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Adoption Application

Name of cat(s) applying to adopt: *
Laurel Cats Control #
Applicant's full name: *
Birth Date *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Employer: *
Occupation
Home Phone
Work Phone
Cell Phone
Email *
Have you ever adopted an animal from a rescue/animal control agency before? *
YesNo
If yes, have you ever had an adoption application rejected?
YesNoDoes not apply
If rejected, why?
Have you owned a pet before? *
YesNo
Have you ever surrendered a pet you owned to an animal shelter? *
YesNo
Is anyone in your home allergic to cats? *
YesNoI don't know
Does anyone in your home smoke? *
NoYes, outside the home onlyYes, inside and outside the home
Why do you want to adopt a cat? *
What do you think are the most important responsibilities in owning a cat? *
If a disciplinary or behavior problem arises, what steps will you take to work on it? *
Is there a cat behavior that would not be acceptable to you? *
Total number of cats in the home: *
Total number of dogs in the home: *
Are all mammalian pets in the home currently spayed or neutered?
YesNoI don't know

How many humans live in your household? *
Age of person 1
Age of person 2
Age of person 3
Age of person 4
Age of person 5
Age of person 6
Where do you live? *
HouseTownhouseApartmentMobile HomeOther
Do you: *
RentOwn
If you rent, are pets allowed?
YesNoNot sure
Is there an additional charge for pets?
YesNoNot sure
If you rent, the name of your landlord:
Phone number of landlord:
When someone is home, where will the cat eat and be kept?
When no one is home, where will the cat eat and be kept?
Will someone be home during the day?
YesNoMost of the time
How many hours will the cat be left unattended?
If you leave town, emergency or planned, where does the cat stay?
If you move, what will you do with the cat? *
Are you aware of the adoption fees? *
YesNo
Are you willing to sign legally binding pet adoption papers? *
YesNo
Please list the routine veterinary care you plan to provide for your cat (including flea control, shots, etc. if known) *
Any questions or concerns?
How did you find out about this cat being available for adoption? E.g. (Facebook, Instagram, walking into Petco, a friend, etc.)

Laurel Cats, Inc.