Application Form - Cats
Dr.| Mr. | Mr/Mrs | Ms. | Mrs. _______________________________________________
Mailing Address_____________________
Home Phone ___________________ Work Phone _______________
Place of Employment: _______________________________________
Type of Residence: _____House _____Apartment _____Condo _____Own _____Rent
Describe the type of pet you think would fit in best with your family:______________________
_____________________________________________________________________________
Why do you want to adopt an animal? Please check any of the following that apply:
___ family companion |
___ child's pet |
___ companion for other animal(s) |
___ a gift |
___ watchdog |
___ guard dog for business |
___ barn cat/mouser |
___ breeding |
___ personal protection |
___ other (please explain) ________________________________________________
How many adults are in your household? ____ How many children? ______ Ages of children?____
Do all members of your household know that you plan to adopt a pet? Yes ___ No ___
Are you planning to move within the next six months? Yes ___ No ___
If you do have to move unexpectedly, what will you do with your pets?_______________________ Does anyone in the household have allergies to animals? Yes ___ No ___
What will happen to the cat if allergies develop?__________________________________________
Pets are an investment of time and money. Are you prepared to provide medical care, grooming,
proper diet, shelter, training and exercise for your new pet? Yes ___ No ___
Are you willing to make a long-term commitment to care for your pet for its lifespan, which could be
10+ years? Yes ___ No ___
Will you have the cat declawed? _____Yes _____No
Why? ____________________________________________________________________ _____________________________________________________________________________
Have you ever owned a cat before? _____Yes _____No
If yes, do you still have it? _____Yes _____No
If no, what became of it? _________________________________
If you presently own other cats:
Are their shots current? _____Yes _____No
Are they spayed/neutered? _____Yes _____No
Are any Feline Aids or leukemia positive? _____Yes _____No
Who is/will be your veterinarian? _______________________________
Veterinarian phone number: _______________________________________
May we contact your veterinarian to verify records? Yes ____ No ____
Will the cat be indoors or outdoors? ___Indoors ___Outdoors ___Both
Do you agree to keep your cat's shots current? _____Yes _____No
What circumstances would cause you to give up a pet?
Divorce / Separation? _____Yes _____No
New Spouse?: _____Yes _____No
Pregnancy?: _____Yes _____No
New Baby?: _____Yes _____No
New Roommate?: _____Yes _____No
Allergies?: _____Yes _____No
Job Change / Loss?: _____Yes _____No
New House/ Apt?: _____Yes _____No
New Carpet/Drapes/Furniture?: _____Yes _____No
What "behavioral problems" would cause you to give up a pet?:
Does not use litter Box?: _____Yes _____No
Kids too Rough?: _____Yes _____No
Keeps you awake?: _____Yes _____No
Scratches Carpets, Drapes, Furniture?: _____Yes _____No
Needs too much time/attention?: _____Yes _____No
What "medical problems" would cause you to give up a pet?:
Cat incurs expensive vet bills?: _____Yes _____No
Cat requires daily treatment?: _____Yes _____No
Cat requires special diet?: _____Yes _____No
Cat becomes disabled?: _____Yes _____No
What behavioral or medical problems do you feel you CANNOT deal with in a cat?
________________________________________________________________________
Are you aware that a neutered male cat/kitten
must have a low ash/low magnesium diet to
prevent urinary tract blockage that, if not
treated (expensive) leads to a painful death? _____Yes _____No
If for any reason you cannot keep this
cat/kitten, do you agree to return it to
Adorable Cat Adoption? _____Yes _____No
Are you aware that providing an animal
adequate food, water, shelter, and
freedom from abuse is required by law? _____Yes _____No
Do you agree to allow Adorable Cat Adoption to
check on the cat's welfare from time to time? _____Yes _____No
Do you understand that, if any of the above requirements are not met, or if unverifiable or false
information is provided in this application, Adorable Cat Adoption retains the right to have the
animal returned to the organization? _____Yes _____No
Do you understand that this application
constitutes a contract between you and
Adorable Cat Adoption? _____Yes _____No
How did you hear about Adorable Cat Adoption? _____________________________________
____________________________________________________________________________
Signature: ___________________________________________ Date:_____________Contact Cassi at the ACA: firefly1269@aol.com
