found a new home!
Plenty of my friends are looking
for one too. Find a pet to adopt.
I am already neutered, up to date with shots, good with kids, good with dogs, and good with cats.
Do you live within an hour of our adoption location?________
If Renting you will need to provide permission from the property manager allowing this breed or pet and that you have paid pet deposit to your manager if required in your lease.
Are you moving/ relocating ?____________ When?_______
Managers contact information _________________________________________________________
I certify that I am 21 years of age . Initial ____
Are you willing to have a visit to your home before or after this adoption? _____
Will you have this cat declawed No ___ Yes ____If Yes Why?_____________________________ _______________________________________________________________________________
Not sure___ What reasons would make you declaw this cat ?____________________________
Is anyone in your home allergic to cat fur?______
Applicant Name: ___________________________________________Age___
Zipcode______________ Phone: __________________________________
Current companions: Dogs, #___ Cats, #____ Is your cat Declawed_______Did you have cat declawed____
Are they Spayed / Neutered?_____ IF NO, Why?________________________________________
Are your pets Indoor__ Outdoor__ Both__ Pet door___ Garage____ kennel___ Other_______
Who is your current Veterinarian___________________________________Phone____________________________
Past Pet History Where Are your past pets?____________________ How long did you have your last pet?_________
Name of companion you are interested in adopting with us ____________________
Do YOU HAVE HANDS ON Experience with the breed of pet you are interested in adopting?________
Why do you want this breed of cat?_____________________________________________________
Do you have a vehicle to take this pet to a veterinarian? Yes__ No___
What brand of pet food will you feed adopted pet as a regular diet____________
What flea preventive will you use on this cat?_____________________
How often will you trim nails?________ Will you take to a vet or groomer on regular schedule?______
How often will you wipe eyes and nose & what will you be using?______________
Do you have a professional groomer to provide baths , trims and brushing? _______
What type of I.D will you have on your cat? _________ We highly suggest getting microchipped when they go for spay/ neuter.
Have you had experience with kittens that scratch when they are young and playing?
If cat jumps on tables or furniture will this bother you? ___ Explain__________________________
Do you and family understand cats may scratch when frightened or constantly handled?
What type or Brand Litter will you use_____________ How often will you scoop the box?_________ How often will you change litter out and wash box _________
When you are not home where will this companion be ? ________________________________________________________________________________
Will this cat be Indoor____ Outdoor____ Both _________
Going Away, vacation, work trips etc.
Will you take companion with you ?___ Have a Petsitter ___Board ____Take to family ,friend, neighbor home_____ Friend ,family, neighbor, name and phone_______________________________________
List everyone living in your home or visiting on a regular basis, weekends etc.
Adults ages __________roommates______ children ages__________ grandchildren ages______________________ _____________________________________________
Are you In a House____ Apartment___ Condo___ Mobile Home___ Hotel___ Temp housing___
Buying __ Renting __ Military Housing__ Living with someone ___ Month to Month ___
Does your Job require traveling or relocating ?_____ How often_____________
If you are unable to care for this pet where will pet go? __________________________________
What would cause you to give up this companion?______________________________________
Applicant Employment _________________________ Phone________________ supervisor________________
Co-Applicant Employment ____________________Phone____________________
REFERENCES, Please list references, Pet sitter, Groomer, Neighbor, Friend, Co worker
1. Name_________________________________ Phone #(____)_________________
2. Name________________________________________ Phone #(____)_________________
By signing below I attest that I have Never been convicted of animal abuse, Animal cruelty,
Neglect or abandonment in the state of Virginia Or any other state or country.
Any untruthful answers or not meeting the requirements for this adoption can result in the forfeiture of the companion adopted by me?
I have read this Form and understand that applying does not ensure approval. Visiting a companion does not ensure Adoption.
OFFICE USE ONLY: