Name:____________________________________________

Date:_____________

Address:___________________________________________

City:______________________________

State:__________

Zip:_______________

Email:_____________________________

Phone:_______________________________

Your Household

Number of  Adults in Household:____

Children(s) ages:_______________________

Housing:

____ Own House?

1 story       2 story

_____ Rent?

House

Apartment

Mobile

Landlord’s  Name:______________________________

Phone:___________________

Activity Level in your home (Please circle)                Quiet        Active          Hectic

Time at home (Please circle)   Rarely    When not working     Home all day

Does any member of your household have allergies to animals?

Yes

No

Is this a smoke free home?  

Yes

No

Employment

Yours and/or Spouse’s Employers Name:______________________________________________________________________

Address:______________________________________

Phone:_____________________

Are you retired?

Yes

No

Your Pet History

Please check

Never had pets

Had pets as a child

Had pets all my life

Kitten(less than 5 months)

Adult

Senior(10+)

Prefererence:

Male

Female

No Preference

Specific color/breed?__________________

Specific cat/kitten?_____________________

Where would the cat be kept during the night? ________________________________________

Where woult the cat be kept during the day?__________________________________________

Primary reason for adopting a cat?_________________________________________________

Type of pets (s) currently and previous

Type

Age

Sex

Spayed/

Neutered?

Indoor/

Outdoor

How long owned?

Living Now?

Cats are as individual as people and need time to adjust to a new environment. Are you willing to spend time and effort in helping this cat adjust to your family? Yes   No

How long do you think this adjustment should take? ___________________________________

Under what circumstances would you not keep this cat?_________________________________

_____________________________________________________________________________

Do you plan to declaw?     2 (front paws)      4 paws

Would you object to an inspection of your premises by our staff?  Yes   No

Veterinarian’s Name + Phone:____________________________________________

Have you given your veterinarian permission to speak with us ?

Yes

No

How much would you expect to pay in vet care, food, toys, etc. per year? _________

How did you learn about us?

_____Friend referral

_____Previous adopter

_____Social Media (Facebook/Google+/YouTube/Website)

_____ Newspaper/TV

What arrangements would you make for your pet if you have to move?___________________

____________________________________________________________________________

I certify that all the information in this application is true and I understand that false information may void the adoption and future adoption applications from Forgotten Felines and Fidos, Inc.

Signature:______________________________________

Date:__________________

To be completed by FF&F Adoption Coordinator/Foster Parent:

I reviewed the folloing topics with the potential adopter

Time commitment

Financial Commitment

“Ideal” home for cats

Destructive scratching/declawing

LItterbox training/ issues

Introducing cat to houshold(people/pets)

Vaccinations & veterinary care

Shelter vs. Home life behavior

Requirement that cat remain indoors

Spay/Neuter requirement (if applicable)

Adoption Coordinator/Foster Parent:________________________________

Date:______________________________

Revised 11/05/18