Cat Adoption Application

Name*

First Last

Name of Cat

Date of Birth*

Email*

Phone Number*

Mailing Address*

Street Address City State ZIP Code

Is your physical address the same as your mailing address?

Yes, my physical address is the same as my mailing address.
No, my physical address is different.

Physical Address (if different)*

Street Address City State ZIP Code

Do you own or rent?*

Own
Rent

Landlord Name*

First Last

Landlord Phone Number*

Do you have children?*

Yes
No

Children's Ages

Are you aware that as a parent/guardian and responsible pet owner, that it is your responsibility to provide supervision during any interaction between pets and children?*

Yes
No

Are you aware it is your responsibility to teach your children humane treatment of animals and proper handling?*

Yes
No

Do you have other pets?

Please list your pets, species, age, name, and gender. Click the "plus sign" to add another pet.

How many pets have you owned in the past 5 years?*

Do you still have them?

Yes
No
Some of them

If not, please explain:

Who provides your pet’s veterinary care?

Veterinarian's Phone number

Where will your cat be kept during the day:

Where will your cat be kept at night:

Are your pets allowed on furniture?

Yes
No

Please tell us why you are adopting a pet (companion, companion for another pet, gift, a mouser, a watch dog, for a child, other)*

The pet will be alone without human companionship for approximately how long during the day?*

Please describe your ideal cat:

Do you plan on having a litter box inside for your cat or letting your cat outside?*

How will you introduce your new cat to other animals in your home?

What is your plan if your new cat and current animals do not get along?*

Do you have any questions/concerns in regards to the pet you are adopting?*

Where did you hear about us?

Would you like to be on our mailing list?

Yes - I would like to receive newsletters
No thank you

By signing below, I certify that the information I have given is true and I recognize that any misrepresentation of facts may result in my losing the privilege of adopting a pet. I understand that the Ark has the right to deny my application. I understand that adopting a pet is not “first come, first serve,” and that the Ark operates on placing animals in adoptive homes that are the best possible fit. I also authorize investigation of all statements in this application. I understand that there may be a 24-hour waiting period to verify the facts in this statement,

Please enter your full name as your signature.*

Cat Adoption Application

Cat Adoption Application

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Cat Adoption Application

Cat Adoption Application

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