Your full name:

Your age:

Your email address: (e.g.: you@aol.com)

Your home phone number (with area code):

Your cell phone number (with area code):

Your work phone number (with area code):

Your employer:

Your occupation:

Address:

City:      State:    Zip Code:

How long have you been at this address? If less than 1 year please list previous address:

Please list names and occupations of other adults in the household:

Do you have children? If so please list name and age of each:

Name of a personal reference:
Phone number of personal reference:
Years acquainted:
Email address of personal reference:

Do you have pets currently? If so please list type/breed, age and sex of each:

Are all of your current pets spayed or neutered?:
Yes, all pets currently are spayed or neutered.
No, all pets are not currently spayed or neutered.

If your current pets are not spayed or neutered, why?

How many pets have you had in the last 5 years?:

If you no longer have any of these pets - why?:

Are your current pets up to date on vaccinations?:

Why do you want to adopt a cat?:

Describe the cat you are looking for (age, sex, hair length, color, etc):

Do you have a particular cat in mind?:

What are your plans for this cat?:
I would like a cat for a companion.
I would like a cat for a gift.
I would like a cat for a companion for another pet.
I would like a cat for breeding.
I would like a cat for a mouser.
**We frequently have cats that are suitable for outdoor homes and barn/mouser use. Please specify if you are interested.** Other. Please describe:

Have you ever had to give up a cat?:
Yes, I have given up a cat.
No, I have never given up a cat.

If you have given up a cat before, why?

Who will be primarily responsible for the care (feeding, grooming, exercise and training) of your new pet?:

Will your cat be allowed outdoors and if so, how often?:

How much do you anticipate spending yearly on food, vet care and other expenses for your cat?:

Do any members of your household have allergies? If so to what?:
No, I do not have a veterinarian.

If you do have a veterinarian please list their name, city and phone with area code:

Do you plan to use the same vet for your new cat? If not, who do you plan to use?:

Have you ever adopted an animal from a shelter? If so which shelter and when:

Describe your current accommodations:
I live in an apartment.
I live in a condominium.
I live in a single family home.
I live in a dorm.
I live in a mobile home.
Other. Please describe:

Do you own or rent?
I own my home.
I rent my home.

If you rent, do you have permission to have a cat?:
Yes, I do have permission to have a cat.
No, I do not have permission to have a cat.

Landlord's name:

Landlord's phone:

May we contact your landlord to verify that you may have a cat on your property?:
Yes, you may contact my landlord to verify my permission to have a cat.
No, you may not contact my landlord to verify my permission to have a cat. Yes, I am planning to declaw my cat.
No, I am not planning to declaw my cat.
If you are planning to declaw your cat which feet? Front? All four feet?:
What will you do if your cat urinates outside the litter box?:
What will you do if your cat keeps you awake at night?:

Any additional comments or questions:

By submitting the application, you agree that we may contact your veterinarian on your behalf as part of the application process. We will attempt to make every attempt to process your application within 48 business hours.

I understand that incomplete applications will not be processed.