Cat Adoption Application

MAHS Cat Name

Name

First

Last

Street Address

City

State

Zip Code

Phone Number

Email

Housing

Rent

Own

Live With Parents

Land Contract

Home Owner/Landlord's Name

First

Last

Home Owner/Landlord's Phone Number

How long have you lived at your current residence?

Are pets allowed in your residence?

Yes

No

Full names of all adults in the same residence:

Names and ages of all children under 18 years old in the same residence:

Veterinarian Reference

Veterinarian Phone Number

I allow MAHS to contact my veterinarian prior to adoption:

Yes

No

Have you owned a cat before?

Yes

No

Is this cat going to be an indoor or outdoor cat?

Indoor

Outdoor

If outdoor, what type of shelter will you provide?

How long and where will the cat be left alone in the house?

Are you interested in a special needs cat?

Yes

No

What is your reason for adopting a cat?

How much do you think it will cost yearly to care for your cat?

Who will be primarily/financially responsible for this pet?

Are you aware/familiar with local animal laws?

Yes

No

Have you adopted from a shelter within the last 5 years?

Yes

No

If yes, where have you adopted previously?

List all pets you've had in the past 2 years:

Are all of your current pets spayed, neutered, and up to date on vaccines?

Yes

No

Do you still own the listed pets?

Yes

No

If no, why not?