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Online Adoption Application
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Completion of this form is a requirement for adoption. The information provided helps us assist in finding a good match for both you and the cat. KittiCo reserves the right to refuse adoption to anyone. Adoption approval and refusal decisions are made solely at Kittico's discretion. Questions? Email adoptees@kittico.org.




Name:
Spouse/Partner/Roommate:
(leave blank if not applicable)
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Email Address:
Birth Date:
Place of Employment:
Work Hours:
Occupation:
How did you hear about us? Website    Radio    Friend
Petfinder.com    Other
Have you spoken/corresponded with anyone from Kittico before filling out this application? Yes      No
If yes, who?
What kind of cat are you looking for? House Cat    Mouser    Barn Cat
Gift    Companion for Child/Pet
Do you have any preferences as to breed, size, hair length, sex, etc?
Have you ever owned a cat? Yes      No
Have you ever adopted from Kittico or any other humane society or shelter? Yes      No
If yes, which one?
When?
Do you still have that pet? Yes      No
If not, what happened to it?
List pets currently in household: Type - Breed - Sex - Neutered? - Age? - Kept where?
List pets (other than those listed above) owned in past five years: Type - Breed - Sex - Neutered? - Age? - Kept where? - What happened to pet?
Are all of the pets in your household up-to-date on rabies and vaccinations? Yes      No      N/A
Who is your Veterinarian?
Veterinarian's Phone Number:
In your adult life-have you lost pets from: (Check all that apply) Old Age    Illness    Hit By Car
Ran Away    Other Injuries
Had To Give Up
Do you currently own/rent: House    Apartment    Mobile Home
Duplex    Live with friend or family
If you rent, does your lease allow pets? Yes      No      N/A
Do you have a pet deposit? Yes      No      N/A
If yes, how much?
Is the pet deposit already paid? Yes      No      N/A
If not, when will it be?
If you rent, please give leasing office/landlord contact number for verification:
How long have you lived at your current address?
Are you planning to move soon? Yes      No
If you had to move, what would you do with your pets?
Where would the pet stay if you went out of town?
How many people live in your household?
Children's ages?
Do all of the adults in the home know about this adoption? Yes      No      N/A
Do all of the adults in the home like pets? Yes      No      N/A
Does anyone in your household have any known allergies to animals? Yes      No
Who will be responsible for the care of this cat?
Where will this pet be kept during the day? (Check all that apply)
Indoors        Outdoors        Crated
Basement Garage Porch
Yard Cat House Barn
Locked in Room
Where will this pet be kept during the Night? (Check all that apply)
Indoors        Outdoors        Crated
Basement Garage Porch
Yard Cat House Barn
Locked in Room
Is anyone home during the day? Yes      No
How many hours at a time will this pet spend alone?
Have you considered the costs involved in adopting a pet (food, vet care, housing, etc.)? Yes      No
Do you feel you can afford the cost to maintain this cat for its lifetime (12-15 years)? Yes      No
How do you plan to transport this cat?
Do you plan to declaw this cat? Yes      No
If yes, are you familiar with alternatives to declawing? Yes      No
Have you litterbox-trained cats before? Yes      No
Where will you keep the litterbox?
If you have dogs, have they been exposed to cats before? Yes      No      N/A
No cat is perfect! Please tell us what behaviors you are unwilling or unable to work through: (Please check all that apply) N/A: willing to work through anything
eliminating outside the litterbox
scratching furniture or carpet
biting/chewing/sucking
meowing to go outside
jumping on counters
rough play
How long will you give this cat to adjust to your home?
How do you feel about spay/neuter surgery?
Have you ever brought an animal to a shelter or animal control? Yes      No
If yes, why?
Additional Comments:
(optional)

My signature certifies that the above information is true and complete:

Signature of Applicant: Yes     No
Spouse/Partner/Roommate's Signature: Yes     No     N/A
Checking the "Yes" button constitutes a legal signature.

    © KittiCo Cat Rescue 1998-2007 All Rights Reserved.

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