Pets Haven Adoption Application For Cats

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This form is for gathering information about potential new guardians for Pets Haven's cats. Here you are asked questions about your own person, your family and your pets. You are asked to supply references and give permission for a home visit.


Pet's Name:
Your Name:
Company:
Home Phone:
Fax:
E-Mail:
Address:
City:
State/Zip:
   
Cell Phone:
Work Phone:
Your Occupation:
Work Hours:
Number of persons in household:
Applicant's age:
Number of children:
Age of children:
Name of Spouse or Room-Mate:
Occupation of Spouse or Room-Mate:
How long at present address:

Do you rent or own the property you live on:
Rent
Own
Landlord's Name:
Landlord's Phone No.:

Type of residence:


When would the cat be inside?:


If other, specify:
When would the cat be outside?:


In what areas would the cat be allowed?
What rooms are off limits to the cat?
Where do you plan to put the litter box?
How many hours of the day would the cat be alone?
Do all of your windows have screens and are in good condition?
Yes
No
If No explain:
Where would the cat sleep at night?
Do you plan to declaw your cat:
Yes
No

Have you had a cat declawed in the past:
Yes
No
If so, why?
Who is the cat for?
Who will be responsible for taking care of the cat?

Is anyone in your household allergic to cats?
Yes
No
Why do you want the cat? Check all that apply:
Companion for you
Companion for other family member
Mouser
Companion for other pet
How do you plan to provide for the cat when you are out of town?
What would you do if you had to move and trouble finding a place that allowed cats?

What would happen to the cat if you had to relocate out of state or overseas?

If the cat claws your furniture or carpet, what would you do?
What would you do if the undesirable behavior continued?

Under what circumstances would you not keep the cat?

What would you do in that event?


Are you willing to live with an animal who can be destructive at times?
Yes
No
How do you rate your cat experience?
1st time owner
Beginner
Intermediate
Advanced
Other:

What would you do if you or your spouse became pregnant?
Find the cat another home
Keep the cat
Return the cat to Pets Haven
Make the cat an outdoor cat
Which of the following reasons would prompt you to give up your cat? (choose all that apply)
Excessive Meowing
Scratching Family Member
Moving
Poor Mouser
Planning on Having a Baby
Allergies
Not Friendly with Guests (hissing, hiding)
Aggressive with Dogs
New Spouse/Partner doesn't Like Cat
Biting
Scratching Furniture or Carpet
Divorce
Shedding
Financial Problems
Won't always Use Litter Box
Excessive Veterinarian Bills
Aggressive with other cats
Cat's Health Problems (Feline Leukemia, Overactive Thyroid, Urinary Tract problems, etc.)
None of the above

Are you prepared for veterinary expenses such as emergency medical problems ( especially in the cat's old age) that can be quite costly, when adopting this cat for its entire life?
Yes
No

Have you ever bred a cat?
Yes
No
If yes, why?


If you presently own a dog or cat, is he/she spayed or neutered?
Yes
No
If no, explain why?


Do you have a veterinarian?
Yes
No
Name and City of Veterinarian:


Would you agree to an inspection of your premises by Pets Haven?
Yes
No
Why do you want this particular cat?


 

Please indicate all dogs and cats you have owned in the past. List "Type of Pet", "Years Owned", "What happened to the Pet?

 

Please indicate all pets you presently own. List "Type of Pet", "spayed/neutered", "age", "length of ownership":

If there is any other relevant information you would like us to know, please list below: