QUESTIONAIRE FOR ADOPTION WE RESERVE THE RIGHT TO REJECT


Name of Cat:

Name:

Address:

City/State/Zip:

Phone:

Other:

E-mail:

 
Employer:

Occupation:

Do you Rent or Own your home? Own Rent

Name of Development or Complex

Landlord’s Name:

Landlord’s Phone Number:

How many children live in your household?

What are the ages of these children?

Does anyone in your household smoke? Yes No

Does anyone have allergies or asthma? Yes No

Have you ever had a cat? Yes No

Vet's Name:

Do you plan to declaw your cat? Yes No

Have you ever surrendered an animal to a shelter or rescue agency? Yes No

How many hours a day would you spend with your cat?

Do you plan to feed your cat: Moist Dry Both

If you travel, who will provide for this cat while you are traveling?

What reason would compel you to give an animal up?