Thank 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 / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email PhoneCellWork House Apartment Condo Mobile Home W/ParentsHow long at present address?Please select one* Own? Rent?Landlord's Name*Landlord's Phone Number*Are you planning on moving within the next six months? Yes NoPlease indicate the following information about your residence:No. of adults?No. of children?Ages of children:What type of cat you preferPreferred fur length Short Medium LongAge 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 NoWhat type of identification will you use for your cat?Companion 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 NoWho will be primarily responsible for the feeding and general care of the adopted cat?Does 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 NameDate MM slash DD slash YYYY Δ
