First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Work Phone
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Cell Phone

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The Cat Shack is a small group of people helping displaced cats find new, loving homes. We want every applicant to understand the responsbilities involved in caring for a pet. It is a lifetime committment and many cats live 16-20+ years. Cats bond with their human family and need to be treated as a member of the family. Are you willing to make that committment?*

Please note: Many vets will not release any information to us unless the owner calls and gives their approval. If you are filling out this application, please call ahead to your vet and let them know we will be contacting them.

Type of cat(s) you are interested in:

Name of cat(s0 you are interested in?

Why do you want to adopt a pet?*

What do you think are the most important responsibilities in owning a pet?*

For whom are you adopting the pet?*

Have you ever owned a pet before?*

Please describe those pets that are currently with you (type, age, sex, altered status):*

Please describe those pets that are no longer with you (type, age, sex, altered status):

What happened to the pets who are no longer with you?

Please provide the name and phone number of the veterinarian for your current and/or former pets. (Please call ahead and let your vet know we will be contacting them for your records.)

How many people reside in your household?*

Are there any children in the household?*

If yes, what are their ages?

Does anyone have allergies to pets?*

Who will be responsible for the care of your pet?*

Do you own or rent your residence?*

If you rent, please provide the name and phone number of your landlord.

Where will your pet be kept?*

Do you intend to declaw your cat?*

When on an extended trip, what do you plan for your pet's care?*

Please provide the Name and Phone Number for a personal reference:*

How did you hear about The Cat Shack?

By submitting this form, I represent that the information that I have provided is the truth to the best of my knowledge and belief.