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Adoption Application Form - Cats
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Cat(s) you are interested in:
*
Your answer
How did you hear about us?
*
Your answer
Name
*
First and last name
Your answer
Age
*
Your answer
Address
*
Your answer
Occupation
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Alternate Phone number
Your answer
Are there any other people currently living in your household?
*
Spouse
Roommate(s)
Children
Parents
Other Family Members
None
Required
Do you live in a:
*
Choose
House
Apartment
Condo
Townhouse
Other
If other, please describe:
Your answer
Do you:
*
Own
Rent
Live with Family
Other
If other, please describe:
Your answer
Landlords Name and Phone Number
Your answer
Does your landlord or Condo/Townhouse Association allow pets?
*
Yes
No
Don't Know
N/A
Do you expect to move in the next few months?
*
Yes
No
Have all adults in your household agreed to adopting a cat?
*
Yes
No
Don't Know
Is anyone in your household allergic to cats
*
Yes
No
Don't Know
What would happen to the cat if you became unable to care for it?
*
Your answer
Do you have a dog or cat door?
*
Yes
No
If yes, where?
Your answer
Will the cat have access to a:
*
Balcony
Patio
Garage
Yard
None of these
Required
This cat will be:
*
Outdoor Only
Mostly Outdoor
Outdoor Days, Indoor Nights
Mostly Indoor
Indoor Only
Required
Where will the cat's litter box be located?
*
Your answer
Will you allow a TARA volunteer to inspect your home prior to adoption?
*
Yes
No
Will you allow a TARA volunteer to contact you in the future regarding your new cat?
*
Yes
No
Have you ever owned a cat before?
*
No
Yes
If yes, when and what happened to them.
Your answer
Have you ever owned kittens before?
*
No
Yes
Would you like to declaw this cat?
*
No
Yes
Why would you like to adopt a cat?
*
Companion for me
Companion for another pet
Child wants a cat
Mouser
Gift for another person
Required
Do you have any other animals in the home?
*
Cat
Dog
Bird
None
Required
If you have other cats or dogs in the household, are they spayed or neutered?
*
Yes
No
Who is your veterinarian?
*
Your answer
If you have dogs, have they been around cats before?
*
Yes
No
n/a
What brand of cat food would you feed this cat? Wet or Dry?
*
Your answer
Can you afford regular veterinary care for this cat including yearly vaccinations, annual exams, dental care, etc.? ($100 or more per year)
*
Yes
No
Can you afford serious injury or illness costs? ($500 or more)
*
Yes
No
Who will be responsible for the daily care and maintenance of this cat?
*
Your answer
Who will take care of the cat when you go on vacation
*
Kennel
Vet
House sitter
Pet Sitter
Friend / Relative / Neighbor
What would be some reasons that would make you give up the cat? ( Select all that may apply)
*
Allergy
New baby
Moving
Illness
Divorce/Seperation
Unemployment
Not getting along with other pets
Scratching furniture
Urinating on furniture
Scratching Children
None
Required
Would you be willing to allow one of our volunteers to assist you should you have any issues with the cat? (ex: stop using the litter box, clawing furniture, trying to get outside, etc)
*
Yes
No
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