Adoption Application
For office use only:
Date:

Animal Name:

Age:

Previous Location:

Last Name *
Your answer
First Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone *
Your answer
Cell Phone *
Your answer
Best time to contact *
Occupation *
Your answer
Employer *
Your answer
Work Phone
Your answer
Spouse's Occupation
Your answer
Spouse's Employer
Your answer
Spouse's Work Phone
Your answer
Veterinarian
SCRF will need you to call your vet for permission to release your records. Not doing so may delay the adoption process.
Please list your maiden name and/or any other names your pets may be listed under at your vet:
Veterinarian Name and Phone # *
Your answer
Information about all current and past pets
Please identify all of the following for each pet:
1. NAME, AGE, BREED, SEX, SPAYED/NEUTERED?, HOW LONG YOU HAVE HAD THE PET, and SPECIFY WHERE THE PET IS NOW. *
Your answer
Which cat/kitten are you interested in? *
Your answer
Why would you like to adopt this cat/kitten? *
Your answer
Are you interested in a pair of cats/kittens? *
Are you planning on declawing this cat/kitten? *
Have you ever owned a declawed cat in the past? *
Have you ever adopted a pet before? *
If so, from what organization or individual?
Your answer
If you own dogs, are they current on vaccines, Parvo and heartworm preventatives?
If no, please explain:
Your answer
Do you live in *
Are there any pet restrictions? *
Do you: *
NOTE: Adoption will not be completed until proof of pet deposit or contact with landlord.
Property Owner/Manager Name
Your answer
Property Owner/Manager Phone
Your answer
How long have you been at this address? *
Your answer
Do you plan to move within the next 6 months? *
Please list all members of the household: Name + DOB *
Your answer
Are there any major changes planned for your household in the next year? *
If yes, please explain:
Your answer
Whom are you adopting this cat/kitten for? *
Who will be the primary caregiver/supervisor of this cat? *
Your answer
If you are adopting with a partner (or roommate) who will keep the cat should you split up/move out? *
Your answer
Are there children not mentioned above that visit frequently? *
If yes, what are their ages?
Your answer
Do any members of your household have known allergies to cats? *
What behaviors do you consider a problem and how would you handle them? *
Your answer
What will happen to this cat/kitten when you go on vacation or if you have an emergency? *
Your answer
How many hours a day (average) will your cat/kitten be alone? *
Your answer
Will this cat be kept... *
Have you thought about the initial and future costs for your new cat/kitten? *
Do you have the time and interest necessary for proper introduction into your house and to other pets? *
Do you have the space to isolate the cat for 7 to 10 days while s/he becomes familiar with you and your home? *
Please describe area:
Your answer
Would you object to follow up calls and/or home visits? *
Should your new cat have any behavior problems, are you willing to work them out and call SCRF for help? *
Do you agree that your new cat will see a licensed veterinarian for a complete veterinary exam annually and follow-up with all inoculations as recommended by a licensed veterinarian? *
Please list two personal references. Include: Name, Home Address, Phone # *
Your answer
I hereby authorize the Stray Cat Relief Fund and its representatives to obtain any and all veterinary information regarding pets I currently own, or have previously owned, as may be required for approval of this Application for Cat Adoption. *
By typing your name and date here, you are certifying the above statement. *
Your answer
We reserve the right to decline any application for any reason without notification. Potential adopters will be contacted within 2 to 10 days of submission. Adoption fees are cash only and you will need a carrier to bring your new pet home!
Thank you for applying!
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