First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Cell Phone

Alt Email

Which animal are you interested in
Choose an animal: Babygirl Casper Garth Jr. Geraldine Undercover Snuggler Mittens and Marty Neil Diamond SANCTUARY KITTIES

Employer : *

Work Address:

Work Phone

Do you rent or own your home?

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

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

How many people reside in your household*

Please provide the names and ages of the members of your household: *

Why are you interested in adopting a pet at this time*

If not for yourself, for whom are you adopting this cat/kitten?

Have you ever owned a pet before?

If yes, how long did you have it and where is it now?

Do you currently have any pets?

Please describe current and previous pets living with you in the past 5 years. (Name, Type, Age, Sex, Neutered Y/N, Date Vaccinated, Declawed Y/N, How long lived with you, Reason if not living with you now)

Veterinarian's Name and Phone Number*

Previous Veterinarians used:

Have current or recent pets tested positive for FeLV, FIV, FIP, or been diagnosed with the distemper virus or the corona virus?

For cats only: Are you planning to declaw
Choose one: Yes No

Will the animal be kept inside or outside*
Choose one: Inside Only Outside Only Inside and Outside

If you allow your animals outdoors are they :
Choose all that apply: Attended Unattended Leashed Identified with collar/tags

Who in the household will care for the pet*

Where will the animal be kept when you are home*

Where will the animal be kept when you are not home*

Where will the animal sleep*

How much time will the animal spend alone during the day*

Have you ever adopted a pet from a rescue organization?

If yes, which organization did you adopt from and when?

Have you ever given up a pet? If yes, please explain*

Do you have any family members with pet allergies?

If yes, how do you plan to manage the allergy?

Please list two references (at least one who is not a family member)*

I understand that the adoption of this cat/kitten is a great responsibility, and that the cat/kitten will be dependent upon me for food, water, shelter, cleaning and veterinary care for the term of its life (which can, at times, be anywhere from 15-20 years). I also understand that this can involve extensive yearly costs. I acknowledge that I am willing and able to make this commitment to share my life and love with this cat/kitten. I certify that the information entered on this applicant is true and correct to the best of my ability. If any of the information changes during the processing of my application, I will contact a representative from Kitty Colony promptly. I understand that any misrepresentation of fact may result in the refusal of adopting privileges. If my request for adoption is approved and it is discovered that any of the above information is not true or correct, Kitty Colony reserves the right to rescind the approval or remove the adopted cat from my home. I consent to a Kitty Colony representative verifying any and all information provided for the purpose of this application. Enter your name and date*