Cat Adoption Application GENERAL INFORMATION Name * First Name Last Name Age * Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country ABOUT YOUR ENVIRONMENT How many children in your home? Age? Housing * Own Rent If you rent, please provide your landlord's phone number: * We prefer kittens to go in pairs if there are no other young cats/kittens in the home. Do you have any current pets? If yes, please list: * Did you ever surrender a pet to a shelter? If yes, pls. explain why: * What are your plans in the event that you can no longer care for your pet(s)? * Is your new pet going to be indoor, outdoor, or indoor/outdoor? What cat(s) or kittens(s) are you interested in adopting? * VETERINARIAN INFORMATION Who is your veterinarian? Address? * PLEASE CONTACT YOUR VET ASAP TO PERMIT TALKING TO US. Otherwise your application will be on hold until permission is given. VET TEL: * (###) ### #### References PLEASE LIST NON-FAMILY MEMBERS ONLY Reference #1 * First Name Last Name Phone * (###) ### #### Reference #2 * First Name Last Name Phone * (###) ### #### By selecting the box, I am accepting all risks associated with handling animals during the adoption process. I also further attest that the information contained in this document is complete and true. I realize that giving incomplete, misleading or false information will result in being denied the privilege of adoption. I further agree to release all veterinary records pertaining to any animal past/present in my household. * Yes I agree No I don't agree Thank you for your application! Please feel free to come in anytime from 11-3: Tue-Sundays to meet our rescues.