Date Adopted:___________

Microchip:__________________

The Little Cats’ Rescue, Inc.

ADOPTION APPLICATION

Please take a few minutes to read TLC’s Adoption Policy and fully complete this form to begin our adoption process. Once it is reviewed by our staff, you will be contacted within 48 hours. Thank you for wanting to give a loving home to one (or more!) of our wonderful cats!

NAME of OR TYPE OF CAT YOU WANT: _________________________________

YOUR NAME: _________________________________________________________

Home Phone: ______________________ Cell Phone: _______________________

Address: _____________________________________________________________

City: _____________________________________ Zip: ____________________

EMAIL: __________________________________________________________

EMPLOYER: ___________________________________ PHONE: _____________

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CO-ADOPTER’S NAME: __________________________PHONE: ______________

EMPLOYER: ___________________________________ PHONE: _____________

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Number of children at home or visiting regularly: __________ Ages: ___________

Do you own or rent your home? ___________ If you rent, please provide landlord’s name and phone number, or attach written permission to have this pet .

_______________________________________ ____________________

Landlord’s name Phone

YOUR NEW CAT:

Are you adopting this cat for: _____yourself ____a friend or relative

Do you intend to have your new cat declawed? _________

Turn Over

Will this cat be: Indoor ____ Inside and Screened room _____ Inside/Outside ___

Typically, how many hours a day will this cat be left alone? ________

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PETS CURRENTLY IN YOUR HOME:

#_____ DOGS: Breed(s): _______________________________Ages:_____________

Approx. weight of dog(s) _____under 20 lbs. ____20-50 lbs. _____over 50 lbs.

Are your dogs spayed/neutered? _____________ Current on vaccines? ______

Have your dogs ever lived with a cat? ____yes ___no

# ____CATS: Ages: __________________Current on vaccines? ______________

Are they declawed? __________ Are your cats spayed/neutered? ______________

Are your cats: __Indoor only __Inside and Screened Room ___ Indoor/Outdoors

All TLC Cats have been FIV/FeLV tested. Have yours? ____________

In the past, have you ever: Applied to TLC Rescue for adoption: ___yes ___no

Have you had any other pets in the last five years, and if so, where are they now?

Do you have a veterinarian? _______yes ____no

Vet’s name: ____________________________ Phone: _____________

____________________________________ ____________________

Applicant’s Signature Date

____________________________________ ____________________

Co-Applicant’s Signature Date

If there is anything you’d like to add, please do! (Such as why you want this particular cat)