Pet you are interested in:
Cat
Dog

Pet name:

Name:

Address:

City:

State:

Zip:

Phone number:

Work number:

Employed by:

Cell number:

Email Address:

Number of years at current address:

Number of adults living in household:

Number of children in household:

Ages of children in household:

Type of housing:

If you rent or lease, do you have permission to have pets:

If you rent or lease, landlord's name and number:

Other cats and dogs previously owned. Please list each dog/cat by name and tell us what happened to each. If they are still living with you please make a note of it. Also note whether each was spayed or neutered:

I am interested in a pet that will get along with: (check all that apply)
Cats
Dogs
Children
Toddlers

What are your plans for your new cat: (check all that apply)
De-claw
Walk cat on leash
Let cat in backyard
Let cat on porch
Let cat outside during the day
Let cat outside at night

Which member of the family will be taking the MAJOR responsibility of caring for this pet:

Please indicate where you plan to have your pet sleep and where it will spend the day:

If you move, what will you do with your pet:

When you go on vacation, where will your pet go and who will care for it:

Do you have a fenced in yard?:

Type of fencing and height:

Who is the veterinarian that you would use:
Name:
Location:
Phone:

Who is the veterinarian that you used previously (if different):
Name:
Location:

Have you or your spouse ever released a pet to a shelter? Please explain:

Under what circumstances would you consider giving up your pet?:

How much do you think it will cost to feed this pet for a week?:

How much do you think it will cost for medical care per year?:

Are you going to spay/neuter this pet?:
Yes
No

How many hours will your pet be left alone each day?:

Is anyone home during the day?:
Yes
No

May we call your vet and ask how you take care of your animals:
Yes
No

Should your pet become ill and require costly medical services, will you be able to allocate sufficient resources for the health care to preserve your pet's life:
Yes
No

What brand of pet food do you use?:

Are you willing to let a Catnip representative make announced visits to your home to check on the welfare of the animal?:
Yes
No

What would you do if the cat clawed the furniture or shows other destructive behavior?

Please tell us anything else you may want us to know:

Please provide two references - people who know you that are not family members with their names and phone numbers.

We reserve the right to reject any applicant.

Please, don't forget to click on the "Submit" button when you are finished filling in the applicaiton.