First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

County

Email*

Home Phone

Work Phone
x

Cell Phone

Date of Birth *

Name of spouse or partner-

Please fill out the application COMPLETELY. An incomplete application will cause a delay in processing.

What cat are you interested in?
Choose an animal: Delanie Dumplin Maasai No Nap Pockets Precious Ranger San Tyra

How soon are you looking to adopt?
Choose one: Right away Next few weeks Few months Just browsing

What is your current employment status?*
Choose one: Employed Full Time Employed Part Time Unemployed Retired

Occupation?*

What type of home do you live in?*
Choose one: Apartment Condo Farm House Mobile Home

Do you have plans to move in the near future?*
Choose one: Yes No I don't know

Do you own or rent your home?*
Choose one: Rent Own

Landlord's name (If an apartment or 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, how much is your pet deposit and monthly pet fee?

If you rent, does your lease agreement allow dogs or cats?
Choose one: Yes No

If your lease has pet restrictions, please describe:

How many adults live in your home?*
Choose one: 1 2 3 4 5 6 7 8 9 10

List the name and ages of all adults in your home.*

Do children live in the home?*
Choose one: Yes No

List the names and ages of the children in your home. (If you do not have children put NA)*

Do you have children under the age of 6?*
Choose one: Yes No

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 pet(s) be kept inside or outside?*
Choose one: Inside Only Outside Only Inside and Outside

Are your current pets up to date on their vaccinations and monthly preventatives?*

Do you consider your pet a part of your family?*
Choose one: Yes No I don't know

For cats only: Have you had a cat declawed? *
Choose one: Yes No

Have you ever had to return or surrender an animal in the past?*
Choose one: Yes No

If yes, please explain:

Have you ever had to euthanize a pet?*
Choose one: Yes No

If yes, please explain

Who will be the principal caretaker of your new pet?*

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

If yes, please explain: