Application for Cat Adoption
Date
*
Desired Cat Information
Name of Cat (if applicable)
Type of Cat Desired
*
Color(s) Desired
*
Age of Cat Desired
*
Applicant Information
Name
*
Address
*
City
*
State
*
Zip
*
Telephone - Home
Telephone - Cell
*
Email Address
*
Date of Birth
*
Present Work Conditions
*
Employed
Unemployed
Student
Retired
Employer
Number of People in Household
*
Children in the home? Ages? If None put N/A
*
Do you or any of your family members have pet allergies?
*
Co-Applicant Information
Name
Relationship
Date of Birth
Telephone - Cell
Email Address
Present Work Conditions
Employed
Unemployed
Student
Retired
Employer
General Information
Type of Residence:
*
House
Apartment
Condo
Mobile Home
Farm/Barn
If rental, are Cats allowed:
Yes
No
Manager/Landlord
Manager Phone #
Complex Name/Address
Current housing location:
*
City Limits
Outside City Limits
Type of Street:
*
Very busy road
Slight traffic
Residential area
Country road
What is the speed limit?
*
Where will Cat live?
*
Inside only
Outside only
Mostly inside
Mostly outside
Where will Cat spend nights?
*
Inside
Outside
Will you allow the Cat to run loose?
*
Yes
No
If Yes, where?
How many hours a day will Cat be left alone?
*
Please Select
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Where will the Cat stay when left alone?
*
Describe the activity level in your home
*
Busy (Visits by friends, meetings, children and parties at home)
Noisy (TV, stereo, machinery, tools, children playing, dogs barking)
Moderate (Normal comings and goings)
Quiet (Homebodies, few guests)
Other (Specify)
In the absence of the primary caregiver, who will care for the Cat?
Are you willing to take responsibility if this pet acquires an illness?
*
Yes
No
Are you willing and able to pay the veterinary costs of caring for your new pet?
*
Yes
No
Do you plan to declaw your cat?
*
Yes
No
How much time are you prepared to allow for your new pet to adjust to your home?
*
Under what circumstances would you give up this cat?
Pet Information
Have you had pets in the last five years? If yes, Please List info
*
Yes
No
Name of Pet #1 Type of Pet
Years owned
Spayed / Neutered
Yes
No
Inside / Outside
Inside
Outside
Where is Pet now?
Name of Pet #2; Type of Pet
Years owned
Spayed / Neutered
Yes
No
Inside / Outside
Yes
No
Where is Pet now?
Name of Pet #3; Type of Pet
Years owned
Spayed / Neutered
Yes
No
Inside / Outside
Inside
Outside
Where is Pet now?
Current or past Veterinarian / clinic
*
Veterinarian Telephone
Do you consider your cat a part of the family?
*
Yes
No
Are you aware that a cat is a large and lifelong commitment?
*
Yes
No
How did you hear about the AAL?
Would you like to become a Volunteer?
Yes
No
Personal References (Not a relative)
Name
*
Relationship
*
Phone
*
Best time to contact
*
Comments
Submit
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