CATTAILS FELINE RESCUE CattailsFelineRescue@gmail.com FELINE ADOPTION APPLICATION The primary goal of our organization is to find life long homes for our cats and kittens. Do you understand that cats can live up to 20 years and require a life long commitment of time, finances, and emotion? _________ We often receive multiple applications for the same cat. If there is another cat that you are interested in, please list their name as a secondary choice. _______________________________ Date: E-mail Address: Name of Cat(s) you are applying for: Your Name(s): Address: County: City: State: Zip: Home Phone: Cell Phone: If approved, this cat will be kept: Inside Only If approved, this cat will be: Outside Only Declawed, front two paws Declawed, all four paws Both In & Outside Undecided No declaw Undecided about declaw ADOPTION INTERESTS 1) How long have you been looking for a pet? 2) Why do you want this pet? 3) Is this cat/kitten for your household/family? YES NO 4) Does the entire household want this new pet? YES NO If no, then who? 5) Who will be responsible for the daily care and veterinary costs associated with this pet? PERSONAL BACKGROUND INFORMATION 6) What are the ages of your household/family? Under 21 7) How many adults are in the household? 21-30 31-40 Number of children: 41-50 50+ Ages: 8) Who in your household has allergies and to what animals? 9) Do you live in a: 10) Do you Own or House Condo Rent? YES 11) Are you currently employed? NO YES NO NO YES Work Phone number: If no, are you: Apartment Rental complex and city: If you are renting, are pets allowed in your lease? Is a deposit required? Town home Who is your employer? What hours do you work? Undergraduate Student Graduate Student Anticipated Graduation Date: Mobile Home CATTAILS FELINE RESCUE CattailsFelineRescue@gmail.com MATCHING THE RIGHT PET 12) I am interested in adopting a: Adult Cat (1 year or older) Juvenile (6 months to one year) Kitten 13) The reason I want this aged pet is: 14) If you move where pets are not allowed, what would you do with the cat/kitten? 15) Will this cat be allowed to go outside? NO 16) Do you plan to declaw this cat/kitten? YES NO UNSURE YES Explain: UNSURE If yes: front paws all four paws 17) On average, how much are you willing to pay for one cat’s veterinary care and food per year? 18) How often will your cat see the veterinarian: Annually Only as needed (sick, injury) Only in extreme emergency 19) Under what circumstances would you euthanize a cat or kitten? 20) Under what circumstances would you return an adopted cat to this organization? PET HISTORY 21) Do you currently have pets at home now? Cat or Dog Breed NO YES How many? # Dogs ___ # Cats: ___ Please list below. Age Sex Neutered Declawed Kept Indoors or Outdoors Cat Dog M F Yes No Yes No Indoor Outdoor Cat Dog M F Yes No Yes No Indoor Outdoor Cat Dog M F Yes No Yes No Indoor Outdoor 22) Are these pets up-to-date on their vaccinations? YES NO 23) Have you had any additional pets during the past five years not listed above? Cat or Dog Breed Age Sex NO Neutered YES If yes, please list below. Declawed Kept Indoors or Outdoors Cat Dog M F Yes No Yes No Indoor Outdoor Cat Dog M F Yes No Yes No Indoor Outdoor Cat Dog M F Yes No Yes No Indoor Outdoor Were any: Lost Hit by a car Given away Put to sleep Why? Why and to whom? 24) What is the name and location of your current veterinarian? 25) Have you adopted a pet previously from a shelter? If yes, which one? NO YES If yes, which one? When? Thank you for your interest in adopting a family pet through CATTAILS FELINE RESCUE. Please note that the information contained within this questionnaire is kept confidential. E-mail this form to: CattailsFelineRescue@gmail.com