1.First Name

2.Last Name

3.Street Address

4.City, Zip Code

5.Age

6.Phone Number

7.Email Address

8.Name of cat(s) you are interested in adopting.

9.Adults who live in the home (with relationships, please)

10.Children (with ages)
...Children cont...)
...Children cont...)

11.Pets (Name, Species, Breed, Age)
...Pets continued...
...Pets continued...

12.What are your experiences with previous pets?

13.Do you rent or own your home?

14.Who will be responsible for the cats care?

15.If you are interested in a kitten, would you be willing to adopt two kittens, if you have no current pets?

16.What kind of cat(s) are you looking for?(playful, lapsitter, black and white, short hair, etc)

17.Will your cat(s) be allowed outside?

18.Do you have any of the following: Pet Door, Balcony, Porch, Patio, Unscreened Windows, Unscreened Doors?

19.What would happen to your cat(s) if you moved to a new home that did not allow pets?

20.What would happen to you cat(s) if your partner/spouse/girlfriend/boyfriend/roommate did not like or was allergic to your Cat(s)?

21.Under what circumstances would you no longer be able to keep your cat(s): Moving, Allergic Family Member,
Behavioral Problems, New Baby, High Vet Bills, Problems with your Health, Conflicts with other Pets, Inappropriate Soiling?

22.What are your feelings on Declawing?

23.Does anyone in your household smoke?

24.Where would your cat(s) go if you go out of town?

25.When would you be able to take home your new cat(s)?

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