Adoption Application
What is the name of the cat you are applying for?
Applicant's First Name
*
Applicant's Last Name
*
Street Address
*
City
*
State
*
Apartment Number (if applicable)
Zip Code
*
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.
Alternate Phone Number
Date of Birth
*
Drivers License Number
*
How did you find out about us?
Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Facebook/Twitter
Other
Have you applied anywhere else for a pet?
No
Yes
If yes, where else have you applied for a pet?
Is this pet for you or someone else?
*
Myself
Someone else
It's a surprise
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
N/A
What are the living arrangements of your current cats?
*
Indoor-only
Indoor/Outdoor
Outdoor-only
N/A
How many pets have you owned in the last 5-10 years?
*
What happened to them?
Are your pets current on their vaccinations?
Yes
No
N/A
Have you ever turned a cat into a shelter?
*
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, State, and Zip Code
Again if you have never owned a pet, please list where you would go.
Veterinarian's Phone Number
Do you give us permission to contact your veterinarian?
*
No
Yes
Have you ever had a pet euthanized?
No
Yes
If yes, please explain.
How much time are you willing to give this cat to adjust to its new home?
*
What made you apply for this cat?
If you haven't picked a specific cat, what are you looking for in a cat?
Are you planning to have this cat declawed?
*
No
Yes
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.
How long have you lived at this address?
*
Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
If you rent, does your landlord and lease allow pets?
*
Yes
No
Unsure
N/A
If you rent, what is your landlord's name?
If you rent, what is your landlord's phone number?
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 pet?
*
Yes
No
It's a surprise
Does anyone in your household have allergies to cats?
*
Yes
No
Possibly
N/A
Employment Status
*
Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
If you chose "other" above, please explain.
If you are employed, what is your current occupation?
On average, how many hours per day will your pet be left alone?
How much do you think the annual medical bills will be for your pet?
*
About $100
$100 - $200
$200 - $300
$300 - $500
$500 +
What would you do if the bills went over this amount?
What will be the living arrangements for this cat?
*
Indoor-only
Indoor-Outdoor/Outdoor-only
How will you handle destructive behavior?
*
Will you keep the animal up-to-date on vaccinations?
No
Yes
If no, please explain:
Have you ever been convicted of abuse or neglect of a child or animal?
*
No
Yes
If yes, please explain.
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.
For what reason(s) would you consider returning/giving up the cat?
*
What would you do with this 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.
Will you allow us to perform home checks?
*
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 landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal.
*
Yes
No