Application For Cat Adoption


Required fields: *

Applicant name: *
Address: *
City, Province:*
Postal Code: *
Home phone: *
Cell:
Home e-mail: *
Work e-mail:
Employer:
Occupation:
1. What type of cat are you interested in? *
Male
Female
Either
Age *
Kitten (under 5months)
Adult
Either
Hair length *
Short Hair
Long Hair
Either
Kitten ID Number (if available):
Personality type:
Color:
2. How many people currently reside in your household? *
3. Any children in the household? *
Yes
No
4. For whom are you adopting the cat? *
Self
Other
If other, please explain:
5. Does any member of the family have any allergies to animals? *
Yes
No
6. Who will be responsible for the cat's care? *
7. Where do you live? *
Apartment
Condo
Farm
Townhouse
House
8. Do you own or rent your residence? *
Own
Rent
9. Are pets allowed? *
Yes
No
Unsure
10. Where will the cat be kept? *
Indoors only
Outdoors only
Both in/out
11. If outdoors, will the cat be? *
Attended
Unattended
N/A
Collar and Tags? Yes No
12. If you move, what will you do with the cat? *

13. How far from the road/traffic is your home/farm located? *
14. Is the volume of traffic *
Light
Moderate
Heavy
15. Have you ever had any pets before? *
Yes
No
16. Describe those pets you still care for or that are living in your household *
Name Type of pet Age Neutered? Kept where Time in your care
Add any extra animals or comments here:
17. Describe those pets you no longer care for *
Name Type of pet Age Neutered? Kept where Time in your care Reason no longer with you
Add any extra animals or comments here:
18. Are your pets current on their vaccinations? *
Yes
No
19. Please provide name of your veterinarian *
20. Please provide telephone number of your veterinarian
21. Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary? *
Yes
No
22. Do you plan to spay/neuter? *
Yes
No
Unsure
23. Are you planning on declawing? *
Yes
No
Unsure
24. What precautions would you take to properly introduce a new cat into your home if you have other animals (a dog, bird, rabbit, another cat, etc.)?
25. What will you do if your new cat does not get along with your present pets?
26. Have you ever adopted an animal from a rescue/animal control agency? *
Yes
No
27. Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility? *
Yes
No
28. Why do you want to adopt a cat? *

29. If a disciplinary or behavior problem arises, what steps will you take to work on it? *

30. Are you familiar with your local animal control laws? *
Yes
No
31. Are you willing to sign legal pet adoption papers? *
Yes
No
32. Do you agree to permit a visit to your home/farm by appointment? *
Yes
No
33. I agree that I am 18 years or older. *
Yes
Any additional comments?
By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Keeping Cats Homed refusing adoption privileges to me/us. If my/our request for adoption is approved and later Keeping Cats Homed discovers the above information is not true or correct, Keeping Cats Homed reserves the right to remove the adopted cat from my home/farm.

Signature: *        Date: *