Name of Cat:
 
Name
Address
City, State, Zip    
Daytime Phone
Evening Phone
Cell Phone, if any
Email Address
Drivers License / State Issued   State:
Date of Birth
Type of home you live in
Do you own or rent your home?
If you rent, please provide landlord info Name:    Phone Number:
Adopting a cat is a great responsibility.  You will be sharing your life with an animal who is totally dependent upon you for food, shelter, clean up, and veterinary care.  Cats can live for 15 to 20 years, so your cat will need your care for as long or longer than a human child would.  Costs of caring for a cat can range from a few to many hundreds of dollars per year.  Are you willing and able to make this lifelong commitment to a cat? 

Type of Cat
1. Why do you want a cat/kitten?
2. Which qualities or traits do you want your cat to have? (check all that applies) Plays with adults   Plays with kids   Plays with other animals   Plays independently
Not very playful   Couch potato   Calm   Active   High Energy   Hyperactive
 

Silent   Some chirps/trills/meows   Talkative   Very Talkative

 

Likes being held/carried   Lap cat   Affectionate   Independent   Aloof

 

Shy   Social   Outgoing

  Mom-Dads Little Baby   One of the gang   Nurturer   Queen/King of the house
  Short fur   Medium fur   Long fur
 

Petite   Small   Average   Large   As big as possible

 

8 weeks of age or less   2-4 months   5-12 months   1-4 years   4-8 years   8+ years

  Neutered male   Intact male   Spayed female   Intact female   Claws intact   Declawed 
 

 

Life with Cats
3. Cats require a few days to a few months to adjust to their new home.  How much time can you allow for your new cat to adjust? Days ; Weeks ; Months
4. Please list each household member and how they feel about having a new cat.
5. Who will take care of the cat?
6. How many hours each day, on average, would your cat be with people?
7. Where will your cat stay while you are away for short periods of time?
For longer periods of time?

8. Will you use a pet carrier to transport your cat?
9. Do you think cats should be vaccinated: Once a year  ;  Once every 3 years ; Only as kittens ;

Never, vaccinations are too dangerous

10. Which diseases do you think cats should be vaccinated against? Distemper   Respiratory Diseases   Rabies   Feline Leukemia   FIV   FIP
11a. In the past, have you spayed/neutered: Some pets   All Pets   None
        Why or why not?
11b.  Do you think your new cat should be: Spayed or neutered immediately   Altered after breeding once   Allowed to breed at will
        Why or why not?
12a. In the past, have you declawed a cat: As soon as possible   Only if it become destructive   Only if it scratches someone   Front only   All paws   Not at all
        Why or why not?
12b. Do you think your new cat should be declawed: As soon as possible   Only if it become destructive   Only if it scratches someone   Front only   All paws   Not at all
        Why or why not?
13. Would your cat be: Indoor only   Indoor with access to an outdoor fenced or roofed area   Indoor with access to the outdoors while on a leash   Indoor/Outdoor   Outdoor
 
Household Information
14a. Name of each adult in household and Occupation
14b.Name of each child in household and age
15. Do you have children visiting?
15b. If yes, how often?

15c. If yes, what are their ages?

16. Is any household resident or visitor allergic to cats?
17. Would you agree to have a Touched By A Paw representative visit your home?
 
Pet History
18. Please list all pets CURRENTLY in your household:
Pets Name Owners Name Cat/Dog/Other Age Sex Years Owned
*If you have more than 5 current pets, please use the comment section at the bottom of this application to add additional pets..

19. Please list all other animals you have owned in the past ten (10) years (other than those listed above):
Pets Name Cat/Dog/Other Years Owned What happened to this pet?
*If you have had more than 5 previous pets, please use the comment section at the bottom of this application to add additional past pets..
Planning for the Future
20. What would you do if you had to move to a place that did not allow cats?
21. What if another person bonded with your cat and wanted to adopt it from you?
22. What if a family member or friend did not get along with your cat?
23. What if your significant other decided s/he did not want a cat?
24. What if your cat developed an incurable but treatable medical problem?
25. What if someone in your household developed an allergy to cats?
26. What if your cat developed a behavior problem?
27. If you had to give up your cat, what would you do?
References
28. Present or most recent employer:
Name:  City/State:  Phone:
29. Previous employer:
Name:  City/State:  Phone:
30a. In the event of a serious illness or untimely death of you or someone in your household, is there someone who would take care of your cat for the remainder of its life? 
30b. If yes, who?
Name:   Address:   Phone:
31. Current or most recent veterinarian: (if this is your first pet, tell us which vet you are planning to use)
Name:   City/State:  Phone:
32. Additional reference: (someone who is not a family member)
Name:   Address:   Phone:

Release and Affidavit

   By submitting this application electronically, I   give permission to any vet to release all information of all animals that have been or are presently in my care to Touched By A Paw representative in order for my application to be processed.  If my application is approved, then permission granted will extend for the lifetime of each cat I adopt from Touched By A Paw.  (After submission of this application, you will be required to print this Release, sign the release, and fax back to Touched By A Paw)

 By submitting this application electronically, I certify that all of the information in this application is true, and I understand that false information will result in the immediate rejection of my application.


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