House Cat Adoption Application First Name(Required) Last Name(Required) Date of Birth(Required) MM slash DD slash YYYY Phone(Required)Email(Required) Co-Applicant: Yes No First Name Last Name Home Address(Required) City(Required) Zip Code(Required) How long have you lived at this address? Housing Status:(Required) Own Rent If renting, landlord name & phone Do you plan on moving in the next 6 months?(Required) Yes No If yes, what are the plans for your pets: Are you a Student? Yes No Are you working? Yes No Employer(Required) How long have you been with your current employer? Is anyone in your household allergic to animals? Yes No Introducing other cats/dogs may take weeks. Are you willing to do a slow introduction.(Required) Yes No Have you or any members of your household been charged with animal abuse or neglect?(Required) Yes No Is everyone is the household in agreement to bringing home a new pet?(Required) Yes No Who will have lead responsibility of your pet?(Required) Please list names and ages of all family members living with you.Please list all your pets and their breeds that you have had in the last 5 years til current?(Required)Are the listed animals above still living with you?(Required) Yes No If no, why aren't the listed animals living with you?(Required) Which cat(s) are you interested in adopting?(Required) What age would you consider adopting? Kitten Middle Age Elderly Will your cat spend most of their time indoors? Yes No Will your new cat be permitted to go outside? Yes No Do you have a doggy door? Yes No If yes, will it be supervised and how? Yes No Are you planning on declawing your pet? Yes No What would you consider to be an excessive emergency visit? What are your plans for your pets when everyone is away for an extended period of time?(Required)If a housebreaking accidents occurs a week after adopting, what are your solutions in regards to your pet(s)?(Required)How many total hours per day will your cat be left alone? What is your reason for adopting a cat?(Required)If housebreaking accidents occur after the first week what solutions are you willing to attempt? If under the age of 25 please provide two references, one must be a family member. Answer N/A if over 25:(Required) Please add any additional information you would like to be considered for the application:
