Adoption Form

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* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Choose One *

Male Female No preference

Choose One *

Kitten (under 5 months) Adult No Preference

Name of cat you are interested in *

Personality Type *

Color *

How many people currently reside in your household? *

Any children in the household? *

Yes No

If yes list ages: *

For whom are you adopting the cat for? *

Self Gift

Does any member of your family have any allergies to animals? *

Yes No

Who will be responsible for the cats care? *

Where do you live? *

Apartment Condo Farm Mobile Home Townhouse House

Do you own or rent? *

Own Rent

If you rent what is your landlords name and number? *

Where will the cat be kept? *

Indoors Only Outdoor Only In and Out

If outdoors, will the cat be: *

Attended Unattended Collar and Tags?

Will anyone be home during the day? *

Yes No

How long will the cat be left unattended? *

When no one is home, where will the cat be kept? *

If you move, what will you do with the cat? *

Do you have a contingency plan in place for your animals should anything happen to you? *

Do you have any other animals? *

Yes No

Describe any animals you care for. Age, breed, time in your care, neutered or spayed. *

Please provide the name of your vet *

Are you financially able and willing to provide annual checkups, vaccinations and any medical care necessary? *

Yes No

What will you do if your new cat does not get along with your other animals? *

Do you agree to never declaw your cat? *

Yes No

Have you ever adopted an animal from a rescue/animal control agency? *

If a disciplinary or behavior problem arises, what steps will you take to work on it? *

Are you willing to sign legal adoption papers? *

Yes No

Do you agree to permit a visit to your home/farm by appointment? *

Yes No

By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand
that any misrepresentation of fact may result in Catty Shack IL refusing adoption privileges to me/us. If my/our
request for adoption is approved and later Catty Shack IL discovers the above information is not true or correct,
Catty Shack reserves the right to remove the adopted cat from my home/farm.

Sign Here *

Submit

Home
About Us
Donate
Adopt a Cat!
Contact
Merch
FAQ