Give Me Shelter Cat Rescue is committed to placing homeless cats and kittens in homes compatible with your and the animal's needs. Please answer all questions to assist us in our match. Your application will be reviewed by our Adoption Committee.

Once we receive your application our response time may be up to a week. Please be patient.

Kitten/Cat Name: black line Description: black line

About You

Name:
First:black line Last:black line
Address:  black line
  black line
City: black line
State: black line
Zip: black line
Home phone: black line
Work phone: black line
Cell phone: black line
Email: black line
How long have you lived at this address? black line
What type is your residence?
House
Apartment
Condominium
Other
Do you
Rent
Own
Does your rental agreement allow pets?
Yes
No
Landlord's name:  black line Landlord's phone:  black line
How heavy is traffic on this street?
Light
Medium
Heavy
Do your windows have screens?
Yes
No
How many adults at this residence? black line How many children? black line Ages of children? black line
Does anyone in the home have allergies to cats?
Yes
No

Please tell us as much has you can about yourself, your cat experience and the type of cat you are looking for. More information is better:

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About the Cat

Who will provide veterinary care for the cat(s)?
 Veterinarian: black line Phone: black line
Who will be primary caretaker for the cat(s)? black line
Who will take care of the cat(s) when you are away from home? black line
How often does the primary caretaker travel? black line
How many hours a day will the cat(s) be alone? black line
Where will the cat(s) be when alone? black line
Where will the cat(s) be when you are at home during the day? black line
Where will the cat(s) be when you are home at night? black line
The cat(s) will be
Indoor only
Outdoor only
Indoor/Outdoor
Do you anticipate declawing the cat(s)?
Yes
No

About Your Other Pets

What pets do you currently have? Please include their ages and how long you have had them.
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What pets have you had previously? Please include their ages and how long you had them.
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What happened to them?
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Have you ever had a declawed cat?
Yes
No
Have you ever surrendered one of your pets to a shelter?
Yes
No
  Please explain:
 
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Have you ever lost a pet or had one die of accident or injury?
Yes
No
What do you consider an acceptable reason to surrender/re-home your cat?
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Timeframe

How soon are you hoping to bring home your new family member? black line

Notes

Is there anything else you'd like to tell us?
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Feedback

How did you find out about Give Me Shelter Cat Rescue? black line
Have you attended a Give Me Shelter Cat Rescue Adoption Fair?
Yes
No
Had you already decided to adopt a kitten/cat before attending the adoption fair?
Yes
No

Signature

I certify that the above information is true and understand that misrepresentations may result in the cancellation of the adoption.
Signature: black line
Date: black line