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Adoption Application

A Refuge for Kitties

Is there a particular animal you are interested in? If yes, who ? *

Your Name *

First

Last

Address *

City, State *

Zip Code *

Phone (home) *

Phone (cell) *

Email *

Do you *

Rent
Own
Live with Parent/Guardian
Other

Do you live in a *

House
Condo/Apartment
Farm/Ranch
Other

FOR RENTERS: To avoid animal returns, I may be contacting your landlord or property manager for approval for this adoption. Please provide your landlord name or management company and contact phone number.

How long at the current address? *

Do you plan to move in the next 6 months? *

Home environment is: *

Very active
Some activity
Relaxed

Please list the number of adults and children in your home and the ages of the children. *

Do you have children that come to visit often? How often? What ages? *

Does anyone in your household have cat allergies *

Yes
No

I am adopting this pet for: *

Myself
Family/Child/Companion
Companion for another pet

Are you willing to keep this pet for it's lifetime? *

Yes
No

Are there any lifestyle altering events that could occur in your future? (ie/ new baby, moving, caring for elder, divorce, job uncertainty, health, etc) If so, please explain. *

Do you have a regular veterinarian? *

Yes
No

If yes, please provide their name and phone number.

Who will care for you pet while you are away on vacation or out of town? *

Have you ever brought an animal to a shelter? If yes, why? *

Where will the pet be kept?

Indoors
Outdoors
Both

Please tell me about your current animals.

Pet #1 Name

Breed

Sex

Age

Is this animal spayed or neutered?

Yes
No

Where did you get this animal?

Is this animal up to date with all vaccines?

Yes
No

Pet #2 Name

Breed

Sex

Age

Is this animal spayed or neutered?

Yes
No

Where did you get this animal?

Is this animal up to date with all vaccines?

Yes
No

Pet #3 Name

Breed

Sex

Age

Is this animal spayed or neutered?

Yes
No

Where did you get this animal?

Is this animal up to date with all vaccines?

Yes
No

I certify that the above information is true and correct, and understand that providing false information may result in nullifying this adoption. *

Yes
No

Email

Marden's Cat Tales

Home
Our Cats
Meet
Sponsor
Foster
Volunteer
Adoptions
contact
Adopted Cats