Cat / Kitten Adoption Application

Animal you are interested in adopting
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Apartment Number (if applicable)
Post 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 *
Drivers License Number
Please provide a photo of your drivers licence *
How did you find out about us?
Have you applied anywhere else for a pet?
If yes, where else have you applied for a pet?
Is this pet for you or someone else?
Do you own other pets at the current time?
If yes, please list their names, breeds, and ages.
Are all of your pets desexed?
How many pets have you owned in the last 5-10 years?
What happened to them?
Are your pets current on their vaccinations?
Have you ever turned your dog or cat into a shelter?
If yes, please explain?
Vet's Name If you have never owned a pet please tell us where you would go.
Vet's Address, City, State, and Post Code Again if you have never owned a pet please list where you would go
Vet's Phone Number
Have you ever had a pet euthanised?
If yes, please explain:
Are you familiar with heartworm and heartworm prevention?
If you have pets, will they adjust to a new pet in the house?
Please check the main reason you plan to adopt a pet:
If you answered "other" above, please explain here:
Please describe in detail the pet you are looking for.
Do you own or rent your home?
Please select your current residence type.
If you answered "other" above, please explain here:
How long have you lived at this address?
If you rent, does your landlord and lease allow pets?
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?
Does anyone in your household have allergies to dogs/cats?
Employment Status
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?
What would you do if the bills went over this amount?
Will this pet be living inside only? *
Please provide a description of this pet's living conditions.
If you answered "other" above, please explain:
How will you handle house training?
How will you handle destructive behavior?
Will you keep the animal up-to-date on vaccinations and heartworm preventative?
If no, please explain:
Have you ever been convicted of abuse or neglect of a child or animal?
If yes, please explain:
What arrangements will you make for the care of your pets in case of an emergency?
If you answered "other" above, please explain:
What will you do with the animal when you go on holidays?
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
What would you do with your animal if you had to move?
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years?
If no, please explain:
Will you allow us to perform home checks?
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorising you to contact landlords, associations and vets. You are also aware that we cannot guarantee the health and temperament of the animal.