VIVA Cat Adoption Form
We request that you fill out this form in order to assist us in serving you and to assure a successful adoption. Thank you for helping us help you.

In order to be considered for an adoption, you must be at least 18 years of age, present legal identification, and be able to verify that you can have a pet where you live.
NAME:
SPOUSE / PARTNERS’ NAME:
ADDRESS:
EMAIL ADDRESS:
HOME PHONE:
MOBILE PHONE:
DRIVER’S LICENSE NUMBER:
DRIVER'S LICENSE STATE:
DRIVER'S LICENSE EXPIRATION DATE:
DO YOU OWN OR RENT?
Clear selection
WHAT KIND OF HOME?
Clear selection
LANDLORD'S NAME AND CONTACT INFO (if applicable):
EMPLOYMENT STATUS
Clear selection
OTHER ADULTS IN HOUSEHOLD
CHILDREN IN HOUSEHOLD?
Clear selection
NAME OF CAT(S) INTERESTED IN ADOPTING
SHELTER ROOM NUMBER CATS ARE LOCATED IN
You have chosen a new animal friend. Have you considered the cost of food, regular veterinary care, and extraordinary care that may be required if your cat(s) becomes ill? Are you prepared to assume this financial responsibility?
Clear selection
On average, how often are you or another adult at home during the day?
Clear selection
Remember that you are taking on a long-term commitment that may last over twenty years. Please indicate your plans for your animal companion(s) when you move.
When you go on vacation, what will you do about taking care of your cat(s)?
Is anyone in your family allergic to cats?
Clear selection
Will your new cat be indoor-only?
Clear selection
Will your new cat be indoor/outdoor?
Clear selection
Do you have a dog door?
Clear selection
What is the name of your veterinarian or clinic? (Please list the city they are located in.)
What other animals are there in the home? Ages? Breeds?
If yes, are they all spayed and neutered?
Clear selection
If cats, have they been de-clawed?
Clear selection
How do you feel about declawing?
If you do not have a cat in your household at this time, have you ever had a cat?
Clear selection
List the pets you have or have had in the past and tell us what happened to those pets.
When you introduce your new cat to your household, it should be placed in a separate room with food, water, and a litterbox until it is comfortable. Will you do this?
Clear selection
When you introduce your new cat to your household, it may take time and patience until it is comfortable. Are you willing to give your new cat at least a month to settle into its new home?
Clear selection
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy