Name: 
Address:
City:   State:
ZIP:

NOTE: We can only adopt out to Southern California residents at this time.

Home E-Mail: 
Home Phone:

Your employer:
Occupation:
Work Phone:
Work E-Mail:



1. What type of cat are you interested in? {please check all that apply}:
Male   Female   Kitten (under 5 months)   Adult   Long Hair  
Short Hair

Name of cat you are interested in:

Preferred cat personality type:
Preferred cat color:


2. How many people currently reside in your household?


3. Any children in the household? Yes   No
If you have children, please list their ages:


4. For whom are you adopting the cat? Myself   Gift for someone else


5. Does any member of the family have any allergies to animals? Yes No  
If yes, please explain. (remember, if the question doesn't apply to you, then just enter "n/a")


6. Who will be responsible for the cat's care?


7. In what type of dwelling do you live? Apartment    Condo    Farm    Mobile Home    Townhouse    House   


8. Do you own or rent your residence? Own    Rent   
If you rent, what is the name of your landlord?
What is your landlord's phone number?


9. Are companion animals allowed? Yes    No    Not Sure   


10. Where will the cat be kept? Indoors only    Outdoors only   
Both In/Out   


Do you have a doggy door? Yes    No


Do you have a balcony? Yes    No


11. If outdoors, the cat will be Attended    Unattended   
I'm not keeping it outdoors.

Do you plan to put a collar with tags on the cat in case it gets lost?
Yes    No   


12. Will anyone be home during the day? Yes    No   


13. How many hours will the cat be left unattended?


14. When no one is home, where will the cat be kept?


15. If you move, what will you do with the cat?


16. How far from the road/traffic is your home/farm located?


17. Is the volume of traffic Light    Moderate    Heavy?   


18. Have you ever had a companion animal before? Yes    No   


19. Describe those companion animals you still care for or that are living in your household (please include their name, breed, age, time in your care, where they are kept, and whether or not they are spayed/neutered).


20. Describe those companion animals you are no longer caring for (include their name, breed, age, time in your care, where they are kept, whether or not they are spayed/neutered, and why they are no longer in your care, i.e., if the animal has passed away or was euthanized, what illness did it pass away from.):

21. Are your companion animals current on their vaccinations? Yes    No    I don't have any companion animals.   


22. Please provide the name of your veterinarian


23. Please provide the telephone number of your veterinarian


24. Are you financially able and willing to provide annual checkups, vaccinations, and any necessary medical care? Yes    No   


25. If you have a dog, is he/she permitted to run loose? Yes    No   


26. What precautions would you take to properly introduce a new cat into your home if you have other animals (a dog, bird, rabbit, another cat, etc.) ?


27. What will you do if your new cat does not get along with your present companion animals?


28. Are you planning on declawing? Yes    No    Not sure   


29. Have you ever adopted an animal from a rescue/animal control agency?
Yes    No   


30. Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility? Yes    No   
If yes, please explain:


31. Why do you want to adopt a cat?


32. If a disciplinary or behavior problem arises, what steps will you take to work on it?


33. Are you familiar with your local animal control laws? Yes    No   


34. Are you willing to sign legal pet adoption papers? Yes    No   


35. Do you agree to permit a visit to your home/farm by appointment? Yes    No   


How did you find out about our website?


Please doublecheck that you have filled in all the fields - writing "n/a" if a question (or part of a question) does not apply to you - incomplete applications cannot be processed and will be deleted.

By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in The Paw’d Squad Animal Rescue refusing adoption privileges to me/us. If my/our request for adoption is approved and later The Paw’d Squad Animal Rescue discovers the above information is not true or correct, The Paw’d Squad Animal Rescue reserves the right to remove the adopted cat from my home.

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