EmailMe Form - TLC Cat Adoption Application

EMAIL: TheLittleCats@gmail.com WEBSITE:www.TheLittleCatsRescue.org

To be considered for adoption, please fill out this form COMPLETELY! Visits to the Sanctuary
are by appointment once your application has been reviewed. Please give your vet permission
to speak with us. Submission of this application does not guarantee an adoption. Our goal is
to ensure a happy and healthy forever home for our rescued cats. We conduct a home check
via FaceTime prior to adoption approval.

Name of cat (or type of cat) you wish to adopt *

ADOPTER"S FULL NAME *

Phone Number *

Email *

Driver's License # *

Date Of Birth *

Full Street Address *

City, State, Zip Code *

Employer Name and Phone and Length of time employed: *

Length of time at current home *

Home is a *

House

Apartment/Condo

Mobile Home Single Wide

Mobile Home Double Wide

Do you own or rent your home? *

Own

Rent

If renting, please provide landlord's name and phone number *

Home atmosphere *

Very Active

Some Activity

Quiet

Work From Home

CO-ADOPTERS FULL NAME
(if applicable) *

Co-Adopter's Phone (If Applicable) *

Co-Adopter's Email (If Applicable) *

Co-Adopter Employer Name and Phone and length of time employed *

Do you have a screened area accessible to the cat(s)? *

Yes

No

Do you have a pool accessible to the cat(s)? *

Yes

No

Are you adopting this cat for *

Yourself

Friend or relative

Will the cat be allowed in your bedroom? *

Yes

No

Are You a First Time Cat Owner *

Yes

No

Do you intend to have your new cat declawed? *

Yes

No

Unsure

If YES to Above, Please Explain Why? *

How many hours per day will the cat be alone? *

What will you do with the cat if you travel/vacation?

If you are required to evacuate?

Become ill or experience financial hardship? *

Ages of children living in or regularly visiting your home *

Does anyone in the home have an allergy to cats, and if so, how will you handle it? *

Does anyone in the home smoke? *

Yes

No

Number of other cats in home? (Enter 0 if none) *

Please list all other cat's in home ages and genders. (Enter N/A if no other cats) *

Are your other cats spayed/neutered? *

Yes

No

No Other Cats

Are they up to date on vaccinations? *

Yes

No

No Other Cats

Are they allowed outside? *

Yes

No

No Other Cats

Are any of them declawed? *

Yes

No

No Other cats

Are any of them FIV+, FeLV+? *

FIV+

FeLV+

No

No Other Cats

Number of DOGS in home? (Enter 0 if none) *

Please enter the age, gender, weight, breed, and if they are inside, outside, or both, of any dog(s) in your home. (Enter N/A if no dogs) *

Are your dogs spayed/neutered? *

Yes

No

Not Applicable

Are your dogs current on vaccines? *

Yes

No

Not Applicable

Have your dogs lived with cats? *

Yes

No

Not Applicable

In the past 5 years, have you had any other pets in your home who are no longer with you? If so, what became of them? *

Veterinarian's name and phone number *

Please give your veterinarian permission to speak with our representative prior to your visit.

Provide three (3) references whom you’ve known for at least three (3) years (non-relative). Please provide names and phone numbers: *

Please tell us why you are interested in adopting this particular cat *

Adopter's Signature (Please type your name) *

Co-Adopter's Signature (Please type your name)
Enter Not Applicable (if not applicable) *