Cat Adoption Application
Name:    Date: - -
Address:
City:    State:    Zip:
Home Phone:    Work Phone:
Email Address:


1. Name of or type of cat/kitten you are interested in:
2. Why do you want this cat?
3. Are there any children in your home?   Yes No
         -If yes, what are their ages?   , , and
4. Who will be responsible for the daily care of your new cat/kitten?  
5. Are you 18 years of age or older?    Yes No
6. How many people live in your household?   
7. Do you live in a:   
8. Do you own or rent your home?   Own Rent
         -If rental, are cats/kittens allowed?   Yes No
9. Do you currently own any cats?   Yes No
         -If yes, ages/breeds:  
10. What other pets live in your home?  
11. What is your veterinarian's name AND the clinic name?   
12. Are all of your pets current on their vaccinations?    Yes No
13. Are all your pets spayed or neutered? Yes No
         -If no, why not?  

14. Where do your current cats live?   
           -Where will the new cat live?   
15. How many hours a day will your cat(s) be left alone?
16. Would you consider adoptiong a companion for your cat/kittenif it's your only pet? Yes No Maybe
17. What arrangements will you make for your pet if you need to be away from home overnight?
                 -If other, please explain:
18. How will you handle destructive behavior?

19. Have you ever had to give up a cat before?
         -If other animal, what type?
                 - If yes, why and what did you do with the animal?
20. What happened to your most previous cat?
21. Are you willing to go to the expense and trouble of taking your new cat/kitten to a veterinarian for full preventative and medical care at least once a year? Yes No
22. Do you have access to reliable transportation of your own? Yes No
23. Is anyone in your household allergic to animals of have asthma? Yes No
24. Will you notify us if the cat develops any health problems of illnesses at the onset of the problem? Yes No
25. If you are unable to keep your cat for any reason will you return the cat to us? Yes No
26. Will you allow a visit from an authorized representative of jennifer's Pet Rescue, Inc. to see how the cat is doing in its new home by appointment? Yes No