First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
County
Email*
Home Phone
Work Phone x
Cell Phone
Date of Birth (yours, not the dog or cat's)
Name of spouse or partner-
Fill out the application COMPLETELY, incomplete application will not be processed.
What cat are you interested in? Choose an animal: Bubba Honey Zora
What type of home do you live in? Choose one: Apartment Condo Farm House Mobile Home
Do you own or rent your home?* Choose one: Rent Own
Landlord's name (If a complex, list manager's name and/or rental office)
What is your landlord's phone number?
What is your landlord's email address?
If you rent, does your lease agreement allow dogs and cats and are there restrictions? Choose one: Yes No I don't know
How many adults live in your home?* Choose one: 1 2 3 4 5 6 7 8 9 10
How old are the children in the home? Choose all that apply: No Children 0-2 3-5 6-11 12-17
Is anyone in the home allergic to cats?* Choose one: No Yes
List all current pets by their name and what type of animal they are(e.g. Sparky, dog).
List any pets you have owned in the past 10 years that you no longer have by name and type of animal.
List the name of your CURRENT (or most recent) veterinarian
Your current vet's phone number is
List the name and phone numbers of all veterinarians used within the PAST 10 years. (list all regular and emergency vets)
What name and phone number are the vet records under? (List ALL possibilities)
Will you have your pet spayed or neutered? Choose one: Yes No
Will your new pet live inside, outside or both?* Choose one: Inside Only Outside Only Inside and Outside
Are your current pets up to date on their vaccinations and monthly preventatives?
For cats only: Have you had a cat declawed? * Choose one: Yes No
Have you ever surrendered or returned an animal to a shelter/rescue or listed one on Craigslist or other similar sites?* Choose one: Yes No
If yes, please explain:
If for some reason you are not able to care for this pet in the future, do you have a plan for someone to take over and care for your pet? Choose one: Yes No
List two (2) references including name, phone number, and email. (No family members and they do not have to be local references)*