"*" indicates required fieldsThank you for expressing an interest in adopting a cat from us. This application is designed to help us make the best placement possible. In order to be considered for adoption, you must:Be at least 18 years of ageBe willing and able to provide a stable home environment, attention, training and medical careUnderstand that we reserve the right to deny any adoption application for any reason whatsoeverUnderstand that all cats are spayed/neutered before adoptionName* First Last Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Cell Phone*Home PhoneWork PhonePlease indicate the following information about your residence:Residence Type* House Apartment Condo Mobile Home With ParentsRent or Own* Own RentHow long at present address?*Are you planning on moving within the next six months?* Yes NoLandlord's Name*Landlord's Phone Number*No. of adults?*No. of children?*What type of cat you preferPreferred fur length Short Medium Long No PreferenceAge Range?Male / Female? Male Female No PreferencePlease describe some of the qualities you are looking for in a feline companionDo all members of your household favor this type of cat as a new family member?* Yes NoCompanion animals may live longer than 15 years. Are you ready to take responsibility for providing a home for the new family member for his/her lifetime?* Yes NoBasic cat care expenses (e.g., food, litter, vaccinations, flea control, veterinary exam, etc.) cost approximately $120 per month. Can you afford this?* Yes NoAnd additional veterinary care may be needed. Are you financially prepared for that?* Yes NoDoes any member of your household have allergies to cats?* Yes NoWhere will the cat be kept during the day and at night?*How many hours per day will the cat be left alone?*How long do you expect it to take for a cat to become adjusted to your household?If the cat exhibits behavioral problems, what will you do to correct the problem?Are you adopting this cat for:* Companion? Companion for other pet? Outdoor animal? Mouser? OtherIf you found you could not keep this cat, what would you do?*If this cat were lost, what would you do?*Please describe other animals that are currently living in your home?1. Species / Breed1. Age1. Sex Male Female1. Altered? Yes No1. Indoor / Outdoor Indoor Outdoor2. Species / Breed2. Age2. Sex Male Female2. Altered? Yes No2. Indoor / Outdoor Indoor Outdoor3. Species / Breed3. Age3. Sex Male Female3. Altered? Yes No3. Indoor / Outdoor Indoor OutdoorPlease list any other animals you have had in the last five years that are no longer with you.1. Species / Breed1. Sex Male Female1. Altered? Yes No1. How long?2. Species / Breed2. Sex Male Female2. Altered? Yes No2. How long?Do you consent to having a home visit to ensure it is a safe place for the cat you are considering adopting?* Yes NoI certify that all information in this application is true and I understand that false information may void the application.Print Name*Date MM slash DD slash YYYY How did you hear about us? Check all that apply.* Radio TV Newspaper Social media Internet search Word of mouth (friends/family) Flyer/brochure Petfinder or similar pet website OtherIf you chose "Other" for the above, please provide detailsSection BreakΔ
