Cat Adoption Application

About the Applicant
(All applicants must be 18 years of age or older)

Name (required)

Email Address (required)

Home Phone

Cell Phone

Address

City
State —Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code

Personal Information

Why do you want a cat?

If you have children in the home, what are their ages?

What has your experience with pets been like in the past? Describe in detail:

Is anyone in the house allergic to animals (required)?
YesNo

Does your entire household agree to the adoption (required)?
YesNo

What You're Looking For

Breed Wanted:

Age Desired (check any that apply):
Kitten (Weaned - 6 mo.)Young (6 mo. - 2 yrs)Adult (2 yrs +)

Sex (required):
FemaleMaleEither

Special Requests (training, color, etc.):

If cat is not altered, will it be done within 10 working days?
YesNo

How long are you willing to give your new cat to adjust to its new home?

Do you plan to declaw the cat/kitten you adopt (required)?
YesNo

Are you willing to give a home to:

A cat with medical issues (required)?
YesNo
An older cat (required)?
YesNo
Cat with training issues (required)?
YesNo

Current Living Situation

Cat to live (required):
Strictly IndoorsMostly IndoorEqual Time In and OutMostly Outdoor

Where will cat sleep (be specific):

How many hours will the cat be home alone during the day, on average?

Do you own any other pets (required)?
YesNo

Number of Cats:

Number of Dogs:

Are all dogs/cats altered?
YesNo

If you have an unaltered pet, give your reason for doing so:

Are current pets up to date on vaccinations?
YesNo

Do all current pets in your home have identification (microchipped, licensed, tags) in case they are lost?
YesNo

Describe any other pets and livestock:

Current Vet (name and phone number):

If no current vet, who you plan to use for your new pet (name and phone number):

How long have you owned your current pets?

What has happened to pets owned in the past (be specific)?

Do you rent or own (required)?
Rent ApartmentRent HouseOwn HomeOwn Condo

Landlord's name and phone number, if applicable:

How long do you plan to live here?

Your home location (required):
City LotCountry LotAcreage

Traffic on your street (required):
LightMediumHeavy

Where will you confine a cat while it gets used to its new home?

References

Please provide information for three (3) references other than your vet or landlord who know you as a pet owner, or can vouch for your overall responsibility:

Reference #1:
Name

Phone

Email

Relationship

Reference #2:
Name

Phone

Email

Relationship

Reference #3:
Name

Phone

Email

Relationship

Have you spoken to an SCC adoption counselor already? If so, please list their name:?

Please list which cat(s) you are interested in and why they interest you:

Acceptance Agreement:
By submitting this application, you agree that the addition of a family pet is an important decision. You have thought through possible changes that may occur in your life, and feel you would still be willing and able to care for this pet should they occur. You agree that if for any reason you can no longer care for this pet, you will without fail contact Second Chance Companions. SCC makes random visits to adoptive homes to check on the well-being of the pet, and reserves the right to revoke the adoption if we find specific conditions are not being met. Terms will vary from pet to pet, and will be outlined on the adoption contract.

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