Name
*
First Name
Last Name
Home Phone
(###)
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Work Phone
(###)
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Cell Phone
(###)
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Which number do you prefer we call?
Home
Work
Cell
Email
*
Age
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long at this residence?
*
Do you rent or own this dwelling?
*
Rent
Own
If you rent, does your landlord know you intend on adopting a cat?
*
Please list your landlord's name, address and phone number
Your occupation
*
Your employer
Name, occupation and employer of your spouse/significant other
Please list the NAMES, AGES and RELATIONSHIP (to you) of all household members
*
Are all household members in agreement with adopting?
Who will be the primary caregiver for your new cat?
*
Are you expecting to have (more) children in the future?
*
If you have a child/more children in the future, how will the affect the cat's place in the household? Also, how do you plan on introducing the cat to the new family member?
Will any children visit on a regular basis? If so, what ages?
*
Does anyone in the household have pet allergies? If yes, please explain.
*
Have you ever surrendered or rehomed a pet? If so what were the circumstances?
*
What will you do with the cat if you must move in the future and cats are not permitted in your new residence, or if for some reason you are unable to care for the cat?
*
Where specifically will you keep the cat when you are away from home?
*
Will your cat be indoor/outdoor, strictly indoor, or strictly outdoor? If you previously had, or currently have a cat(s), what is their living situation? Will cat have access to dog/cat door?
How will you reprimand or correct your cat for destructive or undesirable behaviors? Please be specific.
*
We attempt to provide all adopters with an honest and thorough evaluation of temperament on every cat in our care. Do you realize that often times a complete history of the cat may not be known and you could encounter some behavioral problems? If so, how will you deal with these problems?
*
What behavioral/training issues can you NOT deal with?
*
How do you feel about declawing of cats?
*
Are you financially prepared to give your new cat routine and emergency medical care?
*
Under what circumstances might you need to return your cat? (marriage, new baby, divorce, behavior issues, financial stress, moving, job change, etc.)
*
It is our policy to conduct a home visit prior to finalizing the adoption. Is this acceptable to you?
*
We like to keep track of our adopted animals via updates and communication post-adoption. Is this acceptable to you?
*
Are you interested in a cat we currently have? If so, which one? (You may also use this area to describe the type of cat you are looking for).
*
Please select age preference
Why do you want to adopt this cat?
*
Please list name, age, breed and gender of all CURRENT pets:
Please list NAME, AGE and breed of all PREVIOUS pets. Please include age at passing, cause of death or why rehomed.
How did you hear about our organization?
*
Petfinder.com
Facebook
Internet search
Friend
Veterinarian
Other
Please list your CURRENT veterinarian's name, address and phone number:
How long have you been a client?
Please list your PREVIOUS veterinarian's name, address and phone number:
How long were you a client? Which pet(s) did they treat?
Do we have permission to speak with your veterinary references?
*
Reference 1
*
First Name
Last Name
Phone
*
(###)
###
####
Relationship to you:
*
Years known:
*
Reference 2
*
First Name
Last Name
Phone
*
(###)
###
####
Relationship to you:
*
Years known:
*
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Relationship to you:
*
Thank you for taking the time to complete this application! Our goal is to find the right match for not only our foster cat, but for your family as well. If you have any additional comments please use the space below.
