Printable Adoption Application

Catnip Acres Adoption Application

To be considered for an adoption you must:

Have the knowledge and consent of all adults living in your household.
Have a valid ID with current address.
Have landlord's name and telephone number.
Have your veterinarian's phone number.
Understand that Catnip Acres must approve your application (based on the policies set by the board of directors.)

Name

Address

City

State

Zip Code

Home Phone

Work Phone

Cell Phone

Your age

Name of the cat you wish to adopt and description

What type of pets have you owned in the last 10 years? Place a comma between pets.

Name and Breed of Pet(s)

Kept where

Age and Sex of Pet(s)

Spayed and or Neutered?

Do you still own this/these pet(s)?
If not, why?

Name and Phone number of Veterinarian
for the above animals

Do you want this pet for:

Companion, Gift, Other

Do you plan to declaw?

Yes, No, Not sure

This cat will be without human companionship for:

Hours Per Day

Days Per Week

Where will your cat be kept during the
day (pick all that apply)

Indoors, Outdoors, Basement, Garage, Other

During the night?

Indoors, Outdoors, Basement, Garage, Other

Do you plan to let your cat outdoors?

Yes, No

Where do you live?

House, Apartment, Condo, Trailer, With my parents

Do you rent or own

I Own, I rent

Landlords name and phone number if you
rent

Does your landlord allow pets?

Yes, No, I don't know

Will you need to pay a deposit to your
landlord to keep a cat?

Will your rent increase if you have a
cat

Please provide the following information about your household:

Number of Adults

Number of Children and their ages

Is anyone in your household allergic
to cats?

Yes, No, I don't know

What will you do with your cat if you move
in the future?

How much do you anticipate spending
yearly to feed, vaccinate, license
and provide medical care for your cat?

Would you be willing to have a home visit
from a representative from Catnip Acres?

Yes, No

Have you adopted a cat from us before?

Yes, No

By signing below I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a cat. I authorize investigation of all statements on this application. I understand that this application is the property of Catnip Acres.

Signature and Date