Cat Application

Applicant Name:

Age of Applicant:

Street Address

City

State

Zipcode

Phone:

Cell Phone:

Email Address

Which cat(s) are you interested in?

Is this your first cat?

Y

N

What, if any, kind of pets have you had in the past?

Which of these pets do you still have? Please include age, gender and breed.

Existing Pet #2 (Age, gender, breed):

Existing Pet #3 (Age, gender, breed):

Are existing pets current on vaccinations?

Y

N

What happened to the ones you no longer have?

Have you ever turned a cat in to a shelter?

Y

N

If yes, why?

Have other cats in your household been tested for feline leukemia?

Y

N

Have they been tested to FIV (feline immunodeficiency virus)?

Y

N

Are they declawed?

Y

N

If you currently have pets, will they adjust to a new cat?

Y

N

Why do you want to adopt a cat? Check all that apply

How many adults in your family?

How many children?

Ages of children:

Are all adults in your household aware that you are adopting a pet?

Y

N

Does any member of your household have allergies to animals?

Y

N

If yes, please explain:

Is someone home during the day?

Y

N

How many hours a day will the cat be without human companionship?

Which do you live in?

If other, please explain:

Do you rent or own your home?

Own

Rent

If you rent, may we contact the owner to obtain permission for this pet to live in your home?

Y

N

Do you have written consent from the landlord?

Y

N

Landlord / Property Owner Name

Landlord / Property Owner Phone

Will the cat stay indoors all the time?

Y

N

Do you have a dog or cat door?

Y

N

Will you have the cat's nails clipped?

Y

N

Will you have the cat de-clawed (surgical removal of toe-bones)?

Y

N

Will you be willing to keep your cat up to date on vaccinations?

Y

N

How much are you willing to spend on medical bills for your cat?

Up to $100

Up to

Up to $500

Whatever it takes

What will you do if the vet bills go over this amount?

Who is your veterinarian?

If you go away for a few days or on vacation, who will take care of the cat for you?

If you move, will you take the cat with you?

Y

N

Have you ever adopted from ART before?

Y

N

If yes, when?

Are you willing to have a representative from Animal Rescue of Tracy come see where the cat will live?

Y

N

Are you willing to take responsibility for this cat for the nxt 10 or more years?

Y

N

What provisions will you make for the cat should you become unable to care for it?

Any additional comments you'd like to make?

Reference #1 Name:

Reference #1 Phone Number:

Reference #2 Name:

Reference #2 Phone Number:

Cat Adoption Application