CAT ADOPTION APPLICATION Date: Name:PhoneAddress Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Email: Who will be primary caregiver of cat?Reason for wanting a cat? Companion Mouse For children Gift Breeding My veterinarian is:I live in a:HouseCondoApartmentMobile homeRentIf you are renting, have you checked with your landlord to be sure pets are allowed and that you have a pet deposit?I live with:AloneSpouseParentRoommate(s)ChildrenOtherDo you or any of the people you live with have allergies to cats?YesNoIf yes, how do you plan to cope with the allergies?Are you planning to declaw the cat or kitten?Will your cat stayIndoors onlyOutdoors onlyIn and outdoorsPlease list all the pets you’ve had in the past five years. Breed, Age, Sex, Spayed or neutered?# Years owned?Still live with you?_YesNoIf not, why?Please read and sign: Many factors determine which applicant will be matched with a particular pet. If you are not able to adopt a pet today, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place all animals into homes that will best suit their individual needs. Please ask for clarification if you have any questions. I have completed this application truthfully and fully understand the adoption process. Signature This iframe contains the logic required to handle Ajax powered Gravity Forms.