please print and complete

Adoption

Application
Name                                                                                                       

Address                                                                                                  

City                                                           State               Zip                  

Phone (             )                         -                                    

 Approved                                      

Not Accepted                                

Signed                                            

Please answer all questions

 YES        NO         1.    Have you ever had a cat before?

 YES        NO         2.    Do you have small children?

 YES        NO         3.    Do you have other cats or dogs?

 YES        NO         4.    Will this cat be an inside pet?

 YES        NO         5.    Do you have a veterinarian now?

 YES        NO         6.    Are you able to provide financially for your cat?

 YES        NO         7.    Will you spay/neuter your pet with old enough?

 YES        NO         8.    If you adopt a pet from the kitty koop and your pet doesn't work out, 

                                    you must return your pet to the kitty koop.  Will you agree to this?

 YES        NO         9.    Are you aware that owner surrendered pets are the first to be put down at 

                                    animal shelters?

Signature                                                                   Date                                            

Witness                                                                     Date