L.I.F.E. Animal Rescue Cat Aplication

PLEASE READ FIRST! We try very hard to match the right cat into the right family so that everyone is happy. Due to the large number of applications received, you will only be called if this cat will be the right match for you. Thank you so much for your time and interest!

Name (* require ) First Last
Address (* )
Street Address

Address Line 2(Apt, unit number, etc.)
City State Zip Code
Phone 1 (* ) ### - ### - #### Contact Phone 1 (* ) Daytime Evening
Phone 2 ### - ### - #### Contact Phone 2 Daytime Evening
Email (* )
I would like to adopt (* ) :
Have you ever adopted from us before? (* )

Please select one
Have you ever filled out one of our applications before? (* )

Please select one

-- Please answer all questions below. --

1. Who shares your household? Spouse Parent Children Significant Other Roommate Live Alone
Please check the box(es)
2. What are the ages of your children, if any?

If you have no children, please leave as blank.
- Is this the child’s first pet?
Please select one, if you have children.
3. Do you live in a:
Please select one
4. Do you own or rent?
Please select one
- If you rent, do you have landlord permission for a cat?
Please select one, if you are renting
5. Is anyone in your household allergic to cats?
Please select one

- Who?

If you have no allergy, please leave as blank.
6. Do you have? Balcony Deck Patio Yard
Please check the box(es)

- Will the cat be allowed to go on/in it?
Please select one

Other:
7. Will the cat be?
Please select one
8. If the cat goes outdoors, will it be? With supervision only Out during the day/In at night Whenever it wants On a leash Cat will not go outdoors
Please check the box(es)
9. Will the cat be allowed?
Please select one

I need to explain a little bit more:
10. If you leave for part of the day, will the cat be left?
Please select one
11. Where will the cat sleep at night?
Please check box(es)
Outside Laundry Room Bathroom Garage Anywhere in the House
Other:
12. Is anyone home during the day?
Please select one
13. Have you ever had a cat before?
Please select one

-If yes, what happened to your cat(s)?
Please type, if you had any
14. Do you have other cats?
Please select one

- If yes, how many and their age?
Please type, if you have any

- Have your cats been tested for Feline Leukemia?
Please select one

- Have your cats been tested for Feline FIV(Aids)?
Please select one
15. Do you have any dogs?
Please select one

- If yes, how many and what breed?
Please type, if you have any

- Will dog interact with the cat?
Please select one
16. Do you have a pet door?
Please select one

- If Yes:
Please check box(es)
House to outside House to garage Garage to outside
17. Are all of your animals spayed/neutered?
Please select one

- If no, why not?
Please type, if No
18. Do you plan on declawing this cat?
Please select one

- If Yes, why?
Please type, if Yes
19. When you go on vacation, who will take care of the cat?
Please check box(es)
Relative Neighbor Friend Pet Sitter Board
20. Under what circumstances would you give up your cat?
Please check box(es)
Moving New Job New Baby Divorce Hides Unsocial Bites Large Vet Bills Allergies Not using Litter Box Claws furniture Shedding Does not get along with other pets I would never give up my cat
Other: