Name of Cat(s) Applying for:

Adoption ____ Foster ____

Applicant Name:

Address (inc. zip):

Home Phone (inc. area code):

Work Phone (inc. area code):

E-mail:

Employer & Occupation:

1. Have you ever adopted an animal from a rescue/animal control agency? ____yes _____no

a. have you ever had an application rejected for adoption of an animal from a rescue/animal control facility? ____yes _____no explain:

2. Why do you want to adopt a cat?

3. What do you think are the most important responsibilities in owning a cat?

4. If a disciplinary or behavior problem arises, what steps will you take to work on it?

5. Any member of the family have any allergies to animals? ____yes ____no explain:

6. For whom are you adopting the cat? ____self ____gift

7. Have you ever owned a pet before? ____yes ____no

8. Describe those pets you still own:

Name --- Type --- Age --- Sex (spay/neuter?)--- Comments (e.g. indoor/outdoor?)

9. Describe those pets you no longer own:

Name --- Type --- Sex (spay/neuter?) --- Comments (where are they now? date and age at death/giveaway?)

10. List name & phone number of each vet where your animal(s) received care over the last 10 years:

Clinic name(s):

Doctor(s):

Phone number (inc. area code) for each:

What owner name(s) are records listed under:

Date of last vet visit:

11. Do you have a different vet in mind for your new pet? ____yes ____no

a. if yes, who:

12. What precautions would you take to properly introduce a new cat to your home if you have other animals (a dog, bird, rabbit, another cat, etc.)?

13. How much do you expect vet care, food, litter will cost annually?

a. what kind of food do you plan to give your cat?

b. where do you plan to put the litterbox?

14. How many people currently reside in your household? ______

a. any children in the household? _____yes _____no list ages:

15. Who will feed the cat and clean out the litter box?

16. Are you planning on declawing? ____yes ____no ____not sure

17. Where do you live? ___house ___townhouse ___duplex ___condo ___apartment ___trailer

18. Do you own or rent your residence? ____own ____rent

a. if rent, name of landlord and phone number?

b. are pets allowed? ____yes ____no ____not sure

c. is there an additional charge for pets? ____yes ____no ____not sure

19. Where will the cat be kept? ____indoors only ____outdoors only ____both in/out - explain briefly:

20. Will anyone be home during the day? ____yes ____no

a. how many hours will the cat be left unattended?

b. when no one is home, where will the cat be kept?

21. When you are home, where will the cat be kept?

a. where will the cat sleep?

22. How frequently do you make business/vacation trips?

a. What will you do with the cat when you travel?

23. If you move, what will you do with the cat?

24. Are you or your spouse with the military? ____yes ____no

25. Are you aware of the Partnership's spay/neuter policy (requires that all dogs/cats in household be spayed or neutered)? ____yes ____no

26. Are you aware of the adoption fees (cats $105 nonrefundable donation; kittens $105 [$70 nonrefundable donation + $35 spay/neuter deposit which is refunded when Partnership receives proof of spay/neuter])? ____yes ____no

27. Please list what kind of routine veterinary care you plan to provide for your cat (including flea control, shots, etc., if known)

28. Are you familiar with your local animal control laws? ____yes ____no

29. Are you willing to sign legal pet adoption papers? ____yes ____no

30. Please list any preferences you have in adopting a cat (age, sex, breed, personality):

I pledge that the above information is true and complete. Further, I give permission to PAW to contact my landlord and my veterinarian (as appropriate).

Signature ___________________________________ Date __________________

Note: Because we are a small group of volunteers, we are not able to return calls on every application. If you have not heard from us within 7 days, please assume that we have adopted this animal.