Online Adoption Application

Name *

First

Last

Age *

Spouse/Roomate: *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you own or rent your current residence? *

Own Rent

If you rent, please provide the name and telephone number of your landlord: *

Home Phone Number *

Cell or work phone number *

Email *

Please list the names and ages of any children living with you: *

Are you applying for a specific cat or kitten? *

Yes No

If yes, please note name or desciption: *

If no, please describe the color or breed you would be interested in: *

Age of cat/kitten you would be interested in: *

Kitten (Under 1 year) Adult (1-9 years) Senior (10+ years)

Sex: *

Male Female Doesn't Matter

Will you new cat be: *

Indoor Only Outdoor Only Both Indoor & Outdoor

I would need a cat that gets along with: *

Other cats Dogs Babies/Toddlers Children

Do you plan on declawing: *

Yes No Undecided

For whom are you adopting this pet? *

Who will be the primary caregiver? *

On average how many hours will the new cat be left alone each day: *

What provisions will be made for he or she during that time: *

If you move, what will happen to your cat: *

When on vacation or an extended trip, what do you plan for your pet's care: *

How much time are you willing to give your new cat to adjust to his/her new home: *

Some of our foster cats have formed a very strong emotional attachment to another foster cat usually resulting from a trauma or stressful event in their life. It is what we refer to as “bonded pairs”. If the cat you are interested in is part of a bonded pair, would you be open to the idea of learning about their relationship and possibly adopting both in order to keep them together? *

Yes No Unsure

Do you currently have any cats? If so, please list their names and ages below: *

Are any of your current cats declawed? *

Yes No Not Applicable

To your knowledge, have your current cat(s) been tested for FeLV and FIV (Feline AIDS and Leukemia)? *

Yes No Not applicable

Do you currently own any dogs? If so, please list their names, breeds and ages below: *

To your knowledge, are all of your animals current on their vaccinations? *

Yes No Unsure Not Applicable

Are all of your current pets spayed and/or neutered? *

Yes No Not Applicable

Please list all previously owned pets and the reason they are no longer with you: *

Have you ever given away or returned a pet for any reason? If yes, why and to whom? *

Will your new pet be allowed on furniture, counters etc? If not, how will you prevent this behavior? *

Personal References. Please list the names, phone numbers and relationship of two personal references, one of which is a non-family member: *

Veterinary Reference: Please list the name, address and phone number of your current veterinarian or if possible an old one if you currently are without any pets: *

By submitting this application, I am giving my consent for Kitty Junction to contact my personal and veterinarian references as well as my landlord if applicable. I am also giving my veterinarian permission to release any medical information to them. I certify that all the information on this form is true and correct. I understand that false or deliberately misleading information may result in the refusal of adopting privileges or removal of the adopted cat from my home at the time of discovery. I understand that the adoption of this cat is a great responsibility and that the cat will be dependant upon me for food, water, shelter, cleaning and veterinary care for the term of its life which can at times be anywhere from 15-20 years. I also understand that this can involve extensive yearly costs. I understand by signing this application, I am willing and able to make a commitment to share my life and love with this cat. Please type your name as Applicant's Signature: *

Submit