On Line Adoption Application
Name: Email: Address: City:Province: Postal Code: Phone No.:
Cat Adoption Application
(For multiple choice fields click on the appropriate response box to select)
1. What Cat are you interested in? (Enter ID No. if known) (1) (2)
or are you just looking for now?
2. Why do you want a cat? Companion Barn Cat Mouser
3. Is this cat for you? Yes No If no, who is s/he for?
4. Are you prepared to care for this cat for the rest of her/his life (10-15 yrs)? Yes No
5. Do you own or rent your home? Own Rent or are you boarding? Yes No
6. If you are currently renting/boarding,
Landlord’s name? Phone number?
7. Please indicate the number of household members: Adults Children
What are the ages of the children?
Are all household members aware of this adoption? Yes No If no, please explain:
Does anyone in your home suffer from allergies? Yes No
8. Have you ever owned a cat? Yes No
9. How many animals have you had in the last 5 years? Cats Dogs Other
If they are no longer with you, where are they now?
10. Please complete the following information about any animals you have now:
Name
Cat/Dog
Breed
Sex
Age
Altered
Where did s/he come from?
11. If your animal is not altered (spayed/neutered), why not?
12. Where will your cat reside? Indoors only Outdoors only In & out
If outside is the cat contained? Yes: Cattery Leash No
13. Name of veterinary clinic : Phone number:
14. Do you agree to have this cat neutered/spayed? Yes No
15. Will you have this cat declawed? Yes No Don't know yet
16. What traits would you find unacceptable? Not litter box trainer Digging
Shedding Not good with children Jumping up on countertops/tables
Scratching at furniture Escaping/running away
Thank You for your patience and honesty in answering the above questions.