If you're interested in a particular cat/kitten in our adoption program, please list the name(s) and that of the foster volunteer(s):

Your Full Name:

Age

Home Phone

Work Phone

Cell Phone

What is the best time to contact you by phone?

Email Address
        (please enter carefully as we cannot respond to mistyped email addresses)

Address

City

State

Zip

If applicable, please provide name and phone number of your Apartment Complex/Landlord:

Do you live in a: House Apartment Condo Mobile Home

Do you own or rent?   Own    Rent

If you rent, what is the pet policy?

How long have you been at this address?

How many people are in the household?

What are their ages?

Do you or anyone in your household suffer from pet allergies? Yes No

If yes, please explain:

Would you describe your home as:
Calm/Quiet Some activity Grand Central Station

Please list your previous/current pets:
For each pet, please indicate Name, Age, Type/Breed, if it was spayed or neutered, how long you owned it, whether you still own it.

Have your cat(s) been tested for feline leukemia? Yes No

What was the test result? Positive Negative

Would your new cat be living with or have any of these as frequent visitors?

(Check all that apply)

Childen under 10 Teenagers Other cats
Dogs Pet birds Pet rabbits/rodents
Other

Please provide the name and phone number of your primary veterinary clinic:

Do you collar and tag your pets? Yes No

What best describes the primary pet caregiver?  (check all that apply)
Retired
Stay at home parent
Employed full time
Employed part time
College Student
Child/Adolescent

How did you hear about the Kalamazoo Animal Rescue?

Have you ever contacted the Kalamazoo Animal Rescue before?

Would you like to receive the our email newsletter? Yes No

Are you a first time cat owner? Yes No

Will this cat be living with you at the address you provided? Yes No

If not, please explain:

What type of cat are you interested in? Male Female No Preference

Are you looking for a particular coat length?  
Short Medium Long No Preference

Have you considered the advantages of an adult cat over a kitten?
Yes No

Would you consider adopting a special needs cat (ie. blind, 3-legged)?
Yes No

Are you flexible regarding age? Yes No

Are you looking for a particular age cat?
Select all you would consider:
8 weeks to 6 months
6 months to 1 year
1-5 years
5+ years

What role would you like your new cat to play in your life?  
Companion   Family pet   Barn Cat
Mouser   Other

If other, please explain:

How many hours during the average work day will the cat be left alone?

What traits would you like most in your new cat? (Check all that apply) Calm Active Quiet Talkative Curious
Playful Independent Lap cat Affectionate
Confident Cautious
Other - Please Explain

What behaviors would you have a hard time dealing with? (Check all that apply)
Shy Aloof Excessive Shedding Nervous
Scratching Biting Digs in plants/garden
Too energetic Plays rough (with children)
Noisy/meows a lot Escaping behavior
Poor litterbox habits Gets on counter/furniture
Not good with other pets Poor mouser
Other - please explain:

Where will the cat be kept? Inside Outside Both

Will the cat be restricted to a certain area?   Yes No

If yes, please describe:

Are you looking for a declawed cat? Yes No Doesn't Matter

Do you plan to declaw your new cat? Yes No Maybe

What kind of solution would you be willing to try if the cat scratches inappropriately?

(Check all that apply)

Obtain a scratching post Try different type of scratching post/surface
Trim cat's nails Declaw cat
Find new home for cat None
Other - please explain:

What kind of solution would you be willing to try if the cat develops problems using the litterbox?

(Check all that apply)

Scoop/clean more often Use a cat door Have cat examined by vet
Find a new home for the cat None
Other - please explain

Would you still be able to care for this cat if your home or family situation changed (divorce, relocation)? Yes    No

Who will decide what happens to your cat in the event you are no longer able to care for it?

Are you able to afford food and litter (approx. $20 per month) and a yearly vet exam (approx. $50-100) for a cat? Yes No

The average lifespan of a cat is 15 years. Are you prepared to make a lifelong commitment to a new cat? Yes No

Any Additional Comments: