Chain of Hope KC Cat Adoption Application

First and Last Name *

Email *

Cell Phone # *

Home Phone

Address *

City *

State *

Zip *

Your Age *

Which cat are you interested in adopting? *

What about this specific cat appeals to you? *

Why do want to adopt a cat? *

How long have you been looking for a cat to adopt? *

Do any children under the age of 18 live in the home? *

Please list ages of all children under the age of 18 living in the home *

How many adults live in the home? *

Explain how much time you can devote to a cat *

In your opinion, what would justify getting rid of a pet? *

Do you understand and agree that this animal will require routine veterinary care including but not limited to annual examinations, vaccinations including rabies vaccination? *

Have you owned a cat as an adult? *

If yes, what happened to the cat? *

If you have owned a cat has any of the following happened? Check all that apply *

If you checked to any of the responses above, please provide an explanation for all *

List all pets currently living in your household. Please include type, sex and age. *

Are all of the pets in your household spayed or neutered? If not, please explain. *

Have you ever gotten rid of a pet? If yes, please explain *

Do you own or rent your home? If renting, please provide name and contact information of your landlord. *

Would you give up your pet if you had to move? *

Will this cat be kept inside, outside, or both? *

Where will this cat sleep at night? *

On average, how many hours a day will this cat be left alone? *

Do you understand the animal regulations in your city? *

Do you understand and agree to the following? *

Commit to provide for this cat for it’s lifetime

To return this cat to Chain Of Hope if unable to care for it

To notify Chain Of Hope of changes in your address for the lifetime of the animal

Do you have a vet? If so, please provide name and phone number *

Please provide three personal references including name, phone number, and or email for each *

Do you understand and agree that a home visit and meet and greet with any pets in the home may be required prior to placement of this animal? *