat spend its DAYS when someone is NOT home? {check all that apply} *	{whole}/{part house access} {single room} {sunroom} {screened porch} {basement} {garage} {crate}
How will your cat spend its NIGHTS? (check all that apply) *	whole/part house access single room sunroom screened porch basement garage crate
When you are gone for 24-48 hours, how will your cat be cared for? {check all that apply} *	{will leave food and water} {neighbor/relative} {pet sitter} {board at kennel} {other}
Please explain if "other"
When you are gone for more than 48 hours, how will your cat be cared for? (check all that apply) *	will leave food and water neighbor/relative pet sitter board at kennel other
Please explain if "other"
Are you or anyone in your household allergic to cats? *
Please explain *
Do you or anyone in your household have asthma? *
Does anyone in your household smoke inside your home? *
Under what circumstances might you consider giving up your cat? (check all that apply) *	moving allergies new baby not getting along with other pets children leave home behavioral problems separation/divorce personal/family medical issues cat develops medical problems too time consuming other there is no reason I would give up my kitty
Please explain if there are "other" reasons
HOME VISIT: I agree to allow you to visit my home by appointment as part of my application or as a follow-up to adoption. *
If you did need to give up your cat, would you agree to return it to Kitty Konnection? *
Is there anything else you would like us to know when reviewing your application?
APPLICATION INFORMATION: All of the information and answers I have provided in this application are true and correct. If any information changes, I will advise you promptly *
Signature *