Adoption application

Licking County TNR

(page 1 of 2)

Applicant information: (person filling out this form)

Name:_____________________________

Address: ___________________________

__________________________

Phone: ____________________________ Cell – Is txt ok? ( ) Yes ( ) No

____________________________ Other: _________

General Information:

Who are you adopting for?

( ) Self ( ) Family member living with me ( ) Family member not living with me

( ) Gift, for whom: _____________________________________________________________

What are your reasons for adopting a cat? (check all that apply)

( ) companionship for myself ( ) Companionship for a family member

( ) Companionship for another pet

( ) working cat: barn, mouser , etc

What is your main reason for adopting a cat? ________________________________

Preference for adopting:

Gender: ( ) Male ( ) Female

Hair length ( ) Short ( ) Medium ( ) Long ( ) Any

Color: _____________________________ ( ) Any

Age: ( ) Kitten ( ) Adult ( ) Senior ( ) Any

Would you consider a cat with special needs? ( ) Yes ( ) No

Is there a particular cat you are interested in? _______________________________

Licking County TNR

~Improving the welfare of Licking County community cats and the people who live near them~

9389 Hirst Rd. Heath, OH 43056

614-506-4126 4/20/20

Licking County TNR

Adoption Application

(page 2 of 2)

Please tell us a little more about the situation in which the cat will live to help us better pair you with available cats and provide you with helpful information on successfully integrating the cat into the household.

Describe the housing situation where the cat will live:

______________________________________________________________________________

It is: Owned ( ) Rented ( )

If rented do you know if pets are allowed in the lease? ( ) Yes ( ) No ( ) Don’t know
Landlord name & phone number: ____________________________________________

Do you intend for the cat to be: ( ) Indoor only ( ) Indoor/Outdoor ( ) Outdoor only

Who will live with the cat? What are their ages?

______________________________________________________________________________

Who will be primary caregiver for the cat? (be responsible for food/water/litterbox, etc)

_____________________________________________________________________________

Tell us about other pets in the household:

______________________________________________________________________________

Have these pets lived with cats before? ________________________________________________________________________________________________________________________________________________

Do you have a family veterinarian? ( ) Yes ( ) No

How do you intend to manage veterinary care for your new cat?

______________________________________________________________________________

Kittens will need additional vaccines and wellness services in the upcoming weeks and then yearly after that.
We recommend a wellness visit with your veterinarian with in 14 days of adoption.

Educational info:

Outdoor cat safety

Introducing new cats into household with cats

Litterbox management

scratching

Veterinary care for cats