First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Country*

Email*

Home Phone*

Work Phone
x

Cell Phone*

Alt Email

Are you interested in a specific kitty? If so, please tell us the name.*

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

How long have you lived at the above address?*

Do you own or rent your home*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal

If you rent, please enter your landlord's name and phone number

Is the cat/kitten going to be a gift?*

If a gift, for whom?

Are you 21 years or older?*

How many people reside in your household*

Have the other household members consented to the adoption of a pet?*

Who will be responsible for the care of your cat/kitten?*

Are you or any member of your household allergic to Cats or have other allergies?*

Are you financial able and willing to commit to medical care of the Cat/Kitten for its lifetime, taking it to the vet for yearly shots, physical exams, teeth cleaning, and as needed?*

How many cats have you previously owned? (These are pets that no longer live with you)*
Choose one: 1 2 3 4 5+

What happened to each of your previous cats (illness, put to sleep, died of old age, sold, given away, ran away, etc.)*

Have you ever had a cat or kitten declawed?*
Choose one: Yes No

Do any children live in the household?*
Choose one: Yes No

Genders and ages of the children: (Please type 'N/A' if there are no children)*

Do you currently have any other pets?*

If yes to the above, please specify how many and what kinds and ages. If dogs list their weight and breed.*

Are you willing to provide vet records for your pets to show status of the most current vaccinations?*

Please list your current veterinarian, address, and phone number:*

Are you interested in adopting a declawed cat?

Are you planning to declaw your new Cat?*

For which of the following reasons would you give up your cat or kitten?

Where will the animal sleep*

How much time will the animal spend alone during the day*

Where will your cat/kitten stay when you are away during the day or evening?*

Will this cat or kitten live indoors only, outdoors only, or both?*
Choose one: Indoor Only Outdoor Only Indoor + Outdoor (both)

Have you ever surrendered a pet to a shelter?*

If yes to the above, why?

Have you ever had to find a new home for another pet?*

If yes to the above, why?

Would you consider a companion for your cat/kitten?*

Who will take care of your pet(s) when you are away for vacation, business, or other extended period of time?*

Is there any reason why you cannot committ to taking care of your pet for its lifetime?*

Would you consent to a home visit by a Cats in the Cradle volunteer as a means to ensure the future safety of the Cat or Kitten?*

Would you be interested in Volunteering with Cats in the Cradle?*

Would you like information on becoming a foster home for Cats or Kittens that need to be socialized to people and pets?*

Are you interested in learning more about how to sponsor one or more of our Cats and/or Kittens? *

List at least one reference (who is not a family member)*

By signing below I am attesting to the truthulness of my answers. I understand that the falsification of any of the above information will be grounds for removal of the adopted animal from my home. CITC reserves the right to refuse any applicant. Typing my name below will serve as my legal signature.*