Cat Adoption Form Page 2
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3Phone # _________________________
Other vets used in past three years:
Name_____________________________________
Phone # _____________________________
Name ____________________________________
Phone # _____________________________
Pet(s) name(s) that vet records would be listed under: Include the first and last name of the
person who paid for the visit, so that the records can be located by the vet.
PERSONAL REFERENCES: (References can NOT be family members.) Providing email
addresses for your references will expedite the process.
Reference #1
Name ____________________________________________
Phone
#_________________________
Email_________________________________ Best time to
contact_____________________________
Reference #2
Name _______________________________________________ Phone
#_________________________
Email_________________________________ Best time to
contact_____________________________
Cat characteristics desired: Please select the top 3, and number in order of importance
(1=highest).
_____ Active cat
_____Mellow cat
_____Lap cat
_____Friendly to strangers’
_____Long hair
_____Medium hair
_____Short hair
_____Good with children
_____Good with
dogs
_____Good with other cats
_____Kitten (less than 1 yr)
_____Senior cat (10
yrs. +)
What circumstances, in your mind, justify giving up a cat? Select all that apply.
_____Marking or spraying
_____Unable to afford
_____Scratching or
shedding
_____Not enough time for cat
_____Cat`s health has declined
_____Cat won`t use
litter box
_____Onset of allergy to cats’
_____Move to new home
_____New baby in
home
_____Cat doesn`t get along with other pets/people
1. Why are you interested in adopting a cat?
2. Are all household members in agreement to adopt this cat? Yes _____ No _____
3. How did you hear about Cat Rangers and/or the animal you wish to adopt?
4. Where will the cat usually be when you are gone?
5. Where will the cat sleep at night?
6. Indoor cats may live up to 20 years and more. Are you prepared to dedicate up to 10-15 years
or more to the care of your new pet? Yes _____ No _____
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