Please Note: All fields are required before submission of this form. Thank You.

    Before you complete this application, please confirm that you are:

    • Parent or Head of Household

    • Age 21 or Older

    • Ready to adopt a cat NOW (We don't "hold" applications for future adoptions)

    This application must be completed by Adult Head of Household/Parent(s) only.
    Please complete all questions and fields. If not applicable, please indicate N/A.

    Date

    Cat or Kitten's Name

    Note: Submitting this questionnaire is not a guarantee of adoption. Our first responsibility is to the cat/kitten and to ensuring a permanent, life-long match. For this reason, we reserve the right to decline any adoption. Regretfully, due to the high volume of applications and limited number of volunteers, we will only be calling back those applicants that are approved.

    About You

    Your Name

    Email Address

    Address

    City

    State

    Zip

    Home Phone

    Work Phone

    Cell Phone

    Applicant's Age

    Reason for Adopting?

    Have you ever adopted from us before?

    If Yes, who did you adopt and when?

    Your Lifestyle:

    Children:

    Ages of children:

    Who will be primarily responsible for the cat's care?

    Is it a gift?

    If anyone under age 18 is living with you, have they been around cats before?

    Does anyone in the household have allergies?

    If Yes, please explain:

    Do you currently have pets?

    If Yes, please specify breed, age, and sex:

    Are they spayed / neutered?

    Are they licensed?

    Cat / Pet Experience

    Cat Experience:

    Age and sex of other cats:

    If you currently have a cat, is the cat an indoor or outdoor cat?

    Please explain:

    Is your current cat(s) spayed/neutered?

    Declawed / Tendonectomy?

    If you had a cat but no longer have your pet, what happened to it and when?

    Any other pets in the home? (Please specify breed, sex, and age and if they are spayed or neutered)

    The characteristics I am looking for in a cat are (check all that apply)

    Are you aware of the dangers of coyotes and other wildlife in this area?

    My cat will spend its time:

    Will the cat be allowed outside? (ie: patio, balcony or backyard)

    If Yes, please explain:

    How do you intend to deal with issues regarding cats clawing furniture, digging potted plants, etc.?

    If Other, please explain:

    How many hours per day will the cat be left alone?

    What kind of behaviors do you feel you cannot accept?

    Under what circumstances would you not be able to keep this pet? (Please check all that apply)

    If Other, please explain:

    Do you have a doggie door?

    If Yes, where does it lead to?

    Home Information

    Type of dwelling

    Rent or Own

    If you Rent, do you have Landlord's permission?

    If renting/leasing, does your landlord require that cats be declawed?

    If renting/leasing, are you willing to pay any required pet deposits? (Your landlord information must be provided above and they will be contacted for verification)

    Years at this residence:

    Please provide the name and phone number of your landlord

    Who will care for the cat while you are traveling or out of town?

    If Other, please explain:

    What will happen if (answer questions below):

    You move somewhere that does not allow pets?

    You get married and spouse does not want cat or has allergies?

    You have a baby or child develops allergies?

    You move locally or out of state?

    Please provide the name and phone number of your current veterinarian, or the veterinarian who treated your most recent pet (if applicable):

    Vet's Name:

    Vet's Phone:

    Do you object the New Beginnings doing a home check prior to adoption of the cat or following placement in its new home?

    Are you willing to provide regular vaccinations, routine vet care, and proper veterinary care if this pet becomes sick or injured?

    How did you hear about New Beginnings for Animals?