Adoption Application Form
J&M Foster for Cats Society
113 Chemin P’tit Paradis/Little Pardise Rd. St. Bernard
**Incomplete Applications Will NOT Be Approved**
Please fill out the application completely. In order to ensure a particular animal is the right choice for your
household. All references will be checked, so please provide phone numbers.
Contact Information:
Name: ___________________________ Date of Application: ____________________________
Address: ______________________________________________________________________
Home Phone: _____________________________ Cell: _________________________________
Email Address: _________________________________________________________________
Do you: [ ] Own [ ] Rent
If renting, name of Landlord________________________________ Phone: ________________
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Housing
Type or dwelling: [ ]House [ ]Townhouse [ ]Apartment/Condo [ ]Basement Apartment
[ ]Rural/Farm [ ]Student Housing [ ]Shared Accommodation [ ]Other
Are you in the process of moving or planning to move? [ ]Yes [ ]No
If you live in an apartment, is there a balcony? [ ]Yes [ ]No What floor: ______
Are all your screens intact and secure? [ ]Yes [ ]No
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Personal Information
Age: [ ] Under 21 [ ] 21-30 [ ] 31-40 [ ] 41-50 [ ] 50+
Are you: [ ] Stay at home [ ] Student [ ] Working [ ] Retired [ ] Other
Is this your first kitten/cat? [ ] Yes [ ] No
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If yes, why have you chosen a kitten/cat for your first pet? ______________________________
______________________________________________________________________________
How long have you been planning on adoption a kitten/cat? ____________________________
Please tell us why you would like to adopt a kitten/cat from us. Please check all that apply
[ ] Companion for myself [ ] Companion for another pet [ ] Breading [ ] Gift
[ ] For a School [ ] For a Special Needs Facility [ ] A Barn [ ] Mouser
[ ] For a Child [ ] For a Retirement Facility [ ] Other
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Home Environment
How many adults live in your home? __________ Children? _________ - Ages: ______________
Have your children had exposure to kitten(s)/cat(s) before? [ ] Yes [ ] No
Which family member would be the primary caregiver? ________________________________
Are all family members in agreement in adopting a kitten(s)/cat(s)? [ ] Yes [ ] No
Please explain if “No” or “Unsure”: ______________________________________________
Does anyone in your family have asthma or allergies triggered by animals? [ ] Yes [ ] No
Which describes your household on a daily basis: [ ] Active [ ] Noisy [ ] Quiet [ ] Average
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Previous Pets
Please list all the animal(s) you have shared your home within the last 5 years:
Type/Name Breed Age Sex Spayed / Neutered Date last Vet Visit
[ ] Yes [ ] No
[ ] Yes [ ] No
[ ] Yes [ ] No
[ ] Yes [ ] No
[ ] Yes [ ] No
[ ] Yes [ ] No
[ ] Yes [ ] No
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Have you ever had to surrender an animal to a Shelter, pound or SPCA? [ ] Yes [ ] No
If Yes, please explain:____________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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Preferences
What type of cat are you looking for? Please choose all desirable traits that meet the needs of your family.
[ ]Quiet [ ]Chatty [ ]Laidback [ ]Independent [ ]Outgoing [ ]Playful
[ ]Friendly [ ]Lap-Cat [ ]Loves Pets [ ]Likes being held [ ]Seeks Attention
[ ]Follows you around [ ]Short hair [ ]Medium hair [ ]Long hair [ ]Good with animals
[ ]Other______________________________________________________________________
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Long Term Care
What arrangements have been made for the care of this kitten/cat in the event of vacation,
family illness, loss of job etc.?
Please elaborate:_____________________________________________________________
If you plan to move, what will happen to this kitten/cat? ________________________________
Do you foresee any reasons that might make you want to give this kitten/cat up in the future?
______________________________________________________________________________
Veterinarian Care and Information
How often will you take your pet to the veterinarian? __________________________________
Are you aware of vet costs? [ ] Yes [ ] No
In your view, what would be a reasonable amount to spend per year on this cat excluding
emergencies? ________________________________________________________
Name and contact information of your veterinarian or, if you do not have a veterinarian, please
provide personal references.
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Clinic Name Veterinarian Name Phone
Current
Previous
Personal Reference: Name Relation to you Phone
If no Vet
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Other Information
How did you hear about us?
[ ]Facebook [ ]PetValu [ ]Family [ ]Friend [ ]Other:______________________________
May we contact you regarding volunteer opportunities? [ ] Yes [ ] No
May we contact you in order to help with fundraising? [ ] Yes [ ] No
Comments/Questions:
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***By completing this application, you are confirming that the information that you have
provided is accurate and truthful and that any references given to us authorizes us to contact
them for information about the care of your pets. Please note that we have the right to deny an
adoption if we feel the situation is not suitable.
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FOR OFFICE USE ONLY
Application accepted? [ ] Yes [ ] No References checked by:_______________________
From what location:_____________________________________________________________
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