Subject
Name of Cat
Full Name
Spouse Full Name
Address Line 1
Address Line 2
City
State
Zip
How long at current address?
Phone
Phone 2
Email
Place of Employment
How did you hear about us? (Check all that apply) Newspaper Facebook Twitter Friend/Family Member Petfinder.com Adopt-a-pet Offsite location (Petsmart, Festival) (please specify location below)
Age of cat? Baby KittenUnder 1 yearAdultSenior
Sex of cat? MaleFemale
Type of cat? IndoorOutdoorBoth indoor and outdoor
Previous animal name / type (dog or cat)
Previous cat/dog age
What happened to previous cat/dog?
Previous cat/dog spayed/neutered? YesNo
Previous cat declawed? YesNo
Previous cat/dog (2) age
What happened to previous cat/dog (2)?
Previous cat/dog (2) spayed/neutered? YesNo
Previous cat (2) declawed? YesNo
Current animal name/type (dog or cat)
Current animal age?
Current animal spayed/neutered? YesNo
Current cat declawed? YesNo
Current animal go outside? YesNo
Current animal (2) age?
Current animal (2) spayed/neutered? YesNo
Current cat (2) declawed? YesNo
Current animal (2) go outside? YesNo
Current animal (3) age?
Current animal (3) spayed/neutered? YesNo
Current cat (3) declawed? YesNo
Current animal (3) go outside? YesNo
Have you ever surrendered a pet? YesNo
If so, please explain:
Number and ages of children living in household:
What member of the family will be taking the MAJOR responsibility of caring for this pet? And how old are they?
When you go on vacation, where will your cat go and who will take care of it?
Would you allow FPA to do a Home Visit? YesNo
If you move, what will you do with your cat?
What type of housing will the cat live in? (PLEASE CHECK ALL THAT APPLY) Apartment Condo Townhouse Two-Family House
What is your current housing situation? RentOwnLive with parentsOther (please specify below)
Other housing situation:
If you rent , do you have permission from your landlord to have a pet? YesNoNot sure
Landlord's Name
Landlord's Phone
What are your plans for your new cat? De-claw Let your cat in the backyard Let your cat on the porch Walk your cat on a leash Let your cat outside during day Let your cat outside at night
Are you willing/able to take your pets to yearly check-ups? Yes No
Do you believe you can provide a good home for your pet for its whole life (15+ years)? Yes No
Are you willing to give your cat/kitten time to adjust to its new environment? (This could take several weeks) Yes No
Vet's Name
Vet's Address
Vet's Phone
Reference one name:
Reference one phone:
Reference two name:
Reference two phone:
Should your cat become ill and require costly medical services, will you be able to allocate sufficient resources for healthcare to preserve his/her life? YesNoNot sure
I certify that I have read this questionnaire and that all information I have given is true and accurate, and that I understand that any falsification may result in the nullification of an adoption. (TYPE YOUR FULL NAME AND DATE TO CONFIRM)
The FORGOTTEN PET ADVOCATES reserves the right to deny any adoption. MUST BE 21 AND OVER TO ADOPT. The Forgotten Pet Advocates Cat Adoption Fee is $175.00