Cat/Kitten Adoption Application

Name of animal you are interested in adopting *
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
Province *
Apartment Number (if applicable)
Postal 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
How did you find out about us? *	Website Family/Friend Staff/Volunteer Facebook Instagram Kijiji
Are you able to pickup the animal within 3 days of approval?	NoYes
Do you give permission for the foster family of the pet you are applying to adopt to contact you for updates? *	NoYes
Is this pet for you or someone else? *	Myself Someone else
Do you own other pets at the current time? *	NoYes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?	Yes No N/A
How many pets have you owned in the last 5-10 years?
Are your pets current on their vaccinations?	Yes no n/a
Personal Reference 1 name and relationship (non-family member) *
Reference1 phone number *
Personal Reference 2 name and relationship (non-family member) *
Reference 2 phone number. *
Veterinarian's Name If you have never owned a pet please tell us where you would go.
Please describe in detail what you are looking for in your new pet (personality, gender, age)
Do you own or rent your home? *	Own Rent Someone else owns the Home Someone else rents the Home
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
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 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? *
Will this pet be predominantly living inside, outside, or both? *	Inside Outside Both
Please provide a description of this pet's living conditions. *
Will you keep the animal up-to-date on vaccinations? *	NoYes
Please provide any additional info you think will assist in the application process.
All the information indicated above is correct to the best of my knowledge (please enter your name below). *