Cat Adoption Form
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3Cat Adoption Application
Cat Adoption Policies
1. Existing cats within the home must be tested negative for both Feline Leukemia and FIV
2. All cats must be indoor only unless on leash/harness or designated indoor/outdoor prior to
adoption
3. All home animals must be vaccinated per your veterinarian`s protocols.
4. All animals in the home must be spayed or neutered.
5. Cats must not be declawed unless already declawed.
In Filling out this application, I (we) agree to these adoption policies for cats.
Yes _____ No _____
CAT(S) OF INTEREST:______________________________
APPLICATION DATE: ____________________
Applicant`s Name_______________________________________
Occupation________________________
Co-Applicant`s Name____________________________________
Occupation________________________
Home Street Address___________________________________
City___________________________
State__________ Zip Code____________
Yrs. At Residence______________
Primary Phone______________________
Secondary Phone____________________
Work Phone_______________________
May we call you at work? Yes _____ No _____
Best time to contact for phone
interview________________________________________________
E-Mail Address______________________________________________________
Number of adults in home __________
Number of children in home___________
Ages of children______________________________________________________________
Age(s) of adults (check)
18-25 _____
26-40 _____
41-60 _____ 61-75 _____
75+ _____
Are there senior citizens in the home? Yes _____ No _____
Health status _______________
Is anyone in home allergic to pet dander? Yes _____ No _____
Do you own or rent? _________ If you rent, name of landlord
__________________________________
Phone # of landlord ____________________Is landlord aware of this application? Yes _____
No _____
If you have no pets, please enter 0 or N/A as necessary.
Number of animals in household _______
Cats ______ Dogs ______ other _____
List name, type, gender, and age of cats and dogs you`ve owned in the past three years, and what
happened to each animal.
_____Check here if you have NOT had any pets in the past year.
Do we have your permission to contact these veterinarians? Yes _____ No ______
Please notify these veterinary practices to release information to Cat Rangers when we call.
Current Vet`s Name: _________________________________
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