CATTAILS FELINE RESCUE

FELINE ADOPTION APPLICATION

The primary goal of our organization is to find life long homes for our cats and kittens.

·  Do you understand that cats can live up to 20 years and require a life long commitment of time, finances, and emotion? ______

·  We often receive multiple applications for the same cat. If there is another cat that you are interested in, please list their name as a secondary choice. ______

Date: / E-mail Address:
Name of Cat(s) you are applying for:
Your Name(s):
Address: / County:
City: / State: / Zip:
Home Phone:
Cell Phone:
If approved, this cat will be kept: / Inside Only / Outside Only / Both In & Outside / Undecided
If approved, this cat will be: / Declawed,
front two paws / Declawed, all four paws / No declaw / Undecided about declaw

ADOPTION INTERESTS

1) How long have you been looking for a pet?
2) Why do you want this pet?
3) Is this cat/kitten for your household/family? / YES NO / If no, then who?
4) Does the entire household want this new pet? / YES NO
5) Who will be responsible for the daily care and veterinary costs associated with this pet?

PERSONAL BACKGROUND INFORMATION

6) What are the ages of your household/family? / Under 21 / 21-30 / 31-40 / 41-50 / 50+
7) How many adults are in the household? / Number of children: / Ages:
8) Who in your household has allergies and to what animals?
9) Do you live in a: / House / Condo / Town home / Apartment / Mobile Home
10) Do you Own or Rent? / Rental complex and city:
If you are renting, are pets allowed in your lease? / NO YES
Is a deposit required? YES NO
11) Are you currently employed? NO YES / Who is your employer?
Work Phone number: / What hours do you work?
If no, are you: / Undergraduate Student Graduate Student / Anticipated Graduation Date:

MATCHING THE RIGHT PET

12) I am interested in adopting a: / Adult Cat (1 year or older) / Juvenile (6 months to one year) / Kitten
13) The reason I want this aged pet is:
14) If you move where pets are not allowed, what would you do with the cat/kitten?
15) Will this cat be allowed to go outside? / NO YES UNSURE Explain:
16) Do you plan to declaw this cat/kitten? / NO YES UNSURE / If yes: front paws all four paws
17) On average, how much are you willing to pay for one cat’s veterinary care and food per year?
18) How often will your cat see the veterinarian: / Annually Only as needed (sick, injury) Only in extreme emergency
19) Under what circumstances would you euthanize a cat or kitten?
20) Under what circumstances would you return an adopted cat to this organization?

CATTAILS FELINE RESCUE

PET HISTORY

21) Do you currently have pets at home now? NO YES How many? # Dogs ___ # Cats: ___ Please list below.
Cat or Dog / Breed / Age / Sex / Neutered / Declawed / Kept Indoors or Outdoors
Cat / Dog / M / F / Yes / No / Yes / No / Indoor / Outdoor
Cat / Dog / M / F / Yes / No / Yes / No / Indoor / Outdoor
Cat / Dog / M / F / Yes / No / Yes / No / Indoor / Outdoor
22) Are these pets up-to-date on their vaccinations? YES NO
23) Have you had any additional pets during the past five years not listed above? NO YES If yes, please list below.
Cat or Dog / Breed / Age / Sex / Neutered / Declawed / Kept Indoors or Outdoors
Cat / Dog / M / F / Yes / No / Yes / No / Indoor / Outdoor
Cat / Dog / M / F / Yes / No / Yes / No / Indoor / Outdoor
Cat / Dog / M / F / Yes / No / Yes / No / Indoor / Outdoor
Were any: / Lost / Hit by a car / Put to sleep / Why?
Given away / Why and to whom?
24) What is the name and location of your current veterinarian?
25) Have you adopted a pet previously from a shelter? NO YES If yes, which one?
If yes, which one? / When?

Thank you for your interest in adopting a family pet through CATTAILS FELINE RESCUE.

Please note that the information contained within this questionnaire is kept confidential.

E-mail this form to: