CAT/KITTEN ADOPTION FORM

items marked with a * are required fields

Is there a specific cat that you are interested in?
If yes, cat's name:
ABOUT YOU~
Your Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
County *
Email *
Home Phone * - ### - ### ####
Cell Phone - ### - ### ####
Work Phone - ### - ### ####
Birth Date * / MM / DD YYYY
Age
Maximum of 2 digits allowed. Currently Entered: 0 digits.
Do you own or rent your home?
Landlord's Name

if not applicable, enter N/A
Landlord's Phone - required if you rent - ### - ### ####
What is your home's type?
How many years have you lived at this address?:
Where did you live before?
Do you have any children under the age of 5?
How did you hear about us?
Why do you want to adopt a cat or kitten?
When did you decide to get a cat or kitten?
Who do you live with?
spouse children parents significant other roommate(s) I live alone
Number of adults in household?
Number of children in household?

if not applicable, enter N/A
Ages of adults in household
Ages of children in household

if not applicable, enter N/A
Are you or any family members allergic to pets?:

cats only dogs only both dogs and cats no
Age Preference:
kitten senior adult no preference
Personality traits you would like in a cat/kitten:
playful will hunt mellow good with kids energetic other
PREVIOUS PETS~

Please tell us about the pets you have now and have had in the past
Previous pet's name:
Spay/Neutered?
yes no
Area:
indoor outdoor both
Deceased?
yes no
Cause of death:
Previous pet's name:
Spay/Neutered?
yes no
Area:
indoor outdoor both
Deceased?
yes no
Cause of death:
Previous pet's name:
Spay/Neutered?
yes no
Area:
indoor outdoor both
Deceased?
yes no
Cause of death:
Previous pet's name:
Spay/Neutered?
yes no
Area:
indoor outdoor both
Deceased?
yes no
Cause of death:
Veterinarian's name:

if not applicable, enter N/A
Veterinarian's phone - ### - ### ####
Do you give us permission to contact your Veterinarian?
yes no
WHO WILL BE PRIMARILY RESPONSIBLE FOR CARE~
Name First Last
Age
How do they feel about getting a cat?
WHO ELSE WILL BE RESPONSIBLE FOR CARE?~
Name: First Last
Age
How do they feel about getting a cat?
Name: First Last
Age
How do they feel about getting a cat?
What type of lifestyle do you want your cat to live?
indoor outdoor both indoor and outdoor
Where will your cat stay while you are at work?
Where will your cat sleep?
What are your plans for the cat when you go away on vacation?:
How long do you expect a cat to live?:
Is this pet for you or a third party?
for myself/ my family to give away as a gift
Can a PAWS adoption volunteer make a follow-up visit ?
yes no
Check any of the following reasons you would give your cat away.
too expensive fleas sheds too much allergies getting married/divorced children will no longer take care of it new living arrangements don't allow pets having accidents in the house none of the above Other
PERSONAL REFERENCES~

Please list 3
Name First Last
Phone - ### - ### ####
Relationship
Name First Last
Phone - ### - ### ####
Relationship
Name First Last
Phone - ### - ### ####
Relationship
Applicant's electronic signature: *
Date * / MM / DD YYYY
Type the letters you see in the image below.

CAT/KITTEN ADOPTION FORM

CAT/KITTEN ADOPTION FORM

ABOUT YOU~

PREVIOUS PETS~

WHO WILL BE PRIMARILY RESPONSIBLE FOR CARE~

WHO ELSE WILL BE RESPONSIBLE FOR CARE?~

PERSONAL REFERENCES~