Fat Cat Haven Cat Adoption Application

Name Name First Last
Email
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Who is the primary caregiver for this cat?
Reason for wanting cat

Reason for wanting cat Companion Mouser For Children Gift Breeding Other Other
Name of Veterinarian
Location of Veterinarian
Vacation and Time Away from Home, including work schedules
Residence

Residence Single Family House Condo Apartment Mobile Home Shared Housing Temporary Housing Other Other
If you are renting, have you verified with landlord that pets are allowed and that you have a pet deposit?

If you are renting, have you verified with landlord that pets are allowed and that you have a pet deposit? Yes No Not yet
I live with:

I live with: Alone Spouse Children Parent Roommate(s) Other Other
How many in household? What are their ages? Does anyone have allergies to cats?
Cat will stay:

Cat will stay: Indoors Only Outdoors Only Indoors and Outdoors
Where will your cat spend the night?
List all the pets you've had in the past five years.

Type
Breed
Age
Sex (spayed or neutered?)
Number years with you
Still living with you?
If not, why?
Questions or Comments
Please read and sign: Many factors determine which applicant will be matched with a particular pet. If you are not able to adopt a pet today, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place all animals into homes that will best suit their individual needs. Please ask for clarification if you have any questions.

By my signature, I acknowledge that I have completed this application truthfully and fully understand the adoption process.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.