Request to Adopt
*~* The adoption of a lifelong animal friend should not be impulsive, but rather a carefully thought out decision, which will ensure a loving, lasting relationship! *~*
First Name
Last Name
Address
City & Postal Code
Email
Telephone (home & cell)
Which cat or kitten do you wish to adopt?
1. Are you currently employed?
Select an option
Yes
No
Retired
If yes, where do you work?
2. Who are the members of your household?
3. Does anyone in your family have allergies or asthma?
Select an option
Yes
No
Unknown
4. Have you ever had a cat or cats in the past?
Select an option
Yes
No
4a. If yes, where are they now?
4b. Was your cat an indoor cat or an outdoor/indoor cat?
Select an option
An indoor cat
An outdoor / indoor cat
4c. If yes, was your cat spayed or neutered?
Select an option
Yes
No
5. Are there currently any pets in your household?
Select an option
Yes
No
5a. If yes, how many pets and what is their breed?
5b. If any cats are currently part of your household, are they indoor cats or outdoor / indoor cats?
Select an option
Indoor cats
Outdoor / indoor cats
Not applicable
5c. Are all your current pets spayed or neutered?
Select an option
Yes
No
Not applicable
5d. When did each of your pets last see a veterinarian for a check-up?
5e. When did each of your pets receive their last vaccination(s)?
5f. Who is your current veterinarian?
6. Will your new cat be an indoor cat or an outdoor / indoor cat?
Select an option
An indoor cat
An outdoor / indoor cat
Please explain.
7. What brand of food will you feed (or do you feed) the pets in your household?
8a. How much do you think it will cost for... FOOD per month?
8b. How much do you think it will cost for... LITTER per month?
8c. How much do you think it will cost for BOARDING per month?
9. Have you lost (including if later found), surrendered, sold , or given away a pet?
Select an option
Yes
No
If yes, please provide the reason or the explanation.
10. Under what circumstances would you return your adopted cat(s)?
11. What is the life expectancy of a cat?
Select an option
Less than 10 years
10 years
15-20 years
20+ years
12. Would you declaw your kitten or cat?
Yes
No
Why? Why not?
13. How much are you prepared to budget for yearly vet care? What is the maximum that you are prepared to pay to care for your pet in an emergency?
14. What are your plans for your cat if you cannot be home (i.e. hospitalized, vacation, death)
15. If you are renting, are you allowed to have a pet?
Yes
No
Not applicable
16a. If behavior problems develop... how will you deal with your cat SCRATCHING FURNITURE?
16b. How will you deal with IMPROPER SOILING?
16c. How will you deal with your cat showing AGGRESSIVE BEHAVIORS?
17. Are you ready to bring a cat into your home (supplies, food, litter, cat proofing, etc.)?
Select an option
Yes
No
18. Is there anything else you would like to add? Comments?
SUBMIT
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