Adoption Application

Name*

Date*

Address*

City*

State*

Zip*

Phone*

numbers only

Email*

What is your occupation?*

Why do you want to adopt a cat?*

Other Reason*

Do you live in an house or apartment?*

House

Apartment

Do you have your landlord's permission to own a cat?*

Yes

No

How long have you been at your present location?*

Do you agree to provide us with proof you can own a cat? (A copy of a lease that states you can have a cat, or provide us with a signed letter from your landlord)*

Yes

No

Landlord's Name*

Landlord's Phone*

Will this be your first experience owning a cat?*

Yes

No

How long since you had a cat?

What happened to him/her?

If you currently own a cat, what is your veterinarian's name?

Veterinarian's Address

Vet's Phone

Cats often live longer than fifteen years. Are you committed to caring for a cat for this length of time?*

Yes

No

Veterinary care for a cat averages $300-$500 a year. Are you prepared to provide and pay for any necessary medical treatment that might occur in the future?*

Yes

No

Do you have other pets?*

Yes

No

Breed/Gender?

If you want to adopt a cat or kitten you saw on our website, what is its name?

Is this adoption...*

For your household

A gift for someone

Names of the people in your household. If under 21, include age*

Who will be responsible for the care of the cat?*

Does anyone in your household have allergies to cats?*

Yes

No

Where will the cat be kept during the day?*

Where will the cat be kept at night?*

Where will the litter box be kept?*

Do you travel a great deal?*

Yes

No

How will you provide for the cat when you are away?*

If you move, will you take the cat with you?*

Yes

No

Adoption Application

NEADY Cats Corp., Sterling, MA