Adopt-A-Cat Foundation Inc.
1125 Old Dixie Hwy.
Lake Park, FL 33403   
(561)848-4911

CASE #   ___________________

Adoption Application

Adopt-A-Cat reserves the right to deny adoption to anyone.

Cat's Description __________________________________________

Adoption Fee: __________

Name__________________________________________________

Address_________________________________________________

City ______________________ State ___________ Zip___________

Phone: Home ____________________ Business: ________________

Email:__________________________ Other: ___________________

Do you live in a: ____ House   ____ Apt.    ____ Condo   ____with parents

Do you:   ____ Own       ____rent    Landlord's name: _________________

Are pets permitted in the lease  ____Yes ____No  Verified by: __________

Are there restrictions where you live on the size or number of pets? _______

If yes, explain ________________________________________________

How many adults in household? _____ Number of Children:____ Ages_______

Do you _____work  _____attend school

Is anyone home during the day? ______ How many hours/day will the pet be without human companionship? ____________

Does anyone in your household have allergies? ______ If yes, what kind?________________

Who will be responsible for feeding the pet? ________________________________________

Why do you want to adopt a cat: (Check all that apply):

   ____ Companionship      ____ Gift    ____ To Breed    ____ For A Child

    ____ Companion For Other Pet  ____Other _______________________________________

Pets you currently have at home: No. of dogs ______ No. of cats_____ Other______________

Current Veterinarian _________________________ Clinic name: _________________________

Phone No:______________________

Have you ever had other pets before: ____Yes  ____No
If yes, where is the pet now?_______________________________________________________

Have you ever given up an animal to a shelter? ____Yes ____ No
If yes, why? ____________________________________________________________________

What will you do with your pet(s) when you are out of town? _____________________________

What will you do with your pet(s) if you move? _________________________________________

Where will you pet(s) stat during a hurricane? __________________________________________

Are you prepared to care for this cat for (15) years or longer? ____Yes ____No

For Cats Adoption:

Do you plan to let your cat outside? _____Yes ____No

Will you declaw your cat?  _____Yes _____No
If yes, why? ____________________________________

How would you handle jumping on furniture or countertops? ___________________________________

Scratching furniture? _____________________________

Stop using litter box? _____________________________

 

How did you hear about Adopt-A-Cat?

Walk-in _____ Yellow Pages_____ Friend______ Classified_____
Other __________________________

PLEASE READ CAREFULLY:

Adopting a pet is a serious responsibility.  A pet you adopt today will likely be a part of your family for the next 10 to 20 years.  Each pet has its own personality and preferences that you can help shape through love and conscientious training.

A cat requires quality time each day with its family and maintenance such as a cat box cleaning, feeding, petting and brushing.

Cats require special food and regular Veterinary care including shots and preventative medications. 

In some cases expenses could exceed $1,000 a year.

Are you prepared to accept the financial and personal responsibility for a pet? ____Yes ___No

Adopt-A-Cat will follow up with you and your pet by visiting you in your home or by talking with you over the phone.  We would visit by appointment only.  Would you have any objections to this?  _____Yes  _____ No

Adopter's Signature _____________________________________ Date: __________________

Adopt-A-Cat Representative ______________________________