First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

Alt Email*

Which Cats/Kittens Are You Interested In:

First Choice:
Sorry, no animals found

Second Choice
Sorry, no animals found

Other Cat Choices:

Additional Applicant Information (PLEASE PUT N/A IF NOT APPLICABLE):

Mailing Address (if different than physical address)

Applicant's Employer, occupation, and how long:*

Co-Applicant Name*

Relationship to Co-Applicant and how long together?*

Home Information

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

How long have you lived at your current address?*

Do you own or rent your home*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal and if applicable paid any required pet deposit*
Choose one: Yes No N/A

Do we have permission to contact your landlord?*
Choose one: Yes No N/A

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

Tell Us More About What You Are Looking For:

What age range are you interested in

Activity level desired

Desired Sex

Why are you looking to adopt a cat?

A Cats Life with Your Family:

Where will your cat spend most of his/her time?
Choose one: Inside Only Outside Only Inside and Outside

If you selected outside, would your cat be supervised?
Choose one: Yes No N/A

How long will your cat be left alone (without humans) during a typical

Weekday?*

Weekend?*

Please describe where your cat will stay when you are not home:

Are you planning on declawing your cat?
Choose one: Yes No Possibly

Are you committed and prepared to provide a responsible home for your cat's entire life (15+ years)
Choose one: Yes No Unsure

Have you ever given up a pet (sold, given away, surrendered)? If yes, please explain:*

If your cat displays behavior problems (such as poor litter box habits, inappropriate scratching, ect) how would you go about correcting the behavior?

If you selected other please explain

What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply).

If you selected other, pleas explain:

Your Lifestyle and Family (PLEASE PUT N/A IF NOT APPLICABLE):

# of Adults in Household*
Choose one: 1 2 3 4 5 6

Ages of children in the household or N/A if there are no children:*

Any anticipated changes in your life within the next year? Next 5 years? (for example, new baby, grandchildren, new job, moving, remodeling)

How will your cat be cared for when you are out of town or on vacation? Or, in an emergency?

Is there anyone in your home who disagrees with adopting a new cat?
Choose one: Yes No Possibly

Who will be responsible for caring for the cat?

Does anyone in your home have allergies to cats?
Choose one: Yes No Possibly

Current Pets

Please list any current household pets, and note their species, age, size, and breed (if no pet please put N/A):*

If you currently have pets how do think they will react to a new pet in the house?

Is there any additional information you would like for us to know: