Pre-Adoption Application

Today's date *

First name *

Middle Name

Last name *

Spouse/Partner's Name

Home phone #

Cell phone #

Other phone #

E-mail address *

Address *

City *

State *

Zip code *

# of years at this address *

Occupation

Employer's name *

Date of Birth *

Have you ever owned a cat? *

If you move, will you take your pets? *

Do you rent or own your home? *

If you rent, are you allowed to have pets? *

Landlord's name & phone #

Who will care for your pets when you're away? *

Are there any children in the home? *

If yes, please list their ages

Is everyone in the home in favor of adopting a cat? *

Is anyone in the home allergic to cats? *

If yes or unsure, how will you accomodate your cat(s)?

What pets have you had in the last 5 years? Choose all that apply *

What happened to them?

What pets do you currently have in your home? *

Are all of your current pets spayed/neutered? *

Are they all current on their shots? *

Does your home have a doggie door? *

Has a cat died on your premises of distemper or leukemia in the last 3 months? *

Will you take your cat(s) to the vet for checkups and inoculations? *

Will you declaw your cat(s)? *

Please briefly explain why you will or will not declaw your cat(s) *

Can you provide a home for your cat(s) for 15 years or more? *

What boundaries will you allow your cat(s) to have? *

Please briefly explain why you feel these boundaries are best for your cat(s) *

If your cat/kitten becomes ill, how much are you prepared to pay for medical expenses? *

Do you have/can you qualify for Care Credit? *

What type of cat are you looking for? Breed, age, sex, color

Are you interested in a particular cat(s)?

Why do you want to adopt a cat? *

How did you hear about us?

Additional comments

Please TYPE your initials: LTBL may perform a secondary screening of my application before approving/denying the adoption *

Please TYPE your initials: LTBL reserves the right to refuse an adoption at any time prior to adoption completion *

Please TYPE your initials: LTBL reserves the right to perform a home check at an agreed upon time prior to or after the adoption *

Please TYPE your initials: I understand that all cat(s) / kitten(s) must leave in a carrier at the time of their adoption, no exceptions. *

Please TYPE your full name as your Signature stating that the above statements are true and complete. *IMPORTANT* Before you click submit, please review your application for accuracy & completeness because changes cannot be made once submitted: *