First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Age*

Occupation*

Where do you work

Spouse/Partner Name

Spouse/Partner Age

Spouse/Partner Occupation

Where does your Spouse/Partner work

Are there children in the home*
Choose one: Yes No

Please indicate names and ages of all others living in the home (children, other adults, etc.)*

Cat you are interested in adopting*
Choose an animal: Astrid Ava Brooke Duke Kapriee Max Sissy Stella Taco

Is anyone in the household allergic to cats*
Choose one: Yes No

What type of dwelling*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

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

If you rent, is there a pet deposit
Choose one: Yes No

If yes, have you already paid the pet deposit
Choose one: Yes No

If you rent, please give us your landlord's phone number

If you rent, do you have your landlord's approval to have an animal
Choose one: Yes No

Cats for Life is dedicated to good matchmaking, and we want to identify potential problems before they arise. It may be traumatic for some cats to transition from one home to another. We want to be as sure as possible that the match we make is a good one and has every chance of working well from the beginning. Tell us about your current pets. Include the name, species, breed, age, time owned and if they are spay/neutered

Are all your pets current on their vaccinations
Choose one: Yes No

Are any of your current cats declawed
Choose one: Yes No

Are current cats indoor, outdoor, or indoor/outdoor
Choose one: Indoors and Outdoors Outdoors Only Indoors Only

Would you prefer to adopt an indoor-only cat or an outdoor-access cat*
Choose one: Indoors and Outdoors Outdoors Only Indoors Only

How many hours during the day will your new cat be inside*

Does your home have a pet door*
Choose one: Yes No

Please tell us about your past pets. Include species, breed, age, sex, neutered/spayed, inside or outside, time owned, where you got them and what happened to them*

Have you ever given up a pet*
Choose one: Yes No

If yes, please explain

Do you have a regular veterinarian*
Choose one: Yes No

What is your veterinary clinic or vet's name

May we contact your vet
Choose one: Yes No

If yes, please provide the phone number

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

For whom are you adopting the cat

Who will be responsible for care*

Where will your cat sleep at night*

Are there some areas of the house that are cat-free zones*
Choose one: Yes No

Will your cat be allowed on the furniture*
Choose one: Yes No

What circumstances might prompt you to declaw your cat*

How would you locate your pet should it be lost*

If unforeseen circumstances caused you to move somewhere where you couldn’t take your cat, what would you do*

Have you ever had an animal with severe medical problems*
Choose one: Yes No

If your new cat develops severe medical problems, how would you handle it*

How will your family provide for the care of your cat during vacations*

What type of behaviors do you find inappropriate in a cat*

Financial concerns: Cats for Life strongly recommends a yearly checkup for most cats; twice a year for cats with medical issues. In addition to the checkup, vaccinations may be appropriate, as well as treatment for illness or injury. The average cost to provide proper care for a cat annually is $250. Are you prepared to spend $250 annually to provide for your cat’s medical needs*
Choose one: Yes No

How did you hear about us*

Do you agree that by submitting this for m you certify that the information is true and complete and you understand that the application is the property of Cats for Life*
Choose one: Yes No

List at least one reference (who is not a family member)*