Cat Adoption Application
By completing and submitting this form, you give Virden Pet Network permission to contact your veterinary clinic and your personal reference. 
All our adopted cats and kittens must be indoor-only pets unless otherwise specified. 
You must be 18+ to apply to adopt.

Sign in to Google to save your progress. Learn more
Email *
Today's date: *
Your FULL name *
Your street address *
Name of Town or City, and Province
*
Phone (cell and home) *
Your age & occupation *
Name, age, and occupation of spouse and any other adults (over 18) residing with you *
Ages of children in the home or who visit often
Do you live in a: *
Do you: *
If you rent or share, does your building allow pets?
Clear selection
If you rent, please provide landlord's name and phone:
How long have you lived at your current address?
Are you a first time cat owner? *
Required
Do you have a particular cat or kitten in mind? If so, type the name below and skip next 2 questions.
What age cat are you looking for? (check all that apply)
Do you have a preferred colour, gender and hair length? If so, please outline:
Who will be mainly responsible for the care of the cat? *
Will your new cat live: *
How many pets are currently in the home? Please be specific if they are dogs, cats, or other: *
Are all your pets spayed or neutered? If not, please explain why not. *
Are all your pets up to date on vaccinations? If not, please explain why not: *
If a pet of yours has died in the last 5 years, please share their age and cause of death.
Does anyone living in the home have allergies? If yes, explain. *
Have you ever applied to adopt a pet from a rescue before? If so, please state which rescue and if you were approved or denied. *
Reference #1: Please provide the name and phone number of your regular or most recent veterinarian. *
Reference #2: Please provide the name and phone number of a personal reference not related to you. *
Some cats require time to settle into their new home, especially if there are existing cats or dogs in the home. We ask adopters to give this process time. If you'd like help making a smooth transition, please ask us. 
Are you willing to give your new pet the time he/she needs to adjust?
*
Thank you! After you click SUBMIT, please scroll up to respond to the CAPTCHA tool. This step is needed to complete your application. 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy