Cat Adoption Application

APPLICANT INFORMATION
Pet's Name:		Pet's Reference#:

First Name:		Last Name:
E-mail:
Address:
City, State, Zip:
Day Phone:		Evening Phone:	Cell Phone:
Driver's License# & State:

Are you 18 years old or older? Yes No
Have you ever owned a cat before? Yes No
Do you own or rent your home?

If renting, landlord's name and phone:
Do you have written permission from your landlord to own a pet? Yes No
How long have you lived at this address?:		Do you have plans to move?:

FAMILY/HOUSEHOLD INFORMATION
Are there children in the household? Yes No		What are their ages?
Have the children had pets before? Yes No
Is anyone in the household allergic to cats? Yes No
Do you expect your current family situation to change?: Yes No
Are all family members in agreement about this adoption? Yes No
Why are you considering adopting a cat from SARF?
Companion for self	Companion for child	Companion for another household member	Gift

Name	Breed	Age	Gender	Altered?	Where are they?
PET INFORMATION
Have you had pets in the past or do you currently have pets? Please tell us about them
			M F	Y N
			M F	Y N
			M F	Y N

Have you ever given an animal away or relinquished an animal to a shelter? Yes No
If yes, what were the circumstances?
VETERINARIAN INFORMATION
Veterinarian's name and phone:
When was your current pet's last visit to a veterinarian and why?:
May we contact your vet as reference? Yes No

NEW PET INFORMATION
What will you feed your new cat?:	How often will you feed it?
How much time are you prepared to allow for your new cat to adjust to your home?:
Are you able to afford a bill of $200-$500 (or more) for emergency veterinary care? Yes No
Are you, and those who live with you, committed to spend 12+ years providing health care, food, grooming, training and attention for your cat? Yes No
If you have to move, what do you plan to do with your pet(s)?
Who in the household will be the cat's primary care giver?
A kitten is required to stay inside until it is 6 months old, altered and fully vaccinated. Are you able to keep this kitten inside only, for the first six months? Yes No If no, why not?
Where will your cat be during the day?	At night?
How many hours each day will the cat be unattended?
What will you do with your cat while you are away on vacation?
What problems would make you return a cat? (check all that apply)

Scratching furniture	Housebreaking	Not getting along with other pets	Shyness/fear
Other (explain)
Are you aware that a SARF representative will visit your home before adopting the cat and/or after the adoption, if considered necessary? Yes No
Comments:
By clicking "Submit" I certify that the information I have given is true. I understand the SARF reserves the right to deny my application for any reason. I further authorize the investigation of all statements in this application.