application to Adopt

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Home Number *

Mobile Number *

Email Address *

Your Age *

Are you adopting for yourself or someone else? If for someone else, please give name, age, and relationship *

How long have you lived at your current address? *

Which of our cats are you interested in adopting? If you are unsure, please describe the type of cat you are looking for so that we can help to determine which of our cats would work best for your family *

Have you had pets before? *

Do you currently have pets? If yes, what kind? Do you feel they will adjust to having a new cat in the home? *

If you currently have pets are they up to date on vaccinations? Are they spayed/neutered? *

Who is your veterinarian? Please provide name and phone number so that we can call to verify above information *

Have you ever turned an animal into an animal shelter? If yes, please explain *

Has a pet in your care ever died (other than by disease or old age)? If yes, please explain why *

Have you ever had a pet euthanized? If yes, please explain why *

Have you ever had a cat declawed before? If yes, How long ago? If yes, please explain why *

Where will your cat live? (In the house, Outside With free access to both indoors and outdoors, In the barn, In the garage) *

Why do you want this cat? *

Do you have a cat or dog door? *

Will you keep the cat up-to-date on vaccinations and provide Veterinary care as needed? *

Do you have screens on your windows? *

How did you find out about the Itty Bitty Kitty Committee? *

Are you aware that cats can live for 15-20 years and are willing to accept responsibility for the remainder of his/her life? *

Do you agree to allow us to call or text you to follow up on the adoption application? *

Are you willing to have a representative of the Itty Bitty Kitty Committee come to see where the cat will be living? *

How many adults are in your family? *

How many children are in your family? *

Please list the ages of your children (only if under 18 yrs) *

Does Anyone in the House have Allergies to Cats? *

Yes

No

Do you live in a *

House

Condo

Mobile Home

Apartment

If you rent, please provide the name and phone number for your landlord. We will need to contact them to obtain approval before adoption *

Do you agree to return the ADOPTED cat to the Itty Bitty Kitty Committee if things do not work out? *

Do you agree NEVER to take the cat to the animal shelter? *

Do you agree to inform us if your contact information changes for any reason? *

Do you agree to get the cat spayed or neutered and provide proof that you have done within two months of adoption...if for some reason the kitty that you are adopting was not able to be fixed by IBKC? (All of our kitties must be spayed or neutered before adoption) *

(mail receipt with proof of spay/neuter to PO Box 40223, Charleston, WV 25364)

IMPORTANT NOTE:

If for some reason the adoption does not work out you are REQUIRED to contact us. Do not adopt to someone else without permission from this group. The new adopter will be required to complete and submit a new application and agreement. Otherwise the animal MUST in all cases be returned to this group. Please sign below to acknowledge that you understand and agree to this term.

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