Application for a Cat

Name of Animal Interested In:__________________________                                                Date:_____________

PASF Adopter Profile (application for a cat)

Thank you. This information will help us find the best match for you and your family.

Name________________________________________  Spouse / Partner’s Name________________________

Address______________________________________  P.O. Box________  City________________________

ZIP_____________  Home Phone (_____) ______-_____________  Work Phone (_____) _____-___________

Email Address (print clearly) __________________________________            Driver’s License #:______________

Are you at least 18 years old?               … Yes               … No

Housing:            … House            … Apartment                     … Condominium                       … Mobile Home              … Military

Do You:            … Own                        … Rent                                 … Live with parents / other relative

How long have you lived at this address?____________    … Months            … Years

Name of Landlord _________________________________ Phone# _________________________________

Number of people in the household:  ________Adults            ________Children (ages____________________)

 

You and Your Household

Cat Experience:     … First Time Owner                       … Have Had 1 or 2            … Knowledgeable & Experienced

Household Activity Level:            … Quiet                       … Active                        … Very Active

Time Away From Home:            … 0-4 hours/day         … 4-6 hours/day            … 6-8 hours/day         … 8+ hours/day

Reason for wanting a cat:_____________________________________________________________________

Is anyone in your household allergic to animals? … Yes   … No  If yes please explain______________________

Who will be primarily responsible for the cat’s care?_______________________________________________

How much do you expect to spend on the care of this cat each year?___________________________________

Will the cat you adopt be:  … Inside only     … Outside only  …  Both       … Garage

How long will you keep the cat indoors before you let it go outside? __________________________________

Name of your veterinarian____________________________________________________________________

What would you do with the cat if you could no longer keep it?______________________________________

Where will you keep the litter box? _____________ How many litter boxes will you have? _______________

Do you have a cat carrier?   … Yes  …  No

 

Hopes and Expectations for the Pet

What do you feel is unacceptable behavior in a cat?________________________________________________

How would you correct this behavior?___________________________________________________________

Have you ever adopted an animal from us before?  … Yes  …  No  If yes do you still have this pet? … Yes …  No

If NOT, what happened? _____________________________________________________________________

 

PETS CURRENTLY IN YOUR HOUSEHOLD

Species

Age

Sex

Altered?

Kept Where?

Time Owned?

    … In           … Out          … Both
    … In           … Out          … Both
    … In           … Out          … Both
    … In           … Out          … Both

 PETS FORMERLY IN YOUR HOUSEHOLD (5 YEAR HISTORY)

Species

Sex

Altered?

Kept Where?

Time Owned?

What Happened?

 … In         … Out        … Both
 … In         … Out        … Both
 … In         … Out        … Both
 … In         … Out        … Both

 

Have you ever brought an animal to a shelter?            … Yes               … No

If yes, what were the circumstances?____________________________________________________________

How did you hear about Petaluma Animal Shelter? :   … Word of Mouth    … Website    … Advertising                        … Prior experience   … Community Event   … Community Event   … Other________________________

 

I AGREE THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND GIVE SHELTER STAFF PERMISSION TO VERIFY THIS INFORMATION.

 

_______________________________________________                                                            __________________

Adopter’s Signature                                                                                                           Date

For Staff Use Only

Application reviewed by:___________________________              Applicant approved for:_____________________

Comments:_______________________________________________________________________________

Adoption Checklist

Needed?

Date Done

Comments

Landlord:Phone #:
Children / Spouse Meeting

 


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