Cat/Kitten Adoption Consultation Form

 

 

www.coolcatsrescue-az.org

Email Form To:

info@coolcatsrescue-az.org

We will contact you within 24 hours

†††††††††††††††††††

 

Date:

 

Cat or Kitten Selected:

 

Name

 

Email:

 

Address:

 

Unit #

 

City:

 

Zip:

 

Home #

 

Cell #:

 

 

Current Employer:

 

No. of Years

 

 

What physical characteristics are you looking for in your new pet?††††††

I would like my new cat/kitten to be:

 

 

 

Male

 

 

Female

 

 

No Preference

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I would like my new cat/kitten to have:

 

 

 

Long Hair

 

 

Medium Length

 

 

Short Hair

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I would like my new cat/kitten to be:

 

 

 

Small

 

 

Medium

 

 

Large

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

My new cat/kitten will be:

 

 

 

Outdoor

 

 

Indoor

 

 

Outdoor Mostly

 

 

Indoor Mostly

Would you consider adopting an animal with special needs?

Yes

 

No

 

Maybe

 

 

The following are questions about your current and previous pets.

Is this your first pet?

 

Yes

 

 

No

 

 

 

Have you had cats and dogs previously?

 

Cats

 

 

 

Dogs

 

 

What happened to them?

 

 

My pets are/were kept:

 

 

 

Outdoor

 

 

Indoor

 

 

Outdoor Mostly

 

 

Indoor Mostly

 

In the section below, please describe your current pets.††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††

Pet

Species (cat, dog)

Breed

Gender

(M/F)

Age†††† (in yrs)

Spay/Neut (Y/N)

Declawed (Y/N)

Vaccinated (Y/N)

1

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

Additional Comments:

 

 

 

 

 

 

The following are questions about your home and family.

 

I currently

 

 

Own my house

 

 

Rent a house

 

 

Rent an apartment

 

 

†† Other

 

If other, please explain

 

 

If renting, does your landlord allow pets?

 

 

Yes

 

 

 

No

 

 

 

I donít know

 

Does your landlord require a security deposit for pets?

 

 

Yes

 

 

 

No

 

 

 

I donít know

 

Does your home have a pet or dog door?

 

 

Yes

 

 

 

No

 

 

 

 

 

How many children live in your home?

 

What are their ages?

 

 

Is anyone in your home allergic to dogs or cats?

 

Yes

 

 

No

Is this cat / kitten a gift?

 

Yes

 

 

No

 

Approximately how many hours a day will your new cat/kitten be unattended while your family is at work or school?

 

 

 

0 hours

 

 

1 – 3hours

 

 

3 – 6 hours

 

 

6 – 9 hours

 

 

Over 9 hours

 

Where will your cat/kitten be kept during the day while you are away?

 

Inside

 

 

Outside

 

 

Other

 

If other, please explain.

 

 

Where will your cat/kitten be kept during the night?

 

Inside

 

 

Outside

 

 

Other

 

If other, please explain.

 

 

When you are out of town how will your pets be cared for?

 

 

 

If you move out of town what do you plan to do with your pets?

 

 

 

If you become unable to care for your pets, what provisions will you make for their care?

 

 

 

 

How much are you willing to spend per year on medical expenses for your cat?

 

 

 

$0 - $100

 

 

$100 – $200

 

 

$200 - $500

 

 

$500 - $800

 

 

No Limit

 

How did you find out about Cool Cats Rescue: (check all that apply)

 

 

Petfinder

 

Previous Adoption

†††††

Adopt-a-Pet

 

Website

 

Veterinarian

 

Special Event

 

Friend/Relative

 

Petco Visit

 

 

I represent and warrant that all the statements made above are true and correct to the best of my knowledge, that I have disclosed all facts and have not withheld any pertinent information.I understand that making any false or incomplete statement or any misrepresentation of the facts may result in the removal of the adopted Pet from my home by Cool Cats Rescue.

 

 

Signed:

 

Date: