Cat Placement Form

About the Owner

Name (required):

Email Address (required):

Phone Number:

Address:

City:
State: Zip Code:

About the Cat

Cat's Name:

Breed:
Domestic Short HairDomestic Medium HairDomestic Long HairOther

Color:

Cat is:
FemaleMale

Spayed or Neutered?
YesNo

If not, will owner do it?
YesNo

Age:

Shots current?
YesNo

If not, will owner do it?
YesNo

Rabies Vaccine?
YesNo

Last rabies vaccination date:

If microchipped, please provide microchip number:

Tested for feline leukemia?
YesNo

Tested for FIV?
YesNo

Weight:

Littertrained?
YesNo

Declawed?
YesNo

Cat Lives:
Strictly IndoorMostly IndoorMostly OutdoorBoth

Any behavior problems?

Illness/Medical History:

Name of the cat's Veterinarian/Clinic:

Cat's Personality (check all that apply):
LoverLap KittyPlayfulTimidAloofMeanOther

Other info or cute habits:

Cat currently lives in:
ApartmentHomeMobile HomeOther

It cannot be stressed enough that sending us a picture (or pictures) of your cat will increase the chances of adoption considerably.
Please attach up to 3 pictures of the cat (max size 5mb per picture):

Cat's Behavior with Children

Cat lives with young kids (Under 5)?
YesNo

Cat is good with young kids?
YesNo

Cat lives with older kids?
YesNo

Cat is good with older kids?
YesNo

If not good with kids, why not (be specific)?

Cat's Behavior with Dogs

Cat lives with dogs?
YesNo

Cat's reaction to dogs (check all that apply)?
UnknownGoodFightsScaredOther

Cat's reaction to non-owned dogs (check all that apply)?
UnknownGoodFightsScaredOther

Cat's Behavior with Other Cats

Cat lives with other cats?
YesNo

Cat's reaction to other cats (check all that apply)?
UnknownGoodFightsScaredOther

Cat's reaction to non-owned cats (check all that apply)?
UnknownGoodFightsScaredOther

Placement Information

Reason new home is needed:

Urgency:
Can Keep Until PlacedUrgentFoster Home RequestedPossible Euthanization

Owner can keep until:

By submitting this placement form, you agree to continued participation in the adoption process, including providing a picture (whether through this form, or sent later by email or US Mail), attending adoption events when possible, and responding to requests for information in a timely manner.

Δ