Cat Application

Before you complete this application, please confirm that you are:

Parent or Head of Household

Age 21 or Older

Ready to adopt a cat NOW
(We don't "hold" applications for future adoptions)

This Application Must Be Completed By Adult Head of Household/Parent(s) Only
Please complete all questions and fields. If not applicable, please indicate.

Date:
Name of Cat or Kitten:

Note: Submitting this questionnaire is not a guarantee of adoption. Our first responsibility is to the cat/kitten and to ensuring a permanent, life-long match. For this reason, we reserve the right to decline any adoption. Regretfully, due to the high volume of applications and limited number of volunteers, we will only be calling back those applicants that are approved.

ABOUT YOU
Your Name (First & Last):
Address:
City, State, Zip
Home Phone:
Work Phone:
Email Address:
Applicant's Age Group	21 - 29 years old 30 - 40 years old 41 - 50 years old Other
Number of people living in your home:
Have you ever adopted from us before?
If YES, who did you adopt and when?
Reason for adopting:	Family companion For my children/spouse Companion for pet Gift Replace lost Other
Who will be the primary caretaker of this cat?	Yourself Spouse Child(ren)
Your Lifestyle:	Very active Active Some Activity Rather Quiet
Children:	I have children, ages of children: I do not have children Children visit my home, ages:


CAT / PET EXPERIENCE
Cat Experience:	First time cat owner Have had a cat in the past Currently have a cat: Age and Sex:
A. If you currently have a cat, is the cat an indoor or outdoor cat?	Indoors Outdoors Both Please Explain:
B. Is your current cat(s) spayed/neutered? Declawed / Tendonectomy?	Yes No Yes No
C. If you had a cat but no longer have your pet, what happened to it and when?
D. Any other pets in the home? (Please specify breed, sex, and age and if they are spayed or neutered)
The characteristics I am looking for in a cat are (check all that apply):	Active/Playful Calm Declawed Lap Cat Affectionate Loves to cuddle
Are you aware of the dangers of Coyotes and other wildlife in this area?	Yes No
How many hours per day will the cat be left alone?
My cat will spend its time:	Inside only Outside only Have supervised outside playtime (includes patio/balcony) Outside during the day, inside at night Outside and garage only Other:
Will the cat be allowed outside (ie: patio, balcony or backyard)? If so, where?	Yes No
Is anyone in the household allergic to cats?	Yes No
If Yes, how are the allergies being managed?
How do you intend to deal with issues regarding cats clawing furniture, digging potted plants, etc.?	Trim / Clip nails Declaw / Tendonectomy Buy scratching post Other:
What kind of behaviors do you feel you cannot accept?
Under what circumstances would you not be able to keep this pet? (Please check all that apply)	Pregnancy / Baby Divorce / Separation Required daily treatment Needs too much attention Job change / loss New house / apartment Scratches carpet / furniture Behavioral problems Expensive vet bills Conflict with other pets Sprays / Litterbox issues Needs special diet Cat becomes sick / disabled Other:
Do you have a doggie door?	Yes No
If Yes, where does it lead to?
Do you have a veterinarian?	Yes No
If Yes, please provide the name and phone number: (Your vet will be contacted as a reference as part of the application approval process)	Vet's Name: Vet's Phone:
Are you willing to provide regular vaccinations, routine vet care, and proper veterinary care if this pet becomes sick or injured?	Yes No

HOME INFORMATION
Type of Dwelling:	House Condo/Townhouse Apartment Mobile Home
Who owns your home?	I own I rent I lease Live with parents Live with roommates
How long at current address?
If renting or leasing, do you have your landlord's permission to have pets?	Yes No
Please provide the name and phone number of your landlord:	Name: Phone:
If renting/leasing, does your landlord require that cats be declawed?	Yes No
If renting/leasing, are you willing to pay any required pet deposits? (Your landlord information must be provided above and they will be contacted for verification)	Yes No
Who will care for the cat while you are traveling or out of town?	Boarding Family Member Pet Sitter Other:
What will happen if (answer questions below):
You move somewhere that does not allow pets?
You get married and spouse does not want cat or has allergies?
You have a baby or child develops allergies?
You move locally or out of state?

How did you hear about New Beginnings for Animals?
I acknowledge that I have answered all these questions truthfully. If my application is approved, New Beginnings may conduct a home check prior to adoption and I will be required to sign an adoption contract with New Beginnings.	Yes No