First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone*
x

Cell Phone*

Alt Email

Age*

Employer*

Occupation*

Work e-mail:*

Years Employed:*

First Name:

Last Name:

Address:

City, State

Zip:

Home phone:

Work phone:

Home e-mail:

Work e-mail:

Age

Employer:

Occupation:

Years Employed:

Have you went to our "How To Adopt" page and read through our Adoption Process and Requirements in its entirety?*

What gender of cat(s) are you interested in?*
Choose one: Male Female No Preference

What ages of cat(s) are you interested in?*
Choose one: Kitten Adult No Preference

What type of cat hair length are you interested in?*
Choose one: Long Hair Short Hair No Preference

Name of cat(s) or kitten(s) you are interested in?*

Name of additional cat you are interested in?*

Personality type:*

Color:*

How long have you been looking to adopt a cat?*

For whom are you adopting the cat?*
Choose one: Self Family Gift

Why would you like to adopt this cat?*
Choose one: Companion Family Gift

Where did you see the cats that you are applying for (ie Petfinder, Adopt A Pet, Facebook, etc)?*

Do you currently have an adoption application submitted at any other shelters or rescues? If yes, where?*

How soon are you looking to be your adopted cat(s) home?*

How many people currently reside in your household?*

Any children in the household?*
Choose one: Yes No

If yes, List ages:*

Does any member of the family have any allergies to animals?*
Choose one: Yes No

If yes, explain:*

Who will be responsible for the cat’s care?*

Where do you live?*
Choose one: Apartment Condo Farm Mobile home Townhouse House

Do you own or rent your residence?*
Choose one: Rent Own

If you rent, what is name of landlord and phone number? *

How long have you lived at this address? *

Are companion animals allowed?*
Choose one: Yes No Unsure

If you rent, have you reached out to your landlord or the Management company to get permission and to notify them that you want to adopt a cat? If you answer no, please explain why not.*

Where will the cat be kept?*
Choose one: Indoors only Outdoors only Both in/out

If outdoors, will the cat be:*
Choose one: attended unattended will not be allowed outdoors at all

If outdoors, will the cat have collar and tags?*

Will anyone be home during the day?*
Choose one: Yes No

When no one is home, where will the cat be kept?*

How many hours will the cat be left unattended during the day/night?*

If you move, what will you do with the cat?*

Are you planning on moving in the near future (If so, when)? *

How far from the road/traffic is your home/farm located?*

Is the volume of traffic:
Choose one: light moderate heavy

Have you ever had a companion animal before? *
Choose one: Yes No

Have you ever adopted an animal from a rescue / animal control agency?*
Choose one: Yes No

Have you ever had an application rejected for adoption of an animal from a rescue / animal control facility?*
Choose one: Yes No

If yes, explain:*

Sometimes it can take up to two (2) weeks for a new cat(s) to adjust to their new environment, are you willing to allow this amount of time for your adopted cat(s) to adjust to their new home? If not, please explain why. *

Please list and Describe all the companion animals you still care for that are living in your household (Name, Breed, Age, Spayed/Neutered, Kept where, Time in your Care, and Where adopted from): *

Describe those companion animals you no longer care for (Name, Breed, Age, Spayed/Neutered, Kept Where, Time in your Care, and Where adopted from, and Reason no longer with you): *

Are your companion animals current on their vaccinations?*
Choose one: Yes No

Please provide name of your veterinarian(s) (for deceased animals also). Please be sure to give permission to your veterinarians office to release records of your current/past pets:*

Please provide telephone number of your veterinarian(s)*

Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary?*
Choose one: Yes No

If you have a dog, is he/she permitted to run loose?*
Choose one: Yes No

What precautions would you take to properly introduce a new cat into your home if you have other animals (a dog, bird, rabbit, another cat, etc.)?*

What will you do if your new cat does not get along with your present companion animals? *

Are you planning on declawing?*
Choose one: Yes No Unsure

Have you ever declawed a cat in the past? *
Choose one: Yes No

If you answered yes to declawing in the past, please state how long ago*

Have you ever surrendered / relinquished an animal to a rescue / animal control before?*
Choose one: Yes No

If yes, explain:*

Have you ever given a pet up to a family member or friend?*
Choose one: Yes No

If a disciplinary or behavior problem arises, what steps will you take to work on it?*

Under what circumstances would you consider returning your adopted cat?*

Are you familiar with your local animal control laws?*
Choose one: Yes No

Are you willing to sign legal pet adoption papers? *
Choose one: Yes No

Please provide two (2) references. Please make sure they are not both family members (Name / Address / Phone / Email/ Relationship): *

By submitting this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Whiskers & Tails Rescue Foundation refusing adoption privileges to me/us. If my/our request for adoption is approved and later Whiskers & Tails Rescue Foundation discovers the above information is not true or correct, Whiskers & Tails Rescue Foundation reserves the right to remove the adopted cat from my home/farm.*
Choose one: I agree