I am interested in:
pets name
YOUR LIFESTYLE
_____________
1. What do you do for work?
Part-time
Full-time
2. How many hours per day are you home?
____
CAT ADOPTION FORM & QUESTIONNAIRE
3. Do you have the ability to check on your pet during your shift?
Yes No
Name:
4. What do you do for fun? _
______
5. What kind of activities would you like to do with your pet?
Address:
City:
Postal Code:
6. How often do you and your family like to travel? Would your
pet be included in your vacations? (i.e camping, cabins, etc.)
Telephone:
Cell:
GENERAL INFORMATION
Email:
1. Who will have the primary responsibility for this cat?
DL/ID:
Birthdate:
( mm/ dd/ y yyy)
2. Have you had cats before? Yes
No
YOUR FAMILY
3. What happened to them?
1. Who are you adopting this cat for?
Myself
Other:
4. Have you surrendered or given away a pet? Yes
No
2. Number of adults (18 + years) at home:
If yes, please provide the reason:
3. Number of children at home:
0 – 7 years
8 – 17 years
4. Any visiting children?
Yes
No
5. Will you have this cat declawed? Yes
No
5. Any allergies to cats in the family? Yes
No
6. Approximately how much do you think your cat will
cost you per year?
6. How busy is your family’s schedule?
Very busy
Busy
Not busy
Vet/medical
Food
Boarding
Litter
7. How would you describe yourself?
Nervous
Loud
Calm
Quiet
YOUR PETS
9. Are you planning on the following in the next month?
Moving
Holiday
Change in schedule
1. Are there other cats in your household? Yes
No
If yes, please list them:
10. Where will your cat stay during holidays?
Name
Breed
Age
Sex
Fixed?
At home with care
Boarding
Other
Yes No
Yes No
YOUR HOME
1. What type of home do you live in?
How are they with other cats?
Acreage
House
Apartment
Not sure
Friendly/Playful Afraid
Other
2. Do you: Own
Rent
2. Do you have other pets in your household? Yes
No
We require a copy of your lease agreement if you rent, or
If yes, please list them:
proof of house ownership if you own.
Name
Type
Age
Sex
Fixed?
Checked by the GP SPCA Yes, please initial:
Yes No
3. Outside areas?
Yes No
Balcony
Patio
Yard
How are they towards cats?
4. Where will your cat stay during the day?
Friendly/Playful Afraid
Not sure
Other
Inside
Outside
Other
3.
If you place a deposit on an animal and don’t pick it up within 48
5. Where will your cat sleep at night?
hours of being spayed or neutered you will lose your deposit and
Inside, please specify
Outside
the animal will be up for adoption again. Please initial once read.