Cat Adoption Application Form
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1
2LOST DOG & CAT RESCUE FOUNDATION
Name & Description of Cat ___________________________________
PO BOX 50037 Arlington VA 22205
703-295-DOGS
Date:__________________________________________________
CAT ADOPTION APPLICATION
This form and a consultation with a LDCRF representative are designed to help you find the cat most compatible with your lifestyle. Completion of
this application does not guarantee adoption of an LDCRF cat. Please respond to the questions below as completely as possible.
In order to be considered as an adopter you must:
1. Be 21 years of age or older 2. Have a valid driver’s license or other government-issued ID 3. Have the knowledge and consent of your landlord if
renting 4. Be willing and able to provide proper care, training and medical treatment
Name: __________________________________________________________________________________________________
Street Address: ___________________________________________________________________________________________
City:________________________________ State: _________________________
Zip:____________________________
Home
Cell
Work
phone:______________________________
phone:_________________________
phone:__________________________
Email address: ____________________________________________________________________________________________
Occupation:__________________________
Employer: ______________________________________________________
Employer Address: _________________________________________________________________________________________
Number of Adults in Household________
Number of Children_________
Ages of Children ___________________________
Are all the adults in your household aware that you are adopting a cat and in agreement?
yes
no
Who will be the primary caregiver for your new cat?__________________ Is any member of the household allergic to cats?______
Do you own or rent your home? _________
Landlord’s name & phone # _____________________________________________
Why do you want a cat? ________________________________________________________________________________
What qualities are you looking for in your new cat? _________________________________________________________
Which of the following behaviors would be a serious problem for you? not getting along with other cats
not getting along with dogs
not good with children
too active not playful Other:____________________________________
How many hours each day will the cat be without human companionship? ________________________________________________
Where will the cat be kept? Indoors
outdoors
indoor/outdoor
barn
other _____________________________________
Do you have a dog or cat door leading outside? _________ Will you have the cat de-clawed? Yes
no
maybe
Is this your first cat? yes
no
If you presently have CATS, please complete:
Spayed/
Current on
Tested for Feline
Tested for
Cat’s Name
Age
Gender
Declawed?
neutered?
vaccines?
Leukemia?
FIV?
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