Which pet is this application for?
Name
*
First Name
Last Name
Email Address
*
Current Address
*
Phone (home and work)
*
How long have you been at this address?
Curent Employer:
If you are not currently employed, how will you support this pet?
Do you live in a:
Do you rent?
If yes, Landlord's name and phone number
How many adults are in the household?
How many children are in the household?
Ages of children?
Reason for wanting this pet:
Where will the pet be kept when someone is home?
Where will the pet be kept when someone is not home?
How many hours will the pet be left alone?
Have you adopted an animal before?
If yes, where and when
In the past 5 years, please list the pets you have owned (Name of Pet/Type (cat, dog, etc.)/Breed/Age/Spayed or Neutered?/If no longer owned, what happened to pet?
How much money would you expect to spend per year on pet for, vet visits and pet supplies?
May we contact your present veterinarian
If yes, veterinarian's name and phone number:
If you do not currently have a veterinarian, please list three references other than relatives that we may contact: Include name, address and phone number
How did you hear about our sanctuary?
What steps would you take if your cat or kitten scratches the furniture?
Please check ALL of the following topics you would like to discuss with the adoption counselor
By signing I affirm that I am 21 years of age or older and that the information contained on this form is true to the best of my knowledge. I understand that if approved for adoption, I am prepared to make a lifelong commitment of time and money to my pet. I understand that there is a $75 fee for adult cats and a $100 fee for kittens.
