I am interested in adopting a: Kitten Adult Cat
Preferred Age:---8 weeks – 6 monthsTeenager/Young Adult (6 months – 5 years)Middle Aged (6-10 yrs.)Doesn’t Matter
Please describe any specific characteristics you are looking for in a cat (such as: breed or mix, long hair/short hair, coloring, lap cat, good with children, good with other animals (cats and/or dogs), etc.):
How did you hear about Caring For Creatures?---WebsiteFriendRadioNewspaperPetfinderOtherIf Other, please explain
Home Phone:Cell Phone (if different than home):
Are you at least 18 years of age? yes no(Adopters must be at least 18 years of age to be considered legal adopter and execute an Adoption Contract.)
Do you: Own RentMy home is a:---HouseApartmentCondoLive with parentsOtherIf Other, please explain
If you rent, please provide landlord’s name and telephone number:Landlord's name:Phone No.:
How long have you been at your present address:
Do you have your landlord’s/condo’s permission to own a cat? yes no
Are you planning to move in the next six months? yes noWould your cat(s) go with you if you moved? yes no
How many adults in your household?:Children?:Provide Ages:
Are family members aware that you are considering adopting a cat? yes no
If your family dynamics changed (marriage, divorce, new baby), would you keep your cat? yes no
If an allergy developed, are you willing to take steps to keep your cat? yes no
How many pets have you owned in the past five years?Please list each pets’ breed, sex,and age. If you no longer have the animal, what became of it?
Are your existing animal companions spayed/neutered? yes no
Where were they kept? In Out
Have your existing cats been tested for feline Leukemia and FIV? Yes No
Name/Location/Phone number of your veterinary hospital:
Cats can live for 15+ years. Are you committed to providing a lifelong home for your cat, including but not limited to a healthy diet, quality medical care and loving companionship? Yes No
Who will be primary caretaker of your cat?
Where will your cat be kept during the day?At Night?
Where will your cat sleep?Eat?
Where will you keep the litter box?
How many hours per day will your cat spend alone?
Will you let your cat outside? Yes NoIf yes: Attended Unattended
If your cat becomes lost, in addition to contacting Caring For Creatures, what steps would you take to find him/her?
Your adopted cat may take two months to adjust to his/her new home. Are you willing and prepared to allow this much time for the adjustment?
Our Adoption Agreement provides that you: (1) will spay or neuter your cat by date specified in the contract (if not already done), (2) will not declaw your cat, and (3) will return your cat to CFC if, at any time, you are unable to keep him/her. Are you willing to agree to these conditions? Yes No
Have you ever been convicted of animal abuse or neglect? Yes NoIf yes, when?
What were the circumstances surrounding the accusation/conviction?
Caring For Creatures
352 Sanctuary Lane, Palmyra, VA 22963
(434) 842-2404 Fax: (434) 842-1308
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