Name of the cat(s) you are interested in adopting:
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Why are you interested in adopting a cat:
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Companion
Barn Cat
Gift for a relative
Other
What types of activities would you like to enjoy with your cat - check all that apply:
*
What energy level are you looking for in a cat:
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Higher than Average
Average
Lower than Average
Why are you interested in this specific cat(s)?
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Do you plan to declaw this cat?
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Yes
I'm not sure
No
If yes, please explain:
What, if any, behaviors would cause you to return this cat to FMAR?
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Name:
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First Name
Last Name
Phone Number:
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(###)
###
####
Email Address:
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Driver’s License Number:
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Address:
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Length of time at your current address:
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Less than 6 Months
6 - 12 Months
1 - 3 Years
3 + Years
Do you Rent or Own?
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Rent
Own
If renting, please provide the name, address, phone number, and email address of your landlord:
If renting, what is the pet policy where you live?
Home Type
*
Condo
House
Apartment
Manufactured Home
We may require a home inspection prior to approving an adoption. Do you agree to a home inspection?
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Yes
No
How many adults live in your home?
*
How many children live in your home? Please provide ages for all children under the age of 16.
*
Is everyone in the household agreeable to this adoption?
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Yes
No
Please provide two references (other than household members) – Name, address, phone number, and email.
*
On average, how many hours a day would the cat be left alone on? Please include on week days and weekends.
*
Where will the cat stay during your time away from home? Check all that apply:
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Where will the cat stay at night?
*
How would you describe the activity level in your home?
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Higher than average
Average
Lower than average
How would you describe your experience with cats?
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Higher than average
Average
Lower than average
Is anyone in your household allergic to cats?
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Yes
No
Tell us about your current pets (Please include Species, Breed, Male or Female, How long you've had them, Spayed/Neutered):
*
Former pets from the past 5 years (Please include age and why they are no longer with you):
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Were any of the above pets adopted from a rescue or shelter?
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Yes
No
If yes, please provide the name of the shelter and date of the adoption:
Please provide the contact information (including address and phone number) of your current veterinarian:
*
All of our cats and kittens are up to date on age appropriate vaccinations and receive flea/tick prevention upon intake. Are you prepared to continue vaccinations and preventatives?
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Yes
No
Are you prepared to take on the costs of owning a cat for the rest of its life? These costs include providing nutritious food and routine medical care, and potential expenses such as medical care for an emergency illness or injury:?
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Yes
No
Are you able to make a commitment to this cat for the rest of its life?
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Yes
No
Who will be primarily responsible for this cat?
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Who will take over responsibility for this cat in the event the above is unavailable (i.e. vacation/illness/emergencies)?
*
I certify that the above is true and that any false information may result in nullifying the adoption:
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Yes
No
Full Name
*
First Name
Last Name
Date
*
MM
DD
YYYY
