Cat Adoption Application
Thank you for your interest in adopting a cat from Brooklyn Animal Action! It is our policy to make
certain that each person who adopts a cat is aware of the life-long responsibilities of pet
guardianship and is capable of accepting these responsibilities financially and emotionally.
This application is designed to:
1. Help you and your family determine if you’re truly ready for a feline companion;
2. Help BAA ensure a safe and loving home for every cat in our care; and
3. Prevent animal returns/surrenders.
Please fill out this questionnaire and return to BrooklynAnimalAction@gmail.com. Please note that
applying does not ensure approval of adoption.
CAT’S NAME:
PERSONAL INFORMATION:
Name:
Age:
Name of spouse/partner/roommate:
Address:
City:
Home phone:
Cell phone:
E-mail:
Occupation:
Occupation Address:
Work schedule:
Spouse’s/partner’s/roommate’s occupation:
Spouse’s/partner’s/roommate’s work schedule:
State:
Work phone:
Zip:
Name, age, and relationship of all persons living in your household:
Name:
Age:
Relationship:
Name:
Age:
Relationship:
Name:
Age:
Relationship:
Does anyone you live with have animal–related allergies?
Yes
No
REFERENCES:
Veterinarian is suggested; ONLY ONE FAMILY MEMBER please.
Name:
Phone:
Relationship:
Name:
Phone:
Relationship:
YOUR HOME:
Type of home? House Building Condo
Other:
Do you have a yard?
Yes No
Fenced? Yes No
Height of fence?
Is there a pool on your property?
Yes
No
Fenced?
Yes
Your home has: 1 story
2 stories
Other:
Own or rent?
If renting, do you have the landlord’s permission to have a cat?
If renting, what are the building rules about pets?
Landlord’s name:
Phone:
No
Please note: Cats falling out of windows is so common, there’s a name for it: “High Rise
Syndrome”. It often results in shattered jaws, punctured lungs, broken limbs and pelvises,
BrooklynAnimalAction.org BrooklynAnimalAction@gmail.com 877 41-KITTY (877 415-4889)
285 5th Avenue, PMB #467 Brooklyn, NY 11215
and even death. ASPCA’s Bergh Memorial Animal Hospital sees approximately 3-5 cases per
week in the spring/summer!
Do you have:
Balcony
Unscreened windows/doors
EXPERIENCE WITH CATS:
Please note: Potential adopters come to us with all different levels of experience with cats.
We encourage anyone inexperienced to think of your independent rescuer as a resource – if
there is a behavioral issue you are wondering about, chances are your rescuer has dealt with
it. If not, BROOKLYN ANIMAL ACTION can always direct you to the proper resource.
Do you presently have a cat?
Yes No
Have you previously had a cat? Yes
No
Have you ever declawed a cat? Yes No
Have any of your cats ever had kittens? Yes
No
If yes, were they bred for: Fun
Profit
Show
Accident
CURRENT PET(S):
PET ONE
Species & Breed:
Age:
Sex:
How and why obtained?
PET TWO
Species & Breed:
Age:
Sex:
How and why obtained?
How long have you been their guardian?
Altered: Yes No
How long have you been their guardian?
Altered: Yes No
How will you introduce your new cat to your current pet(s)?
PET HISTORY:
PET ONE
Species & Breed:
Age:
Sex:
Reason for loss of pet:
PET TWO
Species & Breed:
Age:
Sex:
Reason for loss of pet:
How long were you their guardian?
Spayed/neutered: Yes No
How long were you their guardian?
Spayed/neutered: Yes No
YOUR FAMILY VETERINARIAN:
Name:
Phone:
YOUR NEW CAT:
Who will be responsible for the care of the cat?
Why do you think you want this particular cat?
BrooklynAnimalAction.org BrooklynAnimalAction@gmail.com 877 41-KITTY (877 415-4889)
285 5th Avenue, PMB #467 Brooklyn, NY 11215
What do you like most and least about having a cat?
What do you plan on feeding the cat? (Please note that water should always be present.)
Where will the cat live? Indoors only
Outdoors only
Indoors & outdoors
Does your home have a pet door or any other means of outdoor access for a cat?
If /when you travel how will you provide for the cat while you are away?
What provisions would be made for the cat if you had to move to a place where no pets are
allowed?
Locally:
Out of State:
Please note: Cats don’t respond to training the same way dogs do because they’re not pack
animals. Cats mostly respond to “deterrent” training. If you would like information on how
to train a cat to not jump on counters, scratch things, exhibit inappropriately aggressive play
behavior with your hands, or anything else, please consult BROOKLYN ANIMAL ACTION and
we will happily direct you to the proper resource.
Under what circumstances would you not keep the cat? Please circle.
Divorce
Moving
New baby
Scratching furniture/carpet
Shedding
New job
Shyness/fear
Conflicts with children
Cat became ill
Litterbox problem
Biting
Fleas
Allergy
Conflicts with other pets
High veterinary costs
None of the above
Other (please explain):
Do you plan on declawing the cat? Yes No
If the cat becomes ill or injured, are you financially prepared to provide medical care?
Yes
No
Are you financially prepared to provide proper food and other supplies for your cat?
Yes
No
ADDITIONAL COMMENTS:
Please add any other comments you may have in regards to adopting this cat.
BrooklynAnimalAction.org BrooklynAnimalAction@gmail.com 877 41-KITTY (877 415-4889)
285 5th Avenue, PMB #467 Brooklyn, NY 11215
SIGNATURE AND PROPOSED ADOPTION TIMELINE
Applicant’s Confirmation: The answers to the above questions are true to the best of my knowledge.
In addition, I agree to spay/neuter the animal within the time frame given to me at the time of
adoption, barring medical restrictions. I will not give the animal, or otherwise transfer the animal to
another party without notifying Brooklyn Animal Action and giving them first right of refusal. If the
animal is ever lost, I will contact the independent rescuer first and then Brooklyn Animal Action
second immediately to assist me in losing the lost animal. I realize that failure to comply with the
adoption contract and the above stipulations may result in confiscation of the adopted animal. The
individual rescuer reserves the right to inspect the animal’s disposition when deemed necessary.
Applicant’s signature/date: __________________________________________________
(Digital signature will be considered a legal signature.)
Proposed Adoption Application Timeline:
Following is our approximate timeline for adoptions so you can follow the process with us and know
what step you are on/what the normal turn-around times are, not always in this order:
1. Potential Adopters submit applications
2. Application is reviewed (48 hours)
3. Meet & Greet scheduled
4. Delivery and Adoptions Agreement signed, $150 for kittens and breeds, and $125 for adults.
The fee includes the cost of spay/neuter (if not already done when we receive the animal and/or you
bring the animal back to us for spay/neuter). Please note that each cat costs BAA a minimum of
$300 and the difference is paid out of our own pockets or through additional fundraising efforts. The
adoption fee includes the cost of spay/neuter (if not already done and/or you bring animal back to us
for spay/neuter).
5. Rescuer provides you with medical records for adopted dog, tax-deductible donation letter,
copy of contract
FOLLOW UP DATES:
First night
First week
Your Independent Rescuer’s Information:
Name:
E-mail:
**Please retain this information for your records.
BrooklynAnimalAction.org BrooklynAnimalAction@gmail.com 877 41-KITTY (877 415-4889)
285 5th Avenue, PMB #467 Brooklyn, NY 11215