Adoption Application

First Name *

Last Name *

Your Date of Birth *

Preferred Pronouns

Employment Status *

Cell Phone Number *

Email Address *

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 *

Are you open to adopting a different cat? *

Do you own or rent? *

If renting, please provide your landlord's name and phone number

Age of children in home *

Please list your current pets (name, age, type) *

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?

Please list previous pets (name, type, why no longer in your care) *

Do you plan to declaw any future cat(s)? *

Please provide veterinary information for the pets listed above (name, number, address) *

I have contacted my vet and given permission for a vet check

What would your plan be if you could no longer care for your pet 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 *