Adoption Application

Application submission for:

Name of Feline

How did you hear about Cat Around Town Project?

If Other or Referral, provide details/name here:

Contact Information:

Applicant Name

Driver's License #

Co-Applicant Name

Driver's License #

Relationship to Co-Applicant

If listed as significant other, how long together?

Street Address

Mailing Address (if different)

City

State

Zip Code

County

Applicant Phone Number

Phone Type

Applicant Email

Co-Applicant Phone Number

Phone Type

Co-Applicant Email

Preferred Method of Contact

Family Information:

How many adults in the household?

Ages

How many children in the household?

Ages

Are you willing to teach young children the proper care and treatment of this cat?

Yes

Is everyone in the home in agreement with adopting a cat?

Yes

Is anyone in your home allergic to cats?

Yes

Personal Reference:

Name of Personal Reference (person not living in the household)

Relationship to Personal Reference

Contact Number for Personal Reference

Home Information:

How long have you lived at your current address?

Home Status

Own

Rent

Please describe your home

House

Apartment

Townhouse

Condo

If you rent, please provide your Landlord's Name

Landlord's Phone Number

Do you have the permission of your landlord to have a cat?

Yes

Is a pet deposit required?

Yes

Has the deposit been paid?

Yes

Current Pet Information:

How many total pets do you have?

# of Cats

# of Dogs

# of Other

If you have dogs, what breed are they?

Are all your pets spayed/neutered?

Yes

Are your current pets on monthly flea preventative treatment?

Yes

Are your current pets up to date on vaccinations?

Yes

Do any of your pets have health issues that could affect a cat?

Yes

If yes, please describe.

Do your pets regularly see your veterinarian?

Yes

I don't have any pets

Veterinarian's name

If no pets, type N/A

Veterinarian's Phone Number

Attach most recent vaccination record for your pet(s), if applicable

Future Feline Information:

Briefly tell us why you would like to adopt.

My new cat will be:

Indoor only

Indoor/Outdoor

Outdoor only

Are you considering declawing this cat?

Yes

Maybe

Have you ever previously returned, re-homed, given away or sold any pets before?

Yes

If you answered yes, please explain the situation:

Should something unexpectedly happen to you during your cat's life, who do you have designated to further care for your cat?

A home visit is required prior to approval of adopting a cat. Most can be completed virtually, however, if an in-home visit is required, will you permit a home visit by a Cat Around Town Representative?

Yes

By signing below, I/We certify that the above information is true and correct. I/We understand that Cat Around Town Project (CAT) has the right to deny any application. I/We authorize CAT to call the veterinary practice that is listed.

Applicant Digital Signature (First & Last Name)

Date Signed

Co-Applicant Digital Signature (First & Last Name)

Date Signed

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