28402 Five Mile Road

Livonia, Michigan 48154

734-855-4077

Adoption Application

Adopter Name:______Phone:______

Address:______City:______Zip:______

Email:______Birthdate: ______(Must be 21 yrs.)

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  1. Which cat/kitten are you interested in adopting? ______
  1. What kinds of personality traits are you looking for? ______
  1. What kind of pet are you looking for (check all that apply)

_____ Companion _____Family Pet _____Child’s Pet _____Gift

_____Friend for other Pet _____Mouser _____ Other (Explain) ______

  1. Please list all the animals you currently own:

NameBreedAgeSpay or Neuter

Pet # 1:

Pet # 2:

Pet # 3:

Pet # 4:

Pet # 5:

Pet # 6:

28402 Five Mile Road

Livonia, Michigan 48154

734-855-4077

  1. Please list all animals you have owned and no longer have:

NameBreedAgeReason

Pet # 1:

Pet # 2:

Pet # 3:

Pet # 4:

Pet # 5:

Pet # 6:

  1. Name of current Veterinarian/Hospital:

Name/Hospital:______Phone:______

Address:______City:______Zip:______

  1. Will you have your kitten/cat declawed? Yes No Undecided (Circle One)
  1. Will you have your kitten/cat spay and/or neutered? Yes No Undecided (Circle One)
  1. How much time will your kitten/cat be spending outdoors?

_____ Most of the day but in at night

_____ Outside all the time with food/water available

_____ Can come in and out thru a pet door at own leisure

_____ Indoor all the time – never allowed outside

  1. How often will you have your cat/kitten vaccinated? ______
  1. What is your current housing situation?

_____ Own Home/Condo _____Rent Home/Condo _____Rent Apartment _____Roommate _____Live with Parents/Relatives

28402 Five Mile Road

Livonia, Michigan 48154

734-855-4077

  1. Years at current address: ______# of people in household: ______
  1. Are there children under the age of 18 in the place you are residing? Yes No (Circle One)

If yes, list the ages of children under the age of 18 living in the place you are residing:

______

  1. Are you the head of the household? Yes No (Circle One)
  1. Does anyone in the house where you live have allergies to cats or dogs? Yes No (Circle One)

If yes, (Check One)

_____Cats Only

_____ Dogs Only

_____ Both Dogs and Cats

  1. How do you handle destructive behavior – scratching furniture, climbing on counters/tables?
  1. How would you handle a kitten/cat that is litter box trained but suddenly starts relieving themselves outside of the litter box?
  1. What are your plans with your kitten/cat if/when you have to move?

_____ Find a new home

_____ Give it to a relative/friend

_____ Take it to the shelter

_____ Call Tail Wagger’s

_____ Take it with you

28402 Five Mile Road

Livonia, Michigan 48154

734-855-4077

  1. What are some reasons that may cause you to give up your kitten/cat? (Check All That Apply)

_____Birth of a Child _____ New Roommate _____Marriage _____Divorce

_____Biting _____Spraying _____Needs Medication _____Needs Special Care

_____Allergies _____ Can No Longer Afford _____Loss of Job _____ None

_____Other ______(Explain)

  1. What personality traits are you NOT willing to live with? (Check All That Apply)

_____Excessive Meowing _____Aggressive _____Unfriendly Toward Other Pets

_____ Shy/Skittish or Hides _____Relieves Outside Litter box _____Scratches

_____Jumps on Counters/Tables _____Chews Furniture/Destructive Behavior

_____ Other______(Explain)

  1. Have you ever had to return a pet to a breeder or take one to a shelter, pound or rescue?

_____ No

_____ Yes ______(Explain)

  1. Would you be opposed to a volunteer from Tail Wagger’s 1990 doing a check on and/or visit the kitten/cat at your home? No Yes (Please Circle)

I have read the above questions and certify that the answers that I have given are complete, true and not misleading in any way. By signing this form, I’m authorizing Tail Wagger’s 1990 permission to contact Landlords, Associations and my current/past Veterinarians to verify animals are allowed per my lease agreements and that prior owned animals were under the care of a Veterinarian and up-to-date on their routine vaccinations.

Adopter: ______Date: ______

Tail Wagger’s 1990 Representative:______

Title/Position:______Date:______