CCCE Cat Adoption Application
It is our goal to find permanent loving, safe, secure, responsible, homes for all of our rescued cats and kittens. Having a cat takes a commitment of time, energy, love, attention, and finances. This commitment extends throughout the duration of the cat’s natural life, which can be 20 years or more.
*** ADOPTER INFORMATION ***
Your First & Last Name *
Your answer
Your Age: *
Your answer
Your Occupation:
Your answer
Your Phone Number: *
Your answer
Your Email Address: *
Your answer
Where do you live? Please provide your FULL ADDRESS - including street address, city, state, and zip code. *
Your answer
How long have you lived at the above address? *
Your answer
Type of dwelling? *
Do you own or rent? *
If you rent, we will contact the owner to obtain permission for this cat to live in your home. Please provide your landlord's name and contact information:
Your answer
First and Last Name of ALL other adult(s) in household, and their ages: *
Your answer
Ages of all children living in the home (if applicable):
Your answer
Does your home have a pet door or doggie door? *
Does any member of your household have an allergy to cats? *
*** TELL US ABOUT YOUR PETS ***
Please list all animals living in your home. Include name, age, sex, and type/breed: *
Your answer
Are they spayed/neutered? *
Are they current on vaccinations? *
Are any of your current or previous cats declawed? *
What happened to the pets you no longer have? Please be specific: *
Your answer
*** TELL US ABOUT YOUR FUTURE CAT ***
I am interested in adopting the following cat(s): *
Your answer
Where will your cat live? *
Are you willing to have a representative of CCCE conduct a home visit to see where the cat will be living? * *
How will you address behavioral issues such as aggressiveness, scratching, biting, litter box avoidance, etc.? *
Your answer
Do you plan to declaw this cat? *
If YES, please explain:
Your answer
Under what circumstances would you consider giving up a cat? Check ALL that apply: *
Required
Some cats require several weeks or even months to acclimate to their new home, family, and other pets. Are you willing to allow for this adjustment period? *
Is there anything else you would like to share with us about yourself or the cat you are interested in?
Your answer
*** YOUR REFERENCES ***
What is your Veterinarian's name (or vet clinic name), location (city & state), and phone number? If you do not have a current veterinarian, please list the last veterinarian your pets were clients of. *
Your answer
Personal Reference #1: Please list the name, email address, and phone number of a reference who does not reside in your household. *
Your answer
Personal Reference #2: Please list the name, email address, and phone number of a reference who does not reside in your household. *
Your answer
ACKNOWLEDGEMENT: All of the information I have provided in this Cat Adoption Application is true and correct. I understand that the omission of information and/or failure to provide accurate information will disqualify my Application. I grant the Community Cat Coalition of Edmond (CCCE) permission to contact any veterinary office(s) and reference(s) I have provided above, and hereby consent to the release of my pet’s medical records to any CCCE representative requesting them. By clicking SUBMIT, I am legally and electronically signing this document and agree to the above statements. *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy