Cat Adoption Application Today's Date * MM DD YYYY Name of cat you wish to adopt * Name * First Name Last Name Date of Birth * MM DD YYYY Home Phone (###) ### #### Mobile # * (###) ### #### Work Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Driver License # and State (not required) Employer and Occupation * Spouse or Partner's name First Name Last Name Spouse/Partner Date of Birth MM DD YYYY Spouse/Partner Phone (###) ### #### Spouse/Partner Employer and Occupation Please answer the following questions: Briefly describe why you would like to adopt a cat. Briefly describe why you have selected this particular cat to adopt. Do you feel adopting an animal is a lifetime commitment? If so, why? What could happen in your life that would make you give up this pet (pregnancy, moving, new relationship, etc.)? Have you consulted with your spouse/partner/roommate regarding this adoption? Yes No N/A How does your spouse/partner/roommate feel about a cat? HOUSEHOLD : Do you live in (choose one): House Townhouse Condo Mobile Home Apartment Complex Do you rent or own? Own Rent If renting, please provide landlord’s name and number: Do you have permission from the landlord to keep a cat? Yes No N/A Please list the names and ages of all your household members: Who will be primarily responsible for the care and supervision of the animal? Will this cat be in the presence of children frequently? yes no If yes, what ages? Do any household members have known allergies to cats? yes no Please list the pets that you have had in the past five years (both current and those you no longer own) Breed/Type Age Sex Spayed or Neutered How long was this animal a part of your family? What happened to him/her? PET CARE: Do you have a veterinarian for your pet(s)? yes no Provide the name and phone number of the clinic: If you have current animals, what is the approximate date of their last vaccinations: What will happen to this cat if you move? The lifetime cost of providing guardianship to an animal can cost thousands of dollars, especially if surgery or chronic disease requires long-term care. Are you able and willing to support a pet financially for its entire life? yes no Where will your cat be kept when you are home? (Examples: basement, garage, loose indoors, loose outdoors, in a crate, locked in bathroom, ect) Where will your cat be kept when you are not home? (Examples: basement, garage, loose indoors, loose outdoors, in a crate, locked in bathroom, etc.) Do you plan to allow this cat outside? yes no On average how many hours will the cat be left without a human? Have you ever had to surrender an animal? If so, please describe the reason for surrender: ANIMAL SELECTION/BEHAVIORS: As an adult, have you owned a cat? yes no How do you plan on coping with furniture scratching? How would you cope with a cat house-soiling (not using the litterbox)? What if your older cat became incontinent? How would you handle this? Have you ever declawed a cat? yes no If yes, for what reasons? For what potential problems do you feel unprepared and can use additional guidance? (Josie’s Misfit Ranch will work with you on preparing for your animal if you are approved to adopt. Please check all that apply.) Biting/Scratching Not good with children Excessive activity level Excessive vocalizing Accidents in house Excessive furniture scratching Medical Issues Not good with other animals Excessive grooming need Allergies Other If you selected other (please explain): ANIMAL APPLICATION AGREEMENT By printing your name below you are verifying that all information on this application is accurate and truthful to the best of my knowledge. This application does not guarantee adoption and will be reviewed at the discretion of Josie’s Misfit Ranch who reserves the right to refuse adoption to any applicant for any reason. My signature also gives Josie’s Misfit Ranch permission to conduct a background check to ensure all animals are placed in appropriate homes. * Thank you for your interest in adopting a cat. We will get back to you shortly.
