Adoption Application

     
Name:  *
Spouse/Roommate:  * 
Address:  *
City:  *
State:  * Zip Code: 
Phone:  *
E-mail Address:  *
Employer:   Phone:   
Spouse Employer:  Phone:    
Best time and way to contact you: 

1. 	Do you live in a:
	 Single family home
	 Condominium
	 Apartment
	 Mobile Home
	 Military
    
2.  How long have you lived there? 
   	If less than two years, please give previous address:  
	
3.	Do you rent?
	 Yes
	 No

4.	May we contact your landlord?  
	 Yes
	 No
	Landlord Name:	
	Landlord Phone:	
 	Landlord Contact Date: 
    
5.	Name of your veterinarian/animal hospital?  
	Vet/Hospital Name:
	Estitmated cost annually for care: 

6.	Would you allow an inspection of your residence?
	Yes No

7.	Do you plan to put an ID tag on this cat? 
	Yes No

8.	How many hours a day will your cat be alone?	
	Where will the cat be kept when alone? 

9.	Will the cat be kept indoors?
	Outdoors? 
	Do you have a balcony?  Yes	No 
	Do you have screens on your windows?  Yes	No 

10.	Where will you keep your litterbox?
	

11.	Is anyone in your household allergic to animals?
		Yes No

12.	Have you owned a dog or cat before?  Yes No
	If yes, please described pets owned and what happened
	to them. If deceased, please give cause of death
	and how long ago:
	

13.	What other animals do you currently own?
	Number of Dogs: 
   	Number of cats:  
  	Please provide breed, age and sex of all.
   	
	If cats, do they have their claws?  Yes No

14.	Have they been spayed/neutered?  Yes No

15.	When were your pets last vaccinated?
	

16.	List the names and ages of all children
		living in your home.
      
	
17.	Where will the cat sleep. Please be specific.
	
    
18.	Who will be responsible for feeding, grooming, 
	and training your new cat?
	
    
19.	Cats have been known to claw furniture, carpet 
	and drapes, dig in potted plants, etc.  How do 
	you plan to deal with these potential problems?
	

20.	How soon after the cat arrives home will it
	be left alone?
	
    
21.	How often do you travel, and how do you plan
	to care for your cat when you're away?
	

22.	What will you do with your cat if you move,
	locally, out of state or overseas?
	
    
23.	Under what circumstances would you give
	up this cat, whether for a new job, illness,
 	new boyfriend or girlfriend?
	
    
24.	Why do you want a cat?  Please number
	in order of importance.
	For Children: 	
	For Companion:	
	For Spouse: 		
	As a Mouser: 	
	As a Gift: 		
	For Other Pet:	
	Other:		
  
25.	Do you plan to declaw your cat?
	Yes: 	
	No:	
	

26.	How did you learn about us?
	Union Tributne:	
	Radio or TV:	
	Petfinder.com:	
	Web Search:	
	Other:	

27.	Cats can live 15 years and 																																																																																																																								howto dora kids games
 their care can cost 
	over $400 per year.  Are you prepared to accept this kind 
   	of responsiblity for the cat's entire life?
		Yes:  No: 

28.	Please provide any additional information you
	think would be useful.
	

By submitting this application, I certify that the information 
contained herein is true, and that any false information may 
result in nullifying the adoption.




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