Name
*
First Name
Last Name
Pronouns
Age
*
Phone Number
*
(###)
###
####
Email
*
Co-Applicant's Name
First Name
Last Name
Co-applicant's pronouns
Co-Applicant's Phone Number
(###)
###
####
Co-Applicant's Email
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Occupation and Employer
*
How did you hear about us?
*
Petfinder
Web Search
Word of mouth - let us know who!
Veterinarian
Neighborhood Flyer/Card
Instagram
Facebook
Why would you like to adopt a cat?
*
Do you have other animals?
*
If yes, please list
1) Species 2) Age 3) Sex 4) How long you have had them 5) Date of last vaccinations 6) Any medical conditions
If you have other cat(s), what is their personality?
Have they been around other cats before? Where did you get them from? How old were they when you got them? Male/Female?
Who will care for the cat(s) if you are away?
*
What is the pet policy where you live?
*
Please list name, age and relationship of anyone else living in the home.
*
Please also include a contact number for all adults in the home. (If not the co-applicant)
Do all of the windows in your house have secure screens on them?
*
Will you keep the cat indoors at all times?
*
Yes
No
If your cat stopped using the litter box, what would you do?
*
Would you ever have your cat declawed?
*
Yes
Maybe, depending on behavior
Never
How many hours a day are you typically away from home?
*
Have you ever given away an animal or taken on the a shelter? If so, please tell us about the situation.
*
What do you expect monthly expenses for your cat to be, outside of vet expenses?
*
If you were no longer able to afford to care for your cat or had other extenuating circumstances that prevented you from adequately caring for your cat, what would you do?
*
Do you or does anyone else in your house smoke?
*
Yes
No
If yes, what is your plan for keeping secondhand smoke away from your cat?
Will you take your cat to the vet for annual exams and vaccinations?
*
Yes
No
Probably
Do you agree to have a live video home-check?
*
Yes
No
Would you be willing to keep in touch with LTPC and periodically update us on how the cat is doing and/or send photos?
*
If you do decide to adopt from LTPC, we charge a $150 adoption fee per cat to cover our expenses. Do you agree to pay this fee prior to picking up the cat?
*
Yes
No
If approved for adoption, do you agree to take possession of the cat within 5 days approval?
*
Yes
No
Do you currently have other applications pending with other rescues?
*
Once we contact you to let you know that your application is actively being processed, we are putting great a deal of time and effort into pairing you with your forever kitty! Please let us know immediately if you change your mind and need to withdraw your application.
Full Legal Name (As Signature)
*
First Name
Last Name
Date
*
MM
DD
YYYY
Reference #1: Professional
*
First Name
Last Name
Reference #1 Phone
(###)
###
####
Okay to text?
Yes
No
Reference #2: Personal
*
First Name
Last Name
Reference #2 Phone
(###)
###
####
Okay to text?
Yes
No
Reference #3: Veterinarian
If you currently have a pet.
First Name
Last Name
Vet's Phone
(###)
###
####
