Online Cat Adoption Application

Name of Cat:

Name: *

Address: *

City, State, Zip: *

Phone: *

Alternate phone:

Name of Employer:

Employer Address:

How long employed: *

Position held: *

Email address: *

Why do you want a cat?: *

What experience do you have cats? : *

What other animals live in the home? (type and names). : *

If you own a cat, has it ever been tested for Feline Luek. and/or AIDS? :

vaccinated?:

if you own a dog, has it ever lived peacefully with cats? :

If no, do you trust your dog around cats? :

What animals have you owned in the past ten years? (type/name) :

Where are these animals now? :

If animals died, at what age and what circumstance? :

What is the name and phone number of your veterinarian? :

When was the last time your pet/s saw the vet?:

Are the animals in your house up to date on vaccinations? If no, explain:

Are your animals altered? If no, explain:

Will this cat socialize with other dogs and cats? If so, what types of animals? : *

Do you own your own home or rent? If you rent, what is your landlord's name and phone number? : *

If you do not own your own property and you have to move what will you do if you have a difficult time finding housing that will accept a cat?:

Excluding yourself, how many adults live in your household? : *

How many children live in your household? Ages? : *

Do children visit your home? If yes, ages and how often? : *

Will this cat be indoor only, outdoor or both? : *

If this cat will be outdoors, how long after you adopt will you let the cat out? :

Where will the cat sleep at night? : *

Do you or any of your household members have allergies to animals? : *

Who will feed the cat? What type of food? : *

Who will be responsible for routine health care/vet visits? : *

What will you do if your cat is destructive to furniture? : *

Do you plan to declaw this cat?: *

How much time do you think is reasonable for your cat to become accustomed to its new home? : *

Do you realize that it could cost $400/year to provide routine care for your cat? : *

Do you realize that if your cat becomes sick or is injured it could cost hundreds of dollars in vet care? : *

Are you willing to care for this animal for the rest of his/her life? : *

Are you willing and financially able to provide the food and veterinary care to your new cat as described above?: *

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Online Cat Adoption Application