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