Cat Adoption Application

Name of applicant

Date

Street Address

City

State

Zip

Phone

Email

Age

How long have you lived at this address

Are you adopting for yourself or someone else?

 Myself Someone else

Describe in detail the cat you’re looking for

What kind of pets have you had in the past

Which of these do you still have? (Including age, sex and breed)

Have they been spayed or neutered?

 Yes No

Are they current on vaccinations?

 Yes No

Have they been tested for feline leukemia?

 Yes No

Have they been tested for FIV?

 Yes No

Are they declawed?

 Yes No

Did you declaw, or did the cat come declawed?

 I declawed Came declawed

What happened to the pets you no longer have?

Have you ever turned your cat in to a shelter?

 Yes No

If yes, please explain

If you have pets, will they adjust to a new one in the house?

 Yes No

Why do you want this cat? (Please check all that apply.)
 Companion Companion for other pet House pet Barn Cat Mouser Office Cat Other
If other, please explain:

How many adults are in your family?

Children?

Children's Age?

Does any member of your household have an allergy to cats?

 Yes No Don't know

Where do you live?

 House Apartment Condo Mobile Home Other

If other:

Do you own or rent your home?

 Own Rent

If you rent, may we contact the owner to obtain permission for this cat to live in your home?

 Yes No

Owner's Name:

Phone Number:

What is your current occupation?

Name of employer

Does your employer require extensive travel?

 Yes No

Where will your cat live?

 In the house Outdoors With free access to both indoors and outdoors In the barn In the garage
Please explain:
textarea explain-living ]

Do you have screens on your windows?

 Yes No

Do you have a cat or dog door?

 Yes No

What does it lead to?

Under what circumstances would you have the cat declawed?

Are you aware of the potential side effects of declawing a cat?

 Yes No

Will you keep the cat up to date on vaccinations?

 Yes No

Who is your veterinarian?

Phone:

City/State

If you go away for a few days, or on vacation, who will take care of the cat?

What arrangements will you make for the care of your pets in case of emergency, or if you become unable to care for him/her?

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

 Yes No

Have you ever applied to Furkid Rescue before to adopt an animal?

 Yes No

If yes, when?

How did you find out about Furkid Rescue?

Are you willing to have a representative of Furkid Rescue come to see where the cat will be living?

 Yes No
If no, explain:

Are you aware that cats live 15 to 20 years and are you willing to take responsibility for this cat for the next 10 to 20 years?

 Yes No

Additional comments from applicant:

Please provide two personal references and one vet reference if possible. A vet reference is required if you currently have a cat or other pet.

Name of reference #1:

Street Address:

City:

State:

Zip:

Phone:

Email:



Name of reference #2:

Street Address:

City:

State:

Zip:

Phone:

Email:

Vet reference:

Street Address:

City:

State:

Zip:

Phone:

Email: