First Name*

Last Name*

Email*

Cell Phone*

Alt Email*

Have you applied with any other rescue/animal control agency?
Choose all that apply: Yes No

Have you ever surrendered an animal to a rescue group/animal shelter? If so, please explain reasons to surrender the animal. *

Have you ever had an application rejected from any rescue group/animal control agency?
Choose all that apply: Yes No

Why do you want to adopt a cat? *

What do you think are the most important responsibilities in owning a cat? *

If a disciplinary or behavior problem arises, what steps will you take to work on it? *

Any member of the family have any allergies to animals?
Choose all that apply:

Are you aware of our policy of delivering the adopted kitty (kitties) to your home? *

Describe those pets you no longer own: {Name,Type, Age, Sex (spayed/neutered)}, Comments (where are they now? date and age at death/giveaway?)*

Describe those pets you still own: {Name,Type,Age, Sex (spayed/neutered?)} - Comments (e.g. indoor/outdoor?) *

List name and phone number of each vet where your animal(s) received care over the last 10 years. Please provide clinic names, doctor(s), phone number(s), date of last vet visit, owner name(s) of records listed under. *

Please list what kind of routine veterinary care you plan to provide for your cat (including flea control, shots, etc., if known)*

Are you financially capable of taking care of the cat(cats) including quality food, regular veterinary care, and emergency/elective veterinary care when necessary? *

How many people reside in your household? Any Children under 18 in the household? Please List ages: *

Who in the household will care for the cat?*

Who will feed the cat and clean out the litter box?*

Will anyone be home during the day? How many hours will the cat be left unattended? *

Do you plan to keep the cat indoors only?
Choose all that apply: Yes No

When you are at home, where will the cat be kept?*

Where will the cat be kept when you are not home?*

Where will the cat sleep?*

If you move, what will you do with the cat?*

A well cared for cat may live into its late teens or beyond. Are you willing to keep the cat as a member of your family for the length of time? *
Choose one: Yes No

How Frequently do you make business/vacation trips? What will you do with the cat when you travel? *

Do you own or rent your home?
Choose all that apply: Rent Own

If you rent, have you received the approval of your landlord to have an animal?
Choose all that apply: Yes No

If you rent, please enter your landlord's name and phone number*

Are you planning on declawing?
Choose all that apply: Yes No

Are you financially capable of taking care of the cat, including quality food, regular veterinary care, and emergency/elective veterinary care when necessary?
Choose all that apply: Yes No

Are you aware of the adoption fees (one cat -$125. two cats -$200)?
Choose all that apply: Yes No

Are you willing to sign legal pet adoption contract?
Choose all that apply: Yes No

Which Cat(s) are you interested in?*
Choose an animal: Eve Midge Onyx

Please list any preferences you have in adopting a cat (age, sex,breed, personality). *

Are you willing to work with a "special needs" cat (one that is adoptable but may require extra time, patience, or care to acclimate to a new hoem/) *

How did you hear about us*

I certify that the information entered on this applicant is true. Enter your name and date*