Application to Adopt
Name
First Name
Last Name
Email
example@example.com
Partner/Spouse Name
First Name
Last Name
Email
example@example.com
Address (Including ZIP CODE)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Phone Number
-
Area Code
Phone Number
How long at your current address?
Do you;
Rent (Can we see permission from property owner to have animals)
Own
Upload permission from property owner
Browse Files
Cancel
of
Are you planning to move in the near future?
How many lanes on your street?
How far back from the street is your house?
Please describe your yard, and send photos if can!
Browse Files
Cancel
of
Browse Files
Cancel
of
Browse Files
Cancel
of
Where are you employed, if employed?
What is your occupation?
Partner/Spouse Occupation
What is your approximate annual income?
How many children at home or visiting often, and their ages?
What other animals live with you?
Why do you wish to adopt?
What qualities are you looking for in your cat(s)?
Who will be the primary caretaker?
Are all household members in agreement about adoption?
Are you now using holistic medicine for yourself and your animals?
Yes
No
Sometimes
If not, are you willing to learn about and use holistic care & feed a raw organic diet?
Are you willing to obtain a health insurance policy for cat(s)?
Yes
No
Need more information
Where will your cat be when you are not at home?
How many hours a day are you gone?
How many hours a day is your partner gone?
How much do you travel? (We offer free boarding while you travel)
Who would otherwise care for cat(s) while you are away?
Where do you anticipate your cat(s) sleeping at night?
Under what circumstance would you give up your cat(s):
Financial hardship
Serious illness in family
New baby
New relationship allergic or does not like cats
Cat behavior problem
Cat in need of serious medical care
Please give three references. May we contact them?
May we contact your vet? Please give her/him your permission to talk with us.
Have you ever relinquished an animal? If so, please give details
Are you aware that cats should live to at least twenty years of age?
Are you prepared to care for your new family member(s) for better or worse, in sickness and in health, till death do you part? (And to be rewarded with joy and blessings beyond imagining?:-))
Is there anything else you'd like to tell us?
Thank you!
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