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Chapter/ Location of the Kitty(s) * Select Yorba Linda Diamond Bar Fullerton Whittier Riverside Rancho Cucamonga Chino Hills
Your Full Name *
Are you over the age of 21? * Select Yes No
Please tell us why would you like to adopt this particular kitty(s)? If you do not have a particular kitty in mind, please describe the type of kitty you are looking for *
Home Address (Please include apartment, unit, or lot # if applicable) *
City *
State *
Complex/ Community Name (If applicable)
Email *
Phone Number *
Have you adopted from us before? * Select Yes No
If yes, please provide the name of the kitty(s) and approximate date adopted
Please list the names of all adults over 18 living in the household, and their relationship to you. *
Please list the ages of any children under the age of 18 in the home, and their relationship to you: *
Are all ADULTS in the home aware that you are applying for a new cat or kitten? Are they 100% onboard with bringing home a new kitty? (This includes roommates, spouse, housemates, siblings, homeowners, parents, etc...) *
Occupations of adults in the home: *
How long have you lived in your current home? *
What best describes your home? * Select Apartment Mobile Home Townhome House Renting a Room
What is the approximate square footage of your home? (If you are unsure you can find this information on Zillow or through your property manager.) *
If you rent, are you familiar with your landlord or property management company's pet policies? Select Yes No I don't know
If you rent, does your landlord require that pets be declawed? Select Yes No I don't know
If you rent, may we contact your landlord? * Select Yes No I own the home
Landlord or Complex Name & Phone #
Cats in Need may request a home visit before approving an adoption application. Would you be okay with one of our volunteers stopping by for a short visit? * Select Yes No
Who are you adopting the kitty for? * Select Self Spouse Child Entire Family Other
Who will be the primary caregiver for the new kitty? *
Please list all animals currently living in the home, including name, species, sex, age, whether spayed or neutered, and one or two descriptive words *
What other pets have you owned in the past 10 years? Please provide details if the pets are no longer with you *
Have you had any current or previously owned cats declawed? * Select Yes No Not Applicable
Out of 100%, approximately how much of its time will the kitty spend indoors? *
Out of 100%, approximately how much of its time will the kitty spend outdoors? *
Use this space to provide any notes on the areas the kitty will have access to:
Do you have a doggy or cat door? * Select Yes No
If yes, where does it lead?
Where will the litterbox(es) be kept? *
Where will the kitty be allowed to sleep? *
On an average day/ week, approximately how many hours might the kitty(s) be home alone? *
What will happen to the kitty if you move during its lifetime? *
Have you ever had to rehome a pet or relinquish a pet to a shelter or rescue? * Select Yes No
If yes, please explain:
The average cat can live 20-22 years. A lot can happen in this time, including breakups, divorce, pregnancy, loss of job or income, moving out of the state, moving out of the country, elderly family members moving into the home, etc... Think ahead for the next 15 or more years. Under what circumstances would you not be able to keep this pet? *
Cats have been known to claw furniture, chew shoes, dig holes, climb drapes, eat plants, jump on counters, etc. How do you plan to deal with these problems? How have you dealt with them in the past? *
Please list any behaviors you would find unacceptable in your new kitty(s) and what would happen if these behaviors arise? *
Under what circumstances would you not be able to keep this/ these kitty(s) and might consider returning or rehoming them? *
Does anyone in the home have allergies? * Select Yes No I'm not sure
If yes to the above, are cats or dogs the cause of the allergy? Select No Yes, Both Yes, Cats Yes, Dogs
If yes to the above, please briefly explain the allergy and how it is managed
If anyone in the home becomes allergic to cats, or someone with an allergy moves in, what will happen to the kitty? What steps would be taken? *
If someone in the home becomes pregnant, or there is a new baby, what will happen to the kitty? *
Are you aware that cats need regular and routine veterinary care including vaccines and dental care? * Select Yes No I'm not sure
Are you able to provide adequate veterinary care if this animal becomes sick or injured? * Select Yes No
Are you aware of what veterinarians currently charge for a basic office visit, routine vaccines and dental visits? Approximately how much to the best of your knowledge? Are you able to provide this routine care? *
Are you aware that a single Emergency Room vet visit can easily run $300 to $500 and up? Are you able to shoulder this unexpected cost if something comes up with this kitty in its lifetime? * Select Yes No I'm not sure
Who is your current Veterinarian and/or the Veterinarian you plan to use for the new kitty? *
How did you hear about our organization? * Select Google Facebook Petfinder Adopt-A-Pet Petsmart Word of Mouth
Would you be interested in fostering a cat or kittens in the future, or in joining one of our chapters as a volunteer? Select Yes No Thanks
Is there anything else you would like us to know about you?
