Feline Adoption Application

Pet Owners Name:
Email Address:
Phone Number: (Home)
Phone Number: (Work/Cell)
Address:
City:
Postal Code:
My Cat's Name Is:
Breed/Mix:
Colour/Markings:
Age:
Hair Length:
My Cat Is:	Male Female
My Cat is Neutered/Spayed:	Yes No
If not, will owner do?	Yes No
Are vaccinations up to date?	Yes No
If not, will owner do?	Yes No
Name and Phone Number of Cat's Veterinary Clinic:
My cat is: (check all that apply)	litter trained indoor cat indoor/outdoor declawed a hunter/mouser leash/harness trained
I feed my cat:	Dry Food: Canned Food:
Brand of cat food I use to feed my cat:
What type/brand of litter is your cat used to?
Where do you keep the litter box?
What is your cat's favorite toy?
Where does your cat normally sleep?
Tell us three things you like about your cat:
Tell us three things you would change about your cat, if applicable:
What are your cat's favorite activities?
Is there an area on your cat that it does not like to be petted?
Does your cat mind being picked up/held?	Yes No
Does your cat like men?	Yes No
Does your cat like women?	Yes No
Does your cat live with other pets?	Yes No
If yes, does your cat live with other:	Cat Dog
Will your cat share a litter box and food bowls with other cats?	Yes No Unsure
Does your cat have any particular fears such as vacuum cleaner?
How would you describe your cat? (Check all that apply)	One person Cat Shy Friendly Noisy Destructive Quiet Playful Demanding Aggressive Active Aloof Finicky
Is your cat accustomed to:	Brushing Nail Clipping Bathing Vet visits Boarding
I would say my cat would be happiest in a home with: (check all that apply)	Adults Only Children Other Pets
My cat's behaviour with children is:
I am surrendering my cat because:
What advice would you give a potential adopting family about your cat?
Medical History/Special Needs/Problems:
Placement Urgency:	My pet needs immediate placement I can keep my pet until a foster home is found
By submitting this application, I understand that I am agreeing to proceed with 4 Love of Canines placement process and agree to surrender my pet to 4 Love of Canines with the intention of having it adopted to a permanent suitable new home. I understand that a 4 Love of Canines representative will contact me to arrange placement of my pet but that 4 Love of Canines does reserve the right to refuse any pet it deems unadoptable.	Yes No
Date application was sent:
Where did you hear about 4 Love of Canines?