Adopter Information Name * First Name Last Name Phone * (###) ### #### Email * Address * Apartment # City/State/Zip * Occupation * Number of adults in household * Ages of children in household (if applicable) Type of home * House Apartment Condo Other Home Info * Own Rent Live w/ relative Other For renters, what is the pet policy at your rental? Landlord/Rental Agency name and phone number Pet Information Name of Cat you want to adopt * Role of your new cat in your home * Companion/Family Pet Barn cat Mouser Other How would describe your home? * Serene Some Activity Grand Central Station Other Who are you adopting this cat for? * Self Children Family Gift Friend for another pet Other Can you provide a home for this pet for 10-20 years? * Yes No I don't know Additional Information Adopting a cat brings with it a lot of responsibility, including annual vet visits, vaccines and possible emergency care. Are you aware of and prepared to assume financial responsibility for your new cat? * Yes No I don't know Please list the pets that currently live in your home Breed/Age/Gender/Spay or Neuter Status/How long they have lived with you Please list the pets that you have previously owned (in your adult life) Breed/Age/Gender/How long they lived with you/Why they no longer live with you Have you previously declawed a cat? * Yes No Do you intend to declaw this cat? * Yes No If yes, please explain Does anyone in your home have pet allergies or asthma? * Yes No Where do you plan on keeping the litter box? * When will you be spending the most time with your new cat? * Weekdays Weeknights Weekends Other If other, please explain Name of your veterinarian (if you have one) Once the cat is comfortable in your home, where will they be kept? * Indoors only Outdoors only Indoors/Outdoors For dog owners, do you have a doggie door? When you are away for business or vacation, how will you pet be cared for? * Left alone w/ plenty of food and water Pet sitter Friend/Relative will check in Kennel Other What circumstances might make you consider returning this cat to Partners for Pets? * Check all that apply Moving New baby Change in marital status Not getting along with other pets Aggression Destructive behavior Housebreaking problems Allergies None Other If other, please explain By checking this box, I agree to be contacted by a Partners for Pets Volunteer using the info provided above. I also understand that submitting this form neither obligates not guarantees my adoption of a cat from Partners for Pets. * I agree Thank you! We will respond to your application as soon as we can. ADOPTION CENTERAdoption ApplicationFilling out this application neither guarantees nor obligates you to adopt an animal.
