Adoption Application

$$TITLE$$

First Name *
Last Name *
Your Date of Birth *
Preferred Pronouns
Employment Status *
Cell Phone Number *
Email Address *
Confirm email
Co-Applicant Name (first, last)
Co-Applicant Date of Birth
Co-Applicant's Employment Status
Your Address *
City *
State *
Zip Code *
Primary cat you're interested in *
If you are interested in a double adoption--please select the other cat of interest.
Are you open to adopting a different cat? *
If you're specifically interested in one of our other cats, please select them here!
In order to match you with other cats, please share what you are looking for in a cat. Preferences on sex/color/age/temperment/etc.
Do you own or rent? *
If renting, please provide your landlord's name and phone number
Are there children in your home? *
Age of children in home *
Has the child been around cats before? *
Do you currently have any pets? *
Please list your current pets (name, age, type) *
Please provide veterinary information for your current pets (name, number, address) * Please include all vets your pets have been seen at
Are your current pets up to date on vaccinations? *
Are your current pets spayed or neutered? *
Cats Only: Are your current cats indoor, outdoor, or both?
Will future cats be indoor, outdoor, or both? *
Have you previously been the primary caregiver for any animals? *
Please provide veterinary information for your past pets, if different from current pets (name, number, address) *
Please list previous pets from the last 5 years (name, type, why no longer in your care) * Only include pets you were the primary caregiver for
I have contacted my vet and given permission for a vet check
Is there someone in your support network who could temporarily care for your cat if you were unable to, for any reason? *
Is there anything else you would like us to know?
How did you find Ten Lives? *
If approved for a meet & greet, I understand and acknowledge that Ten Lives Cat Rescue cannot guarantee the behavior of said cat(s). I agree that Ten Lives Cat Rescue and/or volunteers are not liable for any injuries that occur during a meet & greet. *
Electronic Signature *