Adopt-A-Cat Foundation Inc.
1125 Old Dixie Hwy.
Lake Park, FL 33403
(561)848-4911
CASE # ___________________
Adoption Application
Adopt-A-Cat reserves the right to deny adoption to anyone.
Cat's Description __________________________________________
Adoption Fee: __________
Name__________________________________________________
Address_________________________________________________
City ______________________ State ___________ Zip___________
Phone: Home ____________________ Business: ________________
Email:__________________________ Other: ___________________
Do you live in a: ____ House ____ Apt. ____ Condo ____with parents
Do you: ____ Own ____rent Landlord's name: _________________
Are pets permitted in the lease ____Yes ____No Verified by: __________
Are there restrictions where you live on the size or number of pets? _______
If yes, explain ________________________________________________
How many adults in household? _____ Number of Children:____ Ages_______
Do you _____work _____attend school
Is anyone home during the day? ______ How many hours/day will the pet be without human companionship? ____________
Does anyone in your household have allergies? ______ If yes, what kind?________________
Who will be responsible for feeding the pet? ________________________________________
Why do you want to adopt a cat: (Check all that apply):
____ Companionship ____ Gift ____ To Breed ____ For A Child
____ Companion For Other Pet ____Other _______________________________________
Pets you currently have at home: No. of dogs ______ No. of cats_____ Other______________
Current Veterinarian _________________________ Clinic name: _________________________
Phone No:______________________
Have you ever had other pets before:
____Yes ____No
If yes, where is the pet
now?_______________________________________________________
Have you ever given up an animal to
a shelter? ____Yes ____ No
If yes, why?
____________________________________________________________________
What will you do with your pet(s) when you are out of town? _____________________________
What will you do with your pet(s) if you move? _________________________________________
Where will you pet(s) stat during a hurricane? __________________________________________
Are you prepared to care for this cat for (15) years or longer? ____Yes ____No
| For Cats Adoption:
Do you plan to let your cat outside? _____Yes ____No Will you declaw your cat?
_____Yes _____No How would you handle jumping on furniture or countertops? ___________________________________ Scratching furniture? _____________________________ Stop using litter box? _____________________________ |
| How did you hear about
Adopt-A-Cat?
Walk-in _____ Yellow Pages_____
Friend______ Classified_____ |
PLEASE READ CAREFULLY:
Adopting a pet is a serious responsibility. A pet you adopt today will likely be a part of your family for the next 10 to 20 years. Each pet has its own personality and preferences that you can help shape through love and conscientious training.
A cat requires quality time each day with its family and maintenance such as a cat box cleaning, feeding, petting and brushing.
Cats require special food and regular Veterinary care including shots and preventative medications.
In some cases expenses could exceed $1,000 a year.
Are you prepared to accept the financial and personal responsibility for a pet? ____Yes ___No
Adopt-A-Cat will follow up with you and your pet by visiting you in your home or by talking with you over the phone. We would visit by appointment only. Would you have any objections to this? _____Yes _____ No
Adopter's Signature _____________________________________ Date: __________________
Adopt-A-Cat Representative ______________________________