First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

County

Email*

Home Phone

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Place of Employment:*

Name of Cat(s) Applying for*

How did you hear about Creature Concerns

Veterinarian's Name and Phone Number*

Do you plan to declaw this cat?*

Are you willing to take the time to housebreak a cat, and do you understand that changing a cat's environment may cause the cat to have accidents?*

If a behavioral problem arises, what steps will you take to work on it?*

If you are applying for a cat/kitten who is not house trained, how will you house train the cat?*

Describe the kinds of personal situations where you might have to return your adopted cat, i.e., job loss, children, move, marital change, etc.*

For whom are you adopting the cat?

How many people live in your home?*

Any Children?*
Choose one: Yes No

If so, what ages?*

Who will be responsible for feeding the cat and cleaning the litter box? *

Who will take care of the cat in the absence of the primary caretaker?*

Do you own or rent your home*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal*
Choose one: Yes No

How many hours will the cat be left unattended each day (i.e., workday)?*

When you are home, where will the cat be kept?*

Where will the cat sleep*

When no one is home (i.e., at work, shopping), where will the cat stay?*

What will you do with the cat when you travel?*

If you move, what will you do with the cat?*

Are you aware of the adoption fee ($75 non-refundable donation)?*
Choose one: Yes No

Have all adult family members agreed upon the cat?*

Please list the animals you currently own, answering the following questions about each: Name, type of animal, age, sex, Is the Pet Spayed or Neutered?, Primarily indoor or outdoor?, how long have you had the animal?*

Describe all pets you previously owned in the past 5 yrs, answering the following about each: Name, type, spayed or neutered?, how long did the animal live, cause of death.*

I certify that the information entered on this applicant is true. Enter your name and date*

We will respond to your application via email as soon as possible. Please keep an eye on your Inbox for our reply!