Name
*
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
What type of cat are you interested in?
*
Select all that apply
Cat personality type:
Cat color:
How many people reside in your household?
*
Any children in the household?
*
Yes
No
List ages of children:
For whom are you adopting the cat?
*
Self
Gift
Does any member of the family have any allergies to animals?
*
Yes
No
If yes to allergies then please explain:
Who will be responsible for the cat's care?
*
What is your residence type?
*
Apartment
Condo
Farm
Mobile Home
Townhouse
House
Do you own or rent your residence?
*
Own
Rent
If you rent, what is the landlord's name and phone number?
Are companion animals allowed?
*
Yes
No
Not Sure
Where will the cat be kept?
*
Indoors only
Outdoors only
Both in/out
Will anyone be home during the day?
Yes
No
When no one is home, where will the cat be kept?
*
If you move, what will you do with the cat?
*
How far from a road or traffic is you home located?
*
What is the volume of traffic by your residence?
*
Light
Moderate
Heavy
Have you ever had a companion animal before?
*
Yes
No
Describe those companion animals you still care for or that are living in your household:
Name
Breed
Age
Neutered?
Kept where?
Time in your care
Describe those companion animals you no longer care for:
Name
Breed
Age
Neutered?
Kept where?
Time in your care
Reason no longer with you
Are your companion animals current on their vaccinations?
Yes
No
Please provide the name and phone # of your veterinarian:
Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary?
*
Yes
No
If you have a dog, is it permitted to run loose?
Yes
No
What will you do if your new cat does not get along with your present companion animals?
*
Are you planning on declawing?
*
Yes
No
Not sure
Have you ever adopted an animal from a rescue/animal control agency?
*
Yes
No
Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility?
*
Yes
No
If yes, please explain:
Why do you want to adopt a cat?
*
If a disciplinary or behavior problem arises, what steps will you take to work on it?
*
Are you familiar with your local animal control laws?
*
Yes
No
Are you willing to sign legal pet adoption papers?
*
Yes
No
Do you agree to permit a visit to your home by appointment?
*
Yes
No
Agreement
*
By checking the "I Agree" box, you acknowledge that all information on this form is true and correct. You understand that any misrepresentation of fact may result in Finally My Forever Home Rescue refusing adoption privileges to me. If this request for adoption is approved and later Finally My Forever Home Rescue discovers the above information is not true or correct, Finally My Forever Home Rescue reserves the right to remove the adopted cat from my home.
Date
*
MM
DD
YYYY
