Cat Adoption Application

Your Name Your Name

Your Email Address Your Email Address

Your Phone Number Your Phone Number

Your Age Your Age

Your Street Address Your Street Address

City, State & Zip Code City, State & Zip Code

Your Occupation Your Occupation

Partner/Spouse's Occupation Partner/Spouse's Occupation

Describe Your Living Situation Describe Your Living Situation Describe Your Living Situation Own Rent Live with Parents Share an Apartment

Do all adults in household agree to adoption? Do all adults in household agree to adoption? Yes No

Contact Information If you rent, live with parents or share an apartment please provide names and phone number (landlord, Parents, roommate’s info) you give us permission to contact:

Household Members List all Family Members in the house including children. (Please include their age and your relationship to them)

If there are children in the household, have they had pets before? If there are children in the household, have they had pets before? Yes No

Cat Name(s) Which cat(s) do you wish to adopt? (List the cat names, LastHope sponsor, and/or foster names)

Would you consider adopting a pair of cats? Would you consider adopting a pair of cats? Yes No

Number of Cats Do you have other cats currently? If so, how many?

Number of Dogs Do you have other dogs currently? If so, how many?

Why do you want a cat? Why do you want a cat? Companionship For a child A mouser Other

Explain Is the cat for yourself, or is it a gift? (If it's a gift, say whom and specify if it's a surprise gift.)

Where will your adopted cat live? Where will your adopted cat live? Indoors Outdoors Both

Are you willing to have a litter pan in your home? Are you willing to have a litter pan in your home? Yes No

Do you own a pet carrier? Do you own a pet carrier? Yes No

Are you aware that the average house cat's life expectancy is 15-19 years? Are you aware that the average house cat's life expectancy is 15-19 years? Yes No

Explain Have you ever had a pet before? If so, are they still living with you?

Do you have the finances to provide daily food, yearly and emergency vet care? Do you have the finances to provide daily food, yearly and emergency vet care? Yes No

Caretaker Name Who will be the primary caretaker of your new cat?

Hours Left Alone & Location How many hours a day will you cat be home alone, and where will they be left?

If you have pets, are your animals current on all vaccinations (rabies and distemper vaccines)? If you have pets, are your animals current on all vaccinations (rabies and distemper vaccines)? Yes No N/A

Are you considering having your new cat declawed? Are you considering having your new cat declawed? Yes No

Have you ever had a cat declawed? Have you ever had a cat declawed? Yes No

Explain Are there any bad habits that you will not tolerate from a cat? If yes, please explain.

Cats need preparation training for life changes such as having a baby, divorce, etc. Are you committed to working through these changes if they occur? Cats need preparation training for life changes such as having a baby, divorce, etc. Are you committed to working through these changes if they occur? Yes No

Explain If you have to move, what do you plan to do with your pet(s)?

Explain How will you care for your cat when you go away for a vacation?

Name & Phone Number If you were no longer able to care and provide for your cat, who would assume this responsibility? (Provide Full Name & Phone Number of Person)

Have you ever given up a pet/surrendered it to a shelter? Have you ever given up a pet/surrendered it to a shelter? Yes No

Explaination If Yes, Please Explain:

Household Pets List Current/Past Pets Owned in the Past 10 Years. (Please Include Species, Breed, Name, Age, Sex, Spay/Neutered Status, & If The Pet Is Still Living)

References Please provide three personal, non-family member, references we can contact along with their contact information.

Vet Reference Vet Reference: (Please contact your vet and let them know the rescue will be calling for a reference). Include the vet name, contact information, and the name your account is under.