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Cat Adoption Form

Our Cat Adoption Form template lets shelters or rescues take applications for adoption. The form uses conditional logic to only display the fields relevant to the applicant. At the end of the form, you can get an e-signature from the applicant, and the form has a hidden field to automatically capture the date of submission.

Name *

First

Last

Email *

Phone

About You

Please note that we can only accept applications from the potential owner. We do not accept applications on behalf of other family members.

Age of Applicant *

You must be 21 years of age or older to adopt a cat or kitten.

Job Title *

Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please describe your home *

Single Family
Apartment
Condo/ Duplex
Public Housing
Student Housing

Do any children live with you? *

Yes
No

How many children live with you?

Please count all occupants or regular visitors under 16 years old

Please list the ages of the 4 youngest children.

Age of child #1

Age of child #2

Age of child #3

Age of child #4

Does anyone in your household have a pet allergy? *

Yes
No
Not sure

Please provide details

Do you have a spare room that your cat could reside in for the first 4 weeks? *

Yes
No

E.g. spare bedroom or bathroom.

Adoption Request

I am interested in adopting *

Kitten(s)
Adult cat(s)
Senior cat(s)

Are you interested in a specific cat or kitten?

Yes
No

Where did you see the cat or kitten?

Please provide details

Please describe your ideal cat

Personality, age, appearance etc.

Cat Health and Wellbeing

Have you owned a pet before? *

Have you owned a cat before?

Did you declaw your cat(s)?

Do you intend to declaw the cat you adopt? *

How many hours each day would your cat be left alone? *

None - I am always home
1-2 hours
2-4 hours
4-8 hours
8-16 hours
16 hours or more

Are you able to take your cat for an annual health check? *

Yes
No

Could you afford to pay for emergency treatment? *

Yes
No

Who would take care of your cat if you had to leave town for an emergency? *

Are you willing and able to care for your cat for the full duration of its life? *

Yes
No

If you had to move house and could no longer keep your cat, what would you do? *

Confirmation of Terms

The health of a cat is not guaranteed, and the health or personality of a cat can change over time *

I agree

If I am no longer able to care for my adopted cat, I will contact the rescue shelter before rehoming the cat myself *

I agree

I will be responsible for all ongoing or one-off costs for medical treatments my cat may need *

I agree

Signature

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