Pets change our lives. We are on a mission to change theirs.

DONATE

Cats
Adopt
Foster
- Foster Opportunities
- Consider Fostering
Volunteer
- Volunteer With Us
- Apply to Volunteer
Help Us
- Donate Supplies!
Resources
About
Events
- Event Calendar
Contact

Cat Adoption Application

1Applicant

2Family

3Home

4Care

5Preferences

This field is hidden when viewing the form
Default: Cat Adopter Status
First Name*
Last Name*
This field is hidden when viewing the form
Age Range*
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
This field is hidden when viewing the form
Home Phone Number
This field is hidden when viewing the form
Work Phone Number
Phone Number*
Preferred Method of Contact
This field is hidden when viewing the form
Preferred Method of Contact
Employment & Schooling
Are You Employed?*
- Yes
- No
- Retired
Full or Part Time?*
This field is hidden when viewing the form
Name of Employer
This field is hidden when viewing the form
How Long Employed There?
Are You in School?*
- Yes
- No
Full or Part Time?*
How Did You Hear About Us?*
This field is hidden when viewing the form
What Is Your Friend's Name?*
This field is hidden when viewing the form
Which Shelter?*
This field is hidden when viewing the form
Which Rescue?*
This field is hidden when viewing the form
Please Describe*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Adults
Are There Other Adults In The Home?*
- Yes
- No
How Many?*
Adult 1
First Name*
Last Name*
Age Range*
Relationship To Applicant*
Adult 2
First Name*
Last Name*
Age Range*
Relationship To Applicant*
Adult 3
First Name*
Last Name*
Age Range*
Relationship To Applicant*
Adult 4
First Name*
Last Name*
Age Range*
Relationship To Applicant*
Children
Are There Children In The Home?*
- Yes
- No
How Many?*
Child 1
Name*
Age*
Previous Experience With Cats*
Child 2
Name*
Age*
Previous Experience With Cats*
Child 3
Name*
Age*
Previous Experience With Cats*
Child 4
Name*
Age*
Previous Experience With Cats*
Cats
Have you ever surrendered a cat to a shelter?*
- Yes
- No
Please Explain*
Do You Now Or Have You Ever Had a Cat?*
- Yes
- No
How Many?*
Cat 1
- Cat's Name*
- Where Did You Get The Cat?*
- Please Explain*
- This field is hidden when viewing the form
  Breed*
- Are they current on vaccinations?*
  - Yes
  - No
  - Don't Know
- Have they been tested for FiV?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Is the Cat Still Living With You?*
  - Yes
  - No
- Why Not?*
- Why Was Cat Euthanized?*
- Have your pets been spayed or neutered?*
- Have they been tested for feline leukemia?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Has Cat Been Declawed?*
  - Yes
  - No
- Which paws have been declawed?*
Cat 2
- Cat's Name*
- Where Did You Get The Cat?*
- Please Explain*
- Are they current on vaccinations?*
  - Yes
  - No
  - Don't Know
- Have they been tested for FiV?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Is the Cat Still Living With You?*
  - Yes
  - No
- Why Not?*
- Why Was Cat Euthanized?*
- Have your pets been spayed or neutered?*
- Have they been tested for feline leukemia?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Has Cat Been Declawed?*
  - Yes
  - No
- Which paws have been declawed?*
Cat 3
- Cat's Name*
- Where Did You Get The Cat?*
- Please Explain*
- Are they current on vaccinations?*
  - Yes
  - No
  - Don't Know
- Have they been tested for FiV?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Is the Cat Still Living With You?*
  - Yes
  - No
- Why Not?*
- Why Was Cat Euthanized?*
- Have your pets been spayed or neutered?*
- Have they been tested for feline leukemia?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Has Cat Been Declawed?*
  - Yes
  - No
- Which paws have been declawed?*
Cat 4
- Cat's Name*
- Where Did You Get The Cat?*
- Please Explain*
- Are they current on vaccinations?*
  - Yes
  - No
  - Don't Know
- Have they been tested for FiV?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Is the Cat Still Living With You?*
  - Yes
  - No
- Why Not?*
- Why Was Cat Euthanized?*
- Have your pets been spayed or neutered?*
- Have they been tested for feline leukemia?*
  - Yes
  - No
  - Don't Know
- Was it positive or negative? (If positive Please describe what treatment was provided for this condition)*
- Has Cat Been Declawed?*
  - Yes
  - No
- Which paws have been declawed?*
Other Animals
Are There Other Animals In The Home?*
- Yes
- No
How Many?*
Other Animal 1
Animal Type*
Breed*
Sleeping Quarters*
Socialibility*
Other Animal 2
Animal Type*
Breed*
Sleeping Quarters*
Socialibility*
Other Animal 3
Animal Type*
Breed*
Sleeping Quarters*
Socialibility*
Other Animal 4
Animal Type*
Breed*
Sleeping Quarters*
Socialibility*

Residence
- Type of Residence*
- How long have you been at this residence?*
- Do You Own or Rent?*
- Do you plan to move within the coming year?*
  - Yes
  - No

Family & History
Is Any Member Of Your Household Allergic To Cats?*
- Yes
- No
- Don't Know
The lifespan of a cat is 15 - 20 years. Are you prepared to make a long-term commitment to owning a cat?*
- Yes
- No
- In the case of a life changing event what is your plan to provide the best life for your cat or kitten?*
- Are you prepared to get timely medical treatment and assume financial responsibility if your new cat or kitten becomes ill?*
  - Yes
  - No
- Have you considered the cost of food, litter, regular veterinarian visits?*
Veterinarian Information
Have You Used A Veterinarian Before?*
- Yes
- No
Please Provide Veterinarian's Name*
Please Provide Veterinarian's Phone Number*
This field is hidden when viewing the form
Groomer Information
This field is hidden when viewing the form
Have You Used A Groomer Before?
- Yes
- No
This field is hidden when viewing the form
Please Provide Groomer's Name
This field is hidden when viewing the form
Please Provide Groomer's Phone Number
This field is hidden when viewing the form
Boarding Facility Information
This field is hidden when viewing the form
Have You Used A Boarding Facility Before?
- Yes
- No
This field is hidden when viewing the form
Please Provide Boarding Facility's Name
This field is hidden when viewing the form
Please Provide Boarding Facility's Phone Number

Reason For Adoption
Are you looking for an indoor only, outdoor, mouser, senior, bonded pair or barn cat, or other?*
What Type of cat are you looking for? Please describe:*
When will you be ready to adopt?*
Why you are looking for a cat or kitten now?
Would You Consider:
Fostering While Waiting For The Perfect Cat?*
Two Cats?*
A Cat That Can Be An Only Pet?*
A Cat That Is Afraid Of Small Children?*
A Cat That Needs Medications?*
This field is hidden when viewing the form
A Cat That Has A Serious Health Condition?*
This field is hidden when viewing the form
Please Select All Health Condition(s) You Would Accept*
This field is hidden when viewing the form
A Cat that Has Special Needs?*
This field is hidden when viewing the form
Please Select All Special Needs(s) You Would Accept*
Select All That Apply:
This field is hidden when viewing the form
A Cat That is Litterbox Trained?*
This field is hidden when viewing the form
Select Gender*
This field is hidden when viewing the form
Select Age Range*
Select All That Apply
This field is hidden when viewing the form
Select Personality*
Select All That Apply
This field is hidden when viewing the form
Select Color*
This field is hidden when viewing the form
Do You Have A Preferred Cat?*
Note: This does not guarantee this cat will be placed with you
This field is hidden when viewing the form
List Other Cats You Are Interested In
This field is hidden when viewing the form
When Will You Be Ready To Adopt?*
This field is hidden when viewing the form
Is There Anything Else You Would Like to Let Us Know?
Application Notes
I am interested in receiving pet related services and products*
- Yes
- No
Authorization
Authorization:*
Completion of this application does not guarantee adoption of a cat or kitten from Cat Rescue of Cloverdale. By checking this box I certify that I have answered each question truthfully and to the best of my knowledge. I agree that I am prepared to take full financial responsibility for a new cat or kitten. I further understand that all information on my Cat Adoption Application will be kept confidential; that my application will be kept on file until I notify Cat Rescue of Cloverdale that I am no longer interested in an adoption. I understand and agree *
- I agree
Comments
This field is for validation purposes and should be left unchanged.

Δ

Sign Up For Our Newsletter

Please sign up for our newsletter for cat related tips and tricks and to get updates on our cats & events!

Name
First Last
eMail Address

Δ

Cat Rescue of Cloverdale's Sponsor

Let's Get Social

Contribute to Our Wishlist

Make A Donation

Cat Rescue of Cloverdale © 2025. All Rights Reserved.

Powered By: Buzz

Site Map

X