Adoption Form

Our adoption fee is $85.00-$125.00 for all cats except exotics who range from $150.00 to $200.00.

Many of our cats have been neglected and/or abandoned. Due to this fact we have a screening process that must be completed before you can adopt. Below is a form to start this process.

An adult must fill out this form. Kids - if you want your parents to adopt a cat, please have them fill out the form.

Adoptions are by appointment only. Because of our all volunteer nature, we are not able to have 'open hours' and must schedule all viewings.

We will only correspond with persons who have completely filled out the adoption form and provided a veterinarian reference. If you do not have a veterinarian you must give us the name of someone who knows you - a neighbor, relative, co-worker or friend - who is a responsible pet guardian. We need their vet's name and phone number and the name of their pet. This person will become your sponsor.

Once you've submitted the form or called and left us a message, someone will get back to you just as soon as we can. If you have adoption-related questions, please send us an email.

       Name
      Street
City/Town
       State
   Zip code

Telephone: Please enter as 111.111.1111 (using periods)
Home:
Work:

E-mail Address

Employer
Occupation

Why do you want a cat?

Will the cat be kept indoors? Yes No
Do you have other cats now? Yes No
What is each cat's name and age:

Name: Age:

Are all cats listed under your name at your veterinarian's office?
Yes No

If NO - please list the cat's name and the guardian's name in the comments section at the bottom of the form.

Are your current cats declawed? Yes No
Have you declawed your cats in the past? Yes No

Are they spayed or neutered? Yes No
Up-to-date on rabies/distemper? Yes No

If no cats currently, how long since your last cat?

What happened to him/her?

Do you have other animals now? Yes No
Please list each animal's name, age, and type of pet:

Name: Age: Type:

Are all animals listed under your name at your veterinarian's office? Yes No

If NO - please list the animal's name and the guardian's name in the comments section at the bottom of the form.

Are they spayed or neutered? Yes No
Up-to-date on rabies/distemper? Yes No

The Veterinary Reference information (your's or your sponsor's) is REQUIRED:

Who is your veterinarian?
What is her/his phone number? Please enter as 111.111.1111 (using periods)

If you do not have a veterinary reference, please supply us with the name of someone who knows you - a neighbor, relative, co-worker or friend - who is a responsible pet guardian. They will become your 'sponsor'.

Sponsor Name:
What is her/his phone number? Please enter as 111.111.1111 (using periods)

What is her/his relation to you?

Sponsor's veterinarian?
What is the vet's phone number?
Name(s) of sponsor's pet(s)?

What brand of dry food do you use?
What brand of canned food do you use?

Do you agree NOT to have this cat declawed? Yes No

How many children in your family?
How old?

Do you live in a house or an apartment?
How long have you been at your present location?
If renting, do you have your landlord's permission to have a cat?
Yes No

If you must move, will you take your cat with you?
Yes No
What if you move to an apartment that doesn't allow cats?

I agree to be called from time to time to find out how the cat is doing
Yes No

Additional Comments


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Copyright © by Pat Brody Shelter for Cats, 2008-2009 all rights reserved							This page was last updated on: 18 June 2008
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