Cat Adoption Form

CONTACT INFO


* Your Name

* Your Email

* Street Address

* City

* State

* Zip Code

* Phone Number

* Phone Type

* Alternative Phone Number

* Phone Type

HOUSEHOLD INFO


* Are you over 18

* Do you own or rent a home
Rent    Own

* How many children live in the home and what are their ages

* How many hours each day will the adopted animal be without human companionship?

ADOPTION INFO


* Describe in detail the cat you're looking for

* Will this be your first cat?

* If you currently own a cat, have they been tested for feline leukemia?

* If you currently own a cat, have they been tested for FIV?

* If you currently own a cat, are they declawed?

* Why do you want this cat?

If other, please explain why you want this cat

* Where will you keep the cat?

* Do you have a cat or dog door?

* Will you have the cat declawed?

* Are you aware of the potential side effects of declawing?

* Will you keep the cat up-to-date on vaccinations, provide proper medical care & exercise as needed?

* Are you willing to have a representative of Pets Alive come see where the cat will be living?

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

If no, please explain why not

* Are you willing to take responsibility of this cat for the next 10 to 20 years?

If no, please explain in detail

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

What would you do if vet bills went over this amount?

* Please provide your veterinarian's information - name and phone number (after submitting this form please CALL your vet & give them your permission to speak to us) :

PREVIOUS PET INFO


* What animals do you CURRENTLY have? Include age, sex, breed and species.

* What happened to the pets you no longer have?

* Are all your current pets spayed or neutered?

* Have you ever had a pet euthanized?

If yes, please explain further

* Have you ever turned in a pet to a shelter?

If yes, please explain the circumstances:

* Have you ever applied to Pets Alive before to adopt an animal?

If yes, when?