Personal Information

NAME _____________________________

Address__________________________________________________________

_______________________________________ Postal Code_____________

Phone number______________ Cell-phone ______________

Home residence: House______ Townhouse ______ Apartment_________

Do you: Own ________ Rent_________ Share accommodation? _______________

If renting or living in shared accommodation, do you have permission from landlord to

have pets ? ____________

If so, please provide name and phone number for landlord_____________________

______________________________ May we call landlord ? ________________

Do you have children?________ If so, what are their ages? ___________________

Will you speak with your children about the responsibility of owning a pet and what the

pet's needs are ? ________________________.

Who will be the primary caregiver of the cat/kitten ? __________________

Do any family members have allergies ? ______________

Animal History

Do you have pets now ? Cat(s)___________Dog (s)_______ Other ________

How old are they ? ______________ How long have you had them ?_________

Have you had a cat or dog before? ___________________

If so, were they spayed/neutered ? __________________

Have you ever given up a pet ? _______ If so, why ? _______________________

____________________________________________________________________

Who is your veterinarian?

_______________________________________________________

May we contact your veterinarian for a reference ? ______________

Do you plan to de-claw this cat/kitten? _____________

Will your cat be allowed access to outside ? _____ Do you have a cat door?__________

How many hours are you away from home during the day? ___________

Does everyone in your family want the new cat ? _______ If not, why not ?

Are you looking for a cat or kitten ? _______ Will you consider a pair ? _________

Male/female ? _______ Long hair/short hair ? _________

Will you provide a scratch-post for your cat? ________

Will you provide a good quality of food (both wet and dry ?) __________

Raw food ?_______

to return the cat to us ? ________

Will you agree to a home visit as part of the adoption process ? _____________