Name of cat/kitten you are applying for: * Name of Applicants * Are you over 18? * Yes No In no, parent must sign application. Please provide parents name and phone number: Your address * City * State Zip Code * Do you own or rent? * Own Home Rent Other If you rent, what is your landlords name and phone number? Home Phone Cell Phone Work Phone E-mail Address: * How many adults live with you? * How many children? * What are the childrens ages? (if applicable) What is the activity level in your home? * Minimal / Quiet Moderate Extreme / Lots of Activity Does anyone in your home have allergies to cats? * Yes No Is this your first cat? * Yes No If not your first cat, what happened to your last cat? Please list all of your current pets, their breed and their age: Are all of your dogs and cats spayed or neutered? If not explain why. When did your pets receive their last vaccinations? If you alread have a cat, has it been tested for Feline Leukemia and FIV? Yes - Negative Yes - Positive Not Tested Are you looking for a cat that can go outdoors? * Yes No Maybe Are you wanting to declaw the cat? * Yes, probably all four paws Yes, probably just front paws Only if necessary No. Have you ever had to turn an animal into a shelter? (if so, please explain) * How long are you willing to give your new cat to adust to your home? * What types of behaviors would you not be willing to tolerate? * Who will take care of your cat while you are away on vacation? * If you must move in the future, will you take your cat with you? * Are you prepared to care for this cat for the next 10 to 20 years? * What provisions will you make for this cat should you become unable to care for him or her? * The cost of normal cat care, supplies and medical care is approximate $300 per year or more. Are you able to make this financial commitment? * Yes No Who is your current veterinarian? Do we have your permission to contact your vet for references? * Yes No Comments or Questions By typing your full name in the box below you affirming that you are willing to take on the personal and financial commitment of adopting a cat/kitten. You understand that all pet refuge cats/kittens are required to have their vaccinations completed and be kept current on all veterinary recommended vaccinations throughout the rest of their life. Pet Refuge cats or kittens may have additional requirements will you will be made aware of when you speak to an adoption counselor.
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