Adoption Questionnaire – Trenton Cats Rescue

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Cell or Home Number*

Email*

Are you 18+ years old?*

Yes
No

Which best describes your lifestyle?*

quiet/relaxed
very active/on the go
noisy/young children
travel/work long hours

Are you*

employed
stay-at-home/retired
student

Company/School name

Do you*

Own
Rent

Do all the adults and the home owner know you plan to adopt?*

Yes
No

Ages and names of children

Anyone have allergies?*

Yes
No
Unsure

Name and phone number of your current (or most recent) veterinarian*

If you have animals now, please tell us about them

Name, age, gender, "fixed", vaccinated, cat/dog/etc.

What happened to your previous pets?

Do you want help introducing a new cat to your current animal(s)?*

Yes
No
Undecided

Will you declaw this cat?*

Yes
No
Undecided

Will you let this cat outside?*

Yes
No
Undecided

Are you familiar with nail clipping?*

Yes
No

What will you do if the cat claws furniture or shows other destructive behavior?*

What are your plans if you should suddenly be unable to care for this cat?*

Name, relationship and phone number of Reference 1*

Please do not list other household members. (Examples of references are: neighbor, employer, co-worker, friend, etc.)

Name, relationship and phone number of Reference 2*

Why do you want to adopt a cat?*

Family pet
Companionship
Mouser

Are you a previous adopter?

Yes
No

If yes, from where & when?

How did you hear about us?

Would you like to be added to our e-mail list?

Yes
No

Name of cat or kitten of interest and/or name of foster person, if known:

Initials*

By initialing below, you certify that you understand the following:
1. The information contained within this form is accurate and not misleading in any way.
2. It is the agency/individual's right to refuse adoption to anyone and to contact individuals on this form.

Today's Date*

Comments

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