PAWS ANIMAL RESCUE
CAT ADOPTION APPLICATION

Contact Information

Name:       

Address:       

City:                                                            State:                      Zip Code:       

Home Phone:                     Work Phone:                      Cell Phone:       

Best Time to Call:                                      Email Address:       

Occupation:       

Spouse’s Name (if applicable):       

Spouse’s Occupation (if applicable):       

Personal References

Reference 1:

Name:       

Address:                                                                 City:                        State:       

Phone:                                                        Email Address:       

Relationship:       

Reference 2:

Name:       

Address:                                                                 City:                        State:       

Phone:                                                        Email Address:       

Relationship:       

Application Questions:

1.   Why do you want a cat?       

2.   Description of Residence:   House    Apartment    Mobile Home    Condo                                                        Other:       

3.   Do you:   Rent               Property Owner Name:       
                                                Phone:       

                      Own              Length of time at current residence:       

4.   Number of people in household:  Adults:           Children:              Ages of Children:       

5.   Are you willing to let a representative of Paws Animal Rescue, Inc. visit your home by             appointment?   Yes    No, if no why not?       

6.   Who will care for the cat?       

7.   Who will support this cat financially?  Myself   Spouse    Parents    Family    Friend

 Fenced Yard
   Garage
  Loose Outside
  Patio/Balcony
   Inside Home
   Other:      
8.   Where will you keep this cat?

                                                                
     
9.   How many hours, on average, will this cat spend alone?   Inside   Outside

10. Do you have a pet door?     Yes    No

11. Please list all dogs and cats currently living at your address and any pets you have owned in the last three years:
Species
 Breed
 Name
 Age
 Sex
 Altered
 Declawed
 Vaccinated

 M     F
  Y    N
  Y   N
  Y   N

 M     F
  Y    N
  Y   N
  Y   N

 M     F
  Y    N
  Y   N
  Y   N

 M     F
  Y    N
  Y   N
  Y   N

12. What happened to pets that are no longer with you?     

13. Do you want a cat for (“x” all that apply)  House Pet    Companion     Child’s Pet
       Outside Cat      Mouser     Company for another Pet      Gift for 
       Other

14. What do you consider a valid reason for giving up a cat or kitten (“x” all that apply)
        Having a baby          Fleas           Vet Bills          Not using a Litter Box
        Moving        Destructive Behavior        Not Friendly

15. What will you do if the cat exhibits the following behaviors?
      (a)  claws furniture or drapes?
      (b)  jumps on counters/furniture?
      (c)  stop using the litterbox?
      (d)  difficulty adjusting to household?
      (e)  other?

16. Will you declaw your cat?    Yes     No

17. Please describe the extent of care that you are willing to provide should your cat have             special medical needs now or later in life:       

18. Will you have your cat vaccinated annually by a veterinarian?     Yes     No
      Comments:       

19. Do you currently have a veterinarian?     Yes     No

      Name:       
      Address:       
      City:                                                                  State:                   Zip Code:       
      Phone:       

20. Please indicate which cat you are interested in adopting:       
 

By completing this form, you will assist us in establishing that you and your family are ready for the responsibilities of pet ownership.  It will also aid us in determining which pet may best suit you and your lifestyle.

No animal will be adopted to prospective owners who mislead or fail to provide accurate information on the adoption application and/or the adoption contract.  Paws reserve the right to refuse adoption to anyone.

I certify that the above information is true and that false information may result in nullifying this adoption.
Enter your name and date:
Name:                                                                                          Date: