Adoption Application

Community Cat Adoption Application

To be considered for adoption you must:

-- Be at least 21 years of age
-- Have formal identification
-- Have the consent of all adults living in the household
-- Understand that Community Cat has the right to accept or deny any application

* Name

* Street Address

* City:

* State:

* Zip code:

* Phone (day):

* Phone (eve):

* Best time to call:

* Email:

* Date of Birth:

Please email me updates

* Residence:

house

apartment

mobile home

other

* Owner of residence:

* Phone:

* My new cat will be a:

house pet

barn cat/ mouser

gift

companion for:

I need a cat who can be left alone for:

12-24 hrs

8-12 hrs

4-8 hrs

1-4 hrs

My cat needs to be good in an environment that is:

I want my cat to play

with people

with animals

independently

very little

The activity level I prefer in my cat is

couch potato

calm

active

high energy

I'm looking for a cat who can be

I want a

neutered male

spayed female

cat that is declawed

cat with claws

I prefer cats that are

Other important qualities:

Name(s) of cat(s) that I would like to meet:

* Some cats adjust to their new home in a few days, others need several months. I need my cat to adjust in:

* In the past I have spayed/neutered

all pets

some pets

none

this is my first pet

* In the past I have had a cat declawed

* I would have this cat declawed

* I would allow my cat outdoors

	Name of each adult in the home	Occupation	Available to meet cat before adoption?
1
2
3

	Name of each child in the home	Age	Available to meet cat before adoption?
1
2
3
4
5

Animals that have lived with me in the past 5 years including current pets (use empty box below if needed):

	Name of each pet	Cat/Dog/Other	Breed	When owned	Where obtained	If deceased, what happened?	Owner
1
2
3
4
5
6

Use this box to provide additional information.

* Situations that could make me give up a pet:

moving to a place that doesn't allow pets

cat and family member/friend don't get along

spouse/partner doesn't want cat

cat develops medical problem

cat develops behavior problem

resident or visitor with cat allergies

none

other

If I became unable to care for my cat, I would want that cat to go to:

* Name:

* Address:

* Phone:

The vet clinic I have used in the past:

* Name:

* Phone:

The vet clinic I plan to use now:

* Name:

* Phone:

Present/ most recent employer:

* Name:

* Phone:

By placing or signing my name to this application, I certify that the information I have given here is true. I realize that any misrepresentation of facts may result in my losing the privilege of adopting a cat from Community Cat. I understand that Community Cat, Inc. has the right to deny my request to adopt an animal. I authorize verification of all statements in this application, and I also authorize my veterinarian to release any information requested by Community Cat, Inc.

* Signature

* Date

* Indicates Response Required