First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Home Phone*

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Applicant Age*

Name of cat(s) interested in:
Choose an animal: Calypso CHEETO Daffodil Daphne Dove Falcon Fern Hawk Honey Hueneme Beach (Mia) Jay Luna Matilda Mickey Mouse Ozzy (Osprey) Petunia Sandwich Scallop Shark Smudge Trunchbull

Name of spouse, significant other, roommate(s), and/or children (please list all residents and their ages):*

Place of Employment:*

Are you or your spouse or significant other in the military?*
Choose one: Self Spouse Significant Other Neither

EOS/PRD

This cat will be*
Choose one: Inside Only Outside Only Mostly Inside Mostly Outside

What traits are you looking for in a pet

Is this animal a gift for someone?*
Choose one: Yes No

Who is the cat a gift for?*

Why are you interested in adopting a pet at this time*

How did you hear about us*

Do you own or rent your home*
Choose one: Rent Own

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

How long have you lived at your current address?*

If you rent, have you received the approval of your landlord to have an animal*
Choose one: Yes No NA

If you rent, please enter your landlord's name and phone number*

• Have you or any member of your household ever experienced allergies or asthma?*

Do you have a balcony?*
Choose one: Yes No NA

Will the cat be allowed on the balcony*

Do you have a pet door?*
Choose one: Yes No

Where does the pet door go?*

Do you have unscreened windows?*
Choose one: Yes No

Will the cat be allowed access to the entire house or only part of the house? Which part and why?*

Do you have coyotes in your neighborhood*
Choose one: Yes No

What predators do you have in your neighborhood?*

• Do you object to our organization doing a home check before placing the cat(s) with you?*
Choose one: Yes No

Have you ever had cats?*
Choose one: Yes No

How many cats do you have now?*
Choose one: None 1 2 3 4 5 6 7 8 9 10

If you have a cat(s), what are their ages?*

Where will the litter box be kept?*

Have you ever given up a pet? If yes, please explain*

How many dogs do you have now?*
Choose one: None 1 2 3 4 5 6 7 8 9 10

If you have a dog(s), what are their ages?*

What are the breeds of dogs you now have?*

Will the cats interact with the dogs?*
Choose one: Yes No

Do you keep identification on your pets at all times?*
Choose one: Yes No

Where will the animal sleep*

Have your pets had any serious illnesses? Describe.*

Veterinarian's Name and Phone Number*

For cats only: Are you planning to declaw either traditional or laser?*
Choose one: Yes No

If yes, why and what is your understanding of the surgical procedure?*

What will you do if future medical treatment for the cat is over $500?*

Are your other pets spayed / neutered?*
Choose one: Yes No

Are they up to date with vaccinations?*
Choose one: Yes No

What will you do with the cat when you go on vacation?*

What will you do if the cat becomes destructive in the house?*

What will you do with the cat if something happens to you where you will no longer be able to care for the cat?*

What will you do with the cat if you must move to a place that doesn’t allow pets?*

How much time will you be spending at home with your cat?*

Who will be responsible for the daily care and maintenance of your cat?*

Other?

Under what circumstances would you NOT keep the cat? SELECT ALL THAT APPLY

Have you applied with any other rescue*
Choose one: Yes No

I am aware that the potential commitment of time, patience and expense needed for a cat can span 20 years or more. I understand that cats need affection, attention and understanding and that they can get sick and require expensive medical treatment. I understand that I may need to adjust my lifestyle to accommodate my new pet. I am ready to make that commitment. Please enter your initials*

May we send you newsletters and invitations to events related to Cats Cradle Rescue?

I certify that the information entered on this applicant is true. Enter your name and date*