Name
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First Name
Last Name
Your email address
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Address
City
State
Zip code
Home Number
Cell Number
Your occupation
Your employer
Spouse and/or roommate's name
Your spouse's employer and occupation
Are you over the age of 21?
Name of cat you wish to adopt
Do you live in a
How long have you lived at this address? If less than 1 year, where did you live before and for how long?
Do you own or rent your residence?
Do you have your landlord's permission to have cats?
May we contact your landlord?
Landlord's name and phone number
Will you allow us to inspect your home?
Is anyone in your home allergic to cats?
Have you owned a cat before?
If yes, what happend to them? (if deceased, please state cause of death, age and how long ago. If rehomed, what were the circumstances.)
Do you currently own other pets?
If yes, please list breed, age and sex of each animal you own.
If yes, who is your veterinarian:
Are your CURRENTLY owned pets all spayed or neutered?
If you have any unfixed animals in your home, please explain:
How many children live in your home?
What are their ages?
Cats can live longer than 15 years. Are you willing to provide adequate medical care if the cat becomes sick or injured?
Do you have screens on all of your windows?
Where will you keep your cats litter box?
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Do you have a balcony?
Do you have a pet door?
If you are a smoker, do you smoke indoors?
This animal will be kept:
Is this likely to change?
If you currently have other cats, are they indoor, outdoor or both?
How many hours a day will the cat be left alone?
Where will the cat be during the time it is left alone?
Do you travel? If so, how often and what are your plans for the cats?
Under what circumstances would you NOT keep this cat?
What will happen to the cat if you move? (Please answer for locally, out of state, or overseas)
If something should happen to you, who would provide for the continuing care of this cat?
Why do you want this cat? Check all that apply
Describe your reason for wanting this cat.
Does your spouse and/or roommate also want to adopt this cat?
Cats have been known to claw furniture, carpets and drapes. How do you intend to handle these potential problems? (scratching posts, soft paws, nail trimming, verbal commands, squirt bottles, etc?)
Do you plan to de-claw your cat?
Why or why not de-claw?
Is there any other information you would like us to consider with your application or do you have additional comments or notes?
By submitting this application, I certify the above is true and that any false information may result in nullifying this application. I also understand that by submitting this application I am not guaranteed that I will be approved to adopt this cat nor will I be obligated to adopt. (Type name and date below):
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