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Cat Adoption Application

Cat Adoption Application

"*" indicates required fields

1Applicant

2Family

3Home

4Care

5Preferences

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Default: Cat Adopter Status

First Name*

Last Name*

Age Range*

eMail Address*

eMail Address Confirm eMail Address

Street Address*

Suite | Apt or Unit Number

City*

State/Province*

ZIP*

Country*

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Home Phone Number

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Work Phone Number

Phone Number*

Preferred Method of Contact

Employment & Schooling

Are You Employed?*

Yes

No

Retired

Full or Part Time?*

Name of Employer

How Long Employed There?

Are You in School?*

Yes

No

Full or Part Time?*

How Did You Hear About Us?*

What Is Your Friend's Name?*

Which Shelter?*

Which Rescue?*

Please Describe*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.

Adults

Are There Other Adults In The Home?*

Yes

No

How Many?*

Adult 1

First Name*

Last Name*

Age Range*

Relationship To Applicant*

Please Describe*

Phone Number*

eMail Address*

Are They Employed?*

Yes

No

Retired

Full or Part Time?*

Name of Employer*

How Long Employed There?*

Are They in School?*

Yes

No

Full or Part Time?*

Adult 2

First Name*

Last Name*

Age Range*

Relationship To Applicant*

Please Describe*

Phone Number*

eMail Address*

Are They Employed?*

Yes

No

Retired

Full or Part Time?*

Name of Employer*

How Long Employed There?*

Are They in School?*

Yes

No

Full or Part Time?*

Adult 3

First Name*

Last Name*

Age Range*

Relationship To Applicant*

Please Describe*

Phone Number*

eMail Address*

Are They Employed?*

Yes

No

Retired

Full or Part Time?*

Name of Employer*

How Long Employed There?*

Are They in School?*

Yes

No

Full or Part Time?*

Adult 4

First Name*

Last Name*

Age Range*

Relationship To Applicant*

Please Describe*

Phone Number*

eMail Address*

Are They Employed?*

Yes

No

Retired

Full or Part Time?*

Name of Employer*

How Long Employed There?*

Are They in School?*

Yes

No

Full or Part Time?*

Children

Are There Children In The Home?*

Yes

No

How Many?*

Child 1

Name*

Age*

Gender*

Previous Experience With Cats*

Child 2

Name*

Age*

Gender*

Previous Experience With Cats*

Child 3

Name*

Age*

Gender*

Previous Experience With Cats*

Child 4

Name*

Age*

Gender*

Previous Experience With Cats*

Cats

Do You Now Or Have You Ever Had a Cat?*

Yes

No

Have You Ever Taken Care Of a Cat Before (ie Cat Sitter ,etc) or Have Any Other Cat Experience?*

Please Describe*

How Many?*

Cat 1

Cat's Name*

Where Did You Get The Cat?*

Please Explain*

Is the Cat Still Living With You?*

Yes

No

Why Not?*

Which Years Owned?*

How Long Did You Own Him/Her?*

Why Was Cat Euthanized?*

Please Describe the Situation*

Please Describe the Situation*

Please Describe*

Sleeping Quarters*

Where Does Cat Live?*

Breed*

Age Range*

Gender*

Status*

Please Explain Why Not*

Socialibility*

Up To Date On All Vaccines?*

Yes

No

Has Cat Been Declawed?*

Yes

No

Did Your Vet Do The Declaw?*

Yes

No

Is There Any Additional Information You Would Like to Add?

Cat 2

Cat's Name*

Where Did You Get The Cat?*

Please Explain*

Is the Cat Still Living With You?*

Yes

No

Why Not?*

Which Years Owned?*

How Long Did You Own Him/Her?*

Why Was Cat Euthanized?*

Please Describe the Situation*

Please Describe*

Sleeping Quarters*

Where Does Cat Live?*

Breed*

Gender*

Age Range*

Status*

Please Explain Why Not*

Socialibility*

Up To Date On All Vaccines?*

Yes

No

Has Cat Been Declawed?*

Yes

No

Did Your Vet Do The Declaw?*

Yes

No

Is There Any Additional Information You Would Like to Add?

Cat 3

Cat's Name*

Where Did You Get The Cat?*

Please Explain*

Is the Cat Still Living With You?*

Yes

No

Why Not?*

Which Years Owned?*

How Long Did You Own Him/Her?*

Why Was Cat Euthanized?*

Please Describe the Situation*

Please Describe*

Sleeping Quarters*

Where Does Cat Live?*

Breed*

Age Range*

Gender*

Status*

Please Explain Why Not*

Socialibility*

Up To Date On All Vaccines?*

Yes

No

Has Cat Been Declawed?*

Yes

No

Did Your Vet Do The Declaw?*

Yes

No

Is There Any Additional Information You Would Like to Add?

Cat 4

Cat's Name*

Where Did You Get The Cat?*

Please Explain*

Is the Cat Still Living With You?*

Yes

No

Why Not?*

Which Years Owned?*

How Long Did You Own Him/Her?*

Why Was Cat Euthanized?*

Please Describe the Situation*

Please Describe*

Sleeping Quarters*

Where Does Cat Live?*

Breed*

Age Range*

Gender*

Status*

Please Explain Why Not*

Socialibility*

Up To Date On All Vaccines?*

Yes

No

Has Cat Been Declawed?*

Yes

No

Did Your Vet Do The Declaw?*

Yes

No

Is There Any Additional Information You Would Like to Add?

Other Animals

Are There Other Animals In The Home?*

Yes

No

How Many?*

Other Animal 1

Animal Type*

Animal's Name*

Sleeping Quarters*

Socialibility*

Is There Any Additional Information You Would Like To Add?

Other Animal 2

Animal Type*

Animal's Name*

Sleeping Quarters*

Socialibility*

Is There Any Additional Information You Would Like To Add?

Other Animal 3

Animal Type*

Animal's Name*

Sleeping Quarters*

Socialibility*

Is There Any Additional Information You Would Like To Add?

Other Animal 4

Animal Type*

Animal's Name*

Sleeping Quarters*

Socialibility*

Is There Any Additional Information You Would Like To Add?

Residence

Type of Residence*

Please Describe Type of Residence*

Do You Own or Rent?*

Does Landlord Allow Cats?*

Yes

No

Please Provide Landlord's Name*

Please Provide Landlord's Phone Number*

Yard Information

Do You Have A Yard?*

Yes

No

Is The Yard Fenced?*

Yes

No

How High Is The Fence?*

What Is The Lowest Point of The Fence?*

What Material Is The Fence Made From?*

Please Describe Fence Material*

Is The Lawn Treated?

Yes

No

Do You Have A Pool?*

Yes

No

Is The Pool Completely Fenced?*

Yes

No

Family & History

What Type Of Household Do You Have?*

Please Describe*

Do All Family Members Want A Cat?*

Yes

No

Please Explain Who Doesn't and Why They Don't*

Is Any Member Of Your Household Allergic To Cats?*

Yes

No

Are You Willing To Take Responsibility For This Cat For The Next 15-20 Years?*

Yes

No

What Provisions Will You Make For The Cat Should You Become Unable To Care For Him/Her?*

Are You Capable of Providing Timely Healthcare?*

Yes

No

What Are You Willing/Able To Spend On Annual Vet Care?*

Please Explain Your Circumstances*

Feeding & Exercise

Who Will Be Responsible For Feeding The Cat?*

Sleep & Alone Time

Where Will The Cat Sleep?*

Where Will The Cat Be When Alone?*

Please Describe Where The Cat Will Be*

Do You Have A Doggie Door?*

Yes

No

Is It Locked When You Are Away From Home?*

Yes

No

What Is The Longest Time The Cat Will Be Alone (without humans)?*

Who Will Care For The Cat While You Are On Vacation?*

Please Explain Who Will Care For The Cat*

Behavior & Training

Cats Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Cat Comfortable In Your Home?*

Yes

No

What Behaviors Can You Tolerate (and work on)?

Needs Social Skills*

Yes

No

Accidents In The House*

Yes

No

Inappropriate Chewing*

Yes

No

Excessive Scratching*

Yes

No

Separation Anxiety*

Yes

No

Other

Yes

No

Please Explain Other Behaviors You Cannot Tolerate*

Personal Reference

Please Provide A Personal Reference

Please Provide Reference's First Name*

Please Provide Reference's Last Name*

Please Provide Reference's Phone Number*

Please Provide Reference's eMail Address*

Relationship to Applicant*

Years Acquainted*

Veterinarian Information

Have You Used A Veterinarian Before?*

Yes

No

Please Provide Veterinarian's Name*

Please Provide Veterinarian's Phone Number*

Groomer Information

Have You Used A Groomer Before?

Yes

No

Please Provide Groomer's Name

Please Provide Groomer's Phone Number

Boarding Facility Information

Have You Used A Boarding Facility Before?

Yes

No

Please Provide Boarding Facility's Name

Please Provide Boarding Facility's Phone Number

Reason For Adoption

Select all that apply.

Family Companion*

Yes

No

Breeding*

Yes

No

Farm Cat | Mouser*

Yes

No

For Child*

Yes

No

Gift*

Yes

No

Companion For Current Cat*

Yes

No

Replace A Previous Cat*

Yes

No

Other

Yes

No

Please Describe Why You Want This Cat

Would You Consider:

Fostering While Waiting For The Perfect Cat?*

Two Cats?*

A Pregnant Cat?*

Bottle feeding Baby?*

A Cat That Can Be An Only Pet?*

A Cat That Is Afraid Of Small Children?*

A Cat That Needs Medications?*

A Cat That Has A Serious Health Condition?*

Please Select All Health Condition(s) You Would Accept*

A Cat that Has Special Needs?*

Please Select All Special Needs(s) You Would Accept*

Select All That Apply:

A Cat That is Litterbox Trained?*

Select Gender*

Select Age Range*

Select All That Apply

Select Personality*

Select All That Apply

Select Color*

Do You Have A Preferred Cat?*

Note: This does not guarantee this cat will be placed with you

List Other Cats You Are Interested In

When Will You Be Ready To Adopt?*

Is There Anything Else You Would Like to Let Us Know?

Application Notes

I am interested in receiving pet related services and products*

Yes

No

Authorization

Authorization:*

All cats placed through the Sandbox Sanctuary will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no Cat available in rescue at this time. I understand that if a Cat should become available, that I will be required to provide further information including, but not limited to, personal and veterinary references. I further understand that all information on my Preliminary Rescue Adoption Application will be kept confidential; that my application will be kept on file until I notify the Sandbox Sanctuary that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Cat becomes available. I understand and agree *

I agree

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