Cathouse Adoption Application Form

Name of the cat you want to adopt? *
First name *
Last name *
Street Address *
City *
State *
Zipcode *
Email *
Confirm email
Cell phone number *
Work Phone Number
Home Phone Number
What type of home do you live in? *	House Apartment Condo Townhouse
Do you rent or own this property? *	Rent Own
Does your landlord allow pets? * If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have cats and showing any limitations. If you live in a condo or townhome, you must show us written proof that you are allowed to have a cat there and show any restrictions.	NoYes
Approximate Square footage of your home *	Less than 800 square feet 800-1,000 square feet 1,000-1,500 square feet 1,500-2,000 square feet Over 2,000 square feet
Annual household income *	Under $20,000 $20,000-$30,000 $30,001-$50,000 $50,001-$70,000 $70,001 or higher
Do you work outside of the home? *	NoYes
If you/everyone in the home work outside the home, how many hours per day are you away? *
How many hours per day would your cat be alone? Please explain *
Have you discussed this adoption with all members of your household? * We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a cat added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this cat or think "once they meet the cat, they will want one" or "I'm getting this cat as a surprise birthday present for them." In those scenarios, you are welcome to email us to discuss the cat, but we would like all adults in the home to be involved in that email discussion.	NoYes
I am over 18 years old * If you are not 18 or over, please do not continue. We cannot accept fosters under 18 for liability reasons.	NoYes
Do you currently have any pets? *	NoYes
If you currently have pets, please list them below. * Species, Breed, Name, Age, Sex
Are your current pets altered? *	Yes No Will be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If No, please explain why *
Current Veterinarian * Office name, phone number, address
Is anyone in your home Military? *	NoYes
Are you planning on moving soon? *	NoYes
If yes, please explain when and will you take this cat with you? *
Is anyone in your home allergic to cats? *	NoYes
Does anyone in your home fear cats? *	NoYes
Does anyone in your home smoke? *	NoYes
Based on the description in the cats bio, do you feel pretty confident that you will be likely to adopt this cat upon meeting it? *	Yes No Not sure
Upon meeting the cat, what would give you cause to not want to adopt it? Please explain. *
Fantasy question: What would your dream cat be like? (If this cat is not a fit, we may be able to recommend another based on what you say here.) *
How much do you feel you can reasonably afford and would be willing to spend on your cat per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)? *
What activity/energy level do you prefer? * Please explain your ideal energy level
Please Select all that apply. I want to adopt this cat... *	As a family pet To breed with my cat To train/use as a therapy cat To interact with lots of friends/family As a gift for a friend, partner, or family member As a companion for my cat(s) As a companion for my cat(s) As a companion for my child/children
Please check all that apply. My adopted cat will... *	Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be crated when we are not home Have free reign of the house when we are not home Take frequent car rides with us Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children Must be litter box trained prior to adoption Will be litter box trained by us Be trained by us without the advice of a trainer Have private sessions with a trainer as needed Be taking frequent car rides/trips with us Be boarded when we go on vacation Stay with family when we go on vacation Be given away to someone else if we feel it's not a good match for us Be turned in to a shelter if we can't keep it Be free roaming on the farm (unfenced)
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the cat? *	Urinating in areas of the home and not using supplied litter box Chewing/destruction/clawing furniture and possesions Jumping Counter surfing Obedience training Fear of men Fear of women Fear of children Growling Rough play with my cat or dog High activity level Food/toy aggression/not willing to share with other pets Food/toy aggression with people Whining/crying Blindness Limited Sight Deafness Separation Anxiety Diabetes Special Diet Long Term Medication Incontinence / Leaking Urine Gets stressed/carsick when riding in vehicle Doesn't know how to climb stairs Can't climb stairs due to age/arthritis/health issues Heart condition Skin allergies Food allergies Trimming nails Yeast on coat or in ears Ear mites Fleas Ticks Annual combo testing under a vets supervision I will do whatever it takes to help this cat adjust and work with a trainer to help resolve any training needs. providing monthly flea and tick prevention under a vets supervision providing yearly booster vaccine under a vets supervision providing rabies vaccine (one year or three year) under a vets supervision providing annual exams, bloodwork, dentals or any other recommendations a vet suggests
What would cause you to return a cat? *
What do you feel is a reasonable amount of time for a cat to adjust to life with you/your family? *
How do you plan to integrate this cat into your family? *
What would you do if you discovered after adoption (at any time during the life of the cat) if your vet diagnosed an expensive health condition? *
Do you plan to get pet health insurance? *	NoYes
What brand of cat food do you plan to feed? * Please let us know if you need recommendations
Grooming (please check all that apply) *	We use a professional groomer We trim cats nails ourselves at home We bathe our cats at home once a week We bathe our cats at home once a month We bathe our cats at home once every few months or whenever their coat feels dirty We bathe our cat twice a year We don't bathe our cat We check ears weekly for infection/yeast/mites We check coat daily for ticks in spring/summer/fall We clean teeth using home methods We take our cats to the vet for dentals whenever the vet recommends this is needed
How long have you been looking for a cat? *
Do you plan to update the rescue yearly after adopting? *	NoYes
Do you plan to declaw your cat? *	NoYes
If yes, please expain why you plan to declaw your cat. *	NoYes
Two Personal References * People who know you but are not related to you. Can be friend, dog walker, groomer etc. Name, email, phone, and how they know you.
I understand that completing this application does not guarantee I will be allowed to adopt a cat, and that the application is a tool to help Canine Pawsabilities Rescue determine if this cat and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted cat from my possession. I also certify that I have never been convicted of animal cruelty or neglect. *	NoYes
I agree to allow a representative from Canine Pawsabilities Rescue to contact my vet for a reference and also agree to allowing a home visit prior to adopting this cat. If I am approved to adopt a cat, I agree to pay a non-refundable adoption fee and hand sign an adoption contract at the time of adoption. *	NoYes
I understand that all cats adopted from Canine apawsability Rescue will be spayed/neutered, combo tested (one year and older), microchipped, wormed, flea and tick prevention given monthly and vaccinated prior to adoption. *	NoYes
Applicant's Signature *	Clear
Signature Date *