Pets Alive
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Cat Adoption Application

Thank you for your interest in a Pets Alive cat. Please complete the entire application.
Incomplete applications will be returned for completion, thus slowing the application process.

Name (required)

Street Address

City

State

ZIP Code

Phone

E-mail address (required)

Age

Describe in detail the cat you're looking for:

Will this be your first cat?

  Yes   No
What kind of pets have you had in the past?

Which of these do you still have? Include age, sex and breed.)

Have they been spayed or neutered?

  Yes   No   Don't know
Are they current on vaccinations?

  Yes   No   Don't know
Have they been tested for feline leukemia?

  Yes   No   Don't know
Have they been tested for FIV?

  Yes   No   Don't know
Are they declawed?

  Yes   No   Don't know
If yes, where is the cat declawed?

  Front paws   All four paws
What happened to the pets you no longer have?

Have you ever turned your cat in to a shelter?

  Yes   No
If yes, please explain:

Have you ever had a pet euthanized?

  Yes   No
If yes, please explain:

If you have pets, will they adjust to a new cat in the house?

  Yes   No   Don't know
Why do you want this cat?

  Companion   Companion for other pet
  House pet     Barn cat   Mouser
  Office cat      Other
If other, please explain:

How many adults are in your household?

How many children?

Children's ages?

Does any member of your household have an allergy to cats?

  Yes   No
Is someone home during the day?

  Yes   No
If yes, who?

How many hours each day will the cat be without human companionship?

Please explain:

Where do you live?

  House   Apartment   Condo
  Mobile home   Other
If other, please explain:

Do you own or rent your home?

  Own   Rent
If you rent, may we contact the owner to obtain permission for this cat to live in your home?

  Yes   No
Owner's name and phone number:

Where will you keep the cat?

  In the house   Outdoors
  Free access both indoors and outdoors
  In the barn
Please explain:

Do you have a cat or dog door?

  Yes   No
Will you have the cat declawed?

  Yes   No   Maybe
Are you aware of the potential side effects of declawing?

  Yes   No
Will you keep the cat up-to-date on vaccinations?

  Yes   No
Please give your veterinarian's name, address and phone number:

If you go away for a few days, or on a vacation, who will take care of the cat?

If you move, will you take the cat with you?

  Yes   No
Have you ever applied to Pets Alive before to adopt an animal?

  Yes   No
If yes, when?

Have you ever brought animals to Pets Alive?

  Yes   No
If yes, please explain:

Are you willing to have a representative of Pets Alive come to see where the cat will be living?

  Yes   No
If no, explain:

Are you willing to take responsibility of this cat for the next 10 to 20 years?

  Yes   No
If no, explain:

What provisions will you make for the cat should you become unable to care for him/her?

How much are you willing to spend on medical bills for your cat?

  Up to $100   Up to $500
  Up to $1,000 Up to $5,000
  Whatever it takes
What would you do if the vet bills went over this amount?

Any additional comments?

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