* Required fields
Name *
E-mail Address *
Address *
City *
Zip Code *
Occupation *
Phone Number (Home) *
Cell Phone number *
Work Number
Name of cat(s) you are interested in: *
Why do you want to adopt a rescue cat/kitten? *
Will you be declawing your cat/kitten? *	Yes No Undecided
How many adults are in your household, including yourself? *	One Two Three Four Five Six Seven Eight Nine Ten
How many children (under 18)? Please list their ages... *
If there are no children, do you expect this to change during the lifetime of the pet?	Yes No
Is every member of the family in agreement to adopt this pet? *	Yes No
Does any member of your family have allergies or asthma? *	Yes No
If yes, what type?
Is someone home during the day? *	Yes No
If yes, who?
How many hours a day will this pet be alone during the day (on a regular basis)? *	Less than 3 Between 3 and 6 Between 6 and 8 Between 8 and 10 More than 10
When I am home this pet will be kept? *
When I am not home this pet will be kept? *
Where will this pet sleep (be specific)? *
Do you live in a: *	House Townhome Apartment Duplex Condo Mobile Home Boat
Do you own or rent? *	Own Rent
If you rent, what is the name and number of your landlord?
If you had to suddenly relocate or had other drastic lifestyle changes that made it hard to keep your new pet what would you do with him/her? *
How do you feel about cats living outside? *
Have you ever had a cat/kitten before? *	Yes No
How long have you had your cat? *
If you no longer have this cat...why?
Have you ever had to give up a pet anytime in your life? *	Yes No
If yes, where did the cat go?	Animal Shelter Family/Friend Home through newspaper Gave to a rescue Other
Please list all the reasons you can think of that you would not be able to keep your adopted cat. PLEASE BE HONEST WITH YOURSELF…there are always legitimate reasons and this will help us match you with a dog that suits your needs. *
Is your cat allowed on the furniture? *	Yes No
Do you have a current vet? If so, please provide his/her name, vet office name, phone numer, and city. *
Does your commitment to your new pet include working through issues (ie: fear of strangers, fear, clawing furniture, etc.? *	Yes No Depends on issues
If your answer above stated "depends on issues", please elaborate...
What will you do if your cat/kitten claws your furniture, climbs your drapes, and/or your sprays in the house? *
Is there anything else that you'd like for us to know?
Do you have a pet now? *	Yes No
What type of pet(s) do you have?
Is your pet good with other animals?	Yes No Not sure Sometimes
If applicable, are your pet(s) spayed or neutered (altered/fixed)?	Yes No
Please list breed, sex, and age of your current pet(s)...
Will your cat live: *	Indoors only Outdoors only Indoors/Outdoors

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Thank you for your interest in one of our rescue cats and for the submission of your application. PLEASE BE ADVISED THAT FILLING OUT THIS QUESTIONNAIRE IS NOT A GUARANTEE OF ADOPTION.

Also, please understand that Love 4 Canines reviews adoption questionnaires with the sole intent of making the best long-term companion match possible. Your filling out this questionnaire & your interest in one of our rescue cats is greatly appreciated!

http://www.love4canines.org

There is a nonrefundable donation fee for all adopted animals.