Cat/Kitten Adoption Application

Name of Cat/Kitten Desired OR Breed, Age, Color Preferred:

Potential Adopter Name:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Email

example@example.com

How many people live in your household?

List all ages for children under 18:

What type of household do you live in (house, apartment, condo):

Do you own or rent?

ownrent

If renting, pelase provide name of Landlord/Manager and phone number:

First NameLast Name

Phone Number

Area CodePhone Number

Are cats allowed?

YesNo

Are there any restrictions to animals where you live? If yes, please explain.

Type of location (urban, rural, etc.)

Is this a busy street?

What is the speed limit?

Where will the cat live? (inside, outside, inside/outside?)

Where will the cat spend most of his/her time?

Is your yard fenced? If so, what kind?

Describe the activity level in your home (busy, social, quiet?) How many hours will you be away a day at work?

How many cats/dogs live in your home now? If you have a dog, have they been around cats before?

Please list all current pets. Include name, age, how long you have had them, breed, and if they are spayed or neutered.

Have you had other dogs/cats in the past? If so, what happened to them?

References (other than relatives)

*If you do not include 3 references, we cannot process your application! Also, please include your current veterinarian. If you do not have a current vet, please include a past vet (even if it is out of state.) If you have never had a veterinarian, please state that. Blanks will hold up processing your application.

1. Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

2. Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

3. Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Veterinarian's Name

First NameLast Name

Veterinarian's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

By signing this application, you are stating that all of the information is true to the best of your knowledge. You are also giving Middle Tennessee Treasures, and it's volunteers permission to verify your information and contact the references you have listed above.

Initial here to sign:

Date of signature

Date