First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Country*

Email*

Home Phone*

Work Phone
x

Cell Phone

Age:*

Occupation:

If you are a student or employee, please indicate where:

What type of dwelling do you live in?*

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

If renting, are pets allowed?

How would you describe your Household?

Please list the members in the household and indicate the ages of any children:*

Are your children accustomed to animals? Please explain:*

What is your primary reason for adoption?*

Have you recently applied or plan to apply to adopt a cat from another rescue?*
Choose one: No No, but I plan to Yes, but I haven't heard back Yes, but my application was not approved

Is anybody in the home allergic to cats?*
Choose one: Yes No

If someone becomes allergic to the cat, how will this affect the future of the cat?*

Who will be responsible for the cat's daily care?*

Are you planning on declawing your cat? *** Please note that Community Alley Trappers CAT) does not permit declawing of its cats unless a veterinarian recommends it for medical reasons. ****
Choose one: Yes No

How much will you budget per month for basic veterinary care?*

How much will you budget per month for food, litter, toys, etc?*

Are you prepared to commit to this cat for its entire lifetime?*

Do you currently have pets? if yes, please list their name, type , breed, age, dates for their last vaccinations and if they are sterilized:*

Please indicate if you seeking a cat that is:*
Choose one: Indoor Only Indoor only with supervised/leashed outdoor access Indoor/Outdoor Outdoor Only / Barn Cat

Are there any behaviours in a cat that would be not acceptable to you? What would you do if the cat started to exhibit some of these behaviours after being adopted?*

Which cat are you interested in adopting? If you are interested in multiple cats, please fill out an application for each one:*
Choose an animal: Autumn Bambino Boots Buster Ganner Hera Jackson Jenny Milo Moana Mullan Penny Roxy Spicey Summer Zouzou

Veterinarian References Please provide: - Name of the clinic/animal hospital - Dr's name - Address - Phone number *

Please provide us with the name and phone number of an individual who knows you (not a relative or person living in your household) who will act as your reference. If you have companions animals, please provide the name of someone who is familiar with you.*

Have you or any member of your household ever been convicted of an offense involving animal cruelty? If yes, please explain:*

Signature:*

Date:*