Fort Collins Adoption Application
Name *
Prefix
First *
Last *
Suffix
Address 1
Address 2
City
State
Zip Code
Best Contact Number
e-mail address
What type of housing do you have?
Own
Rent
Live with
parents
Are you employed?
YES
NO
Student
Retired
Stay at home
parent
Other
Are you 18 or older?
YES
NO
Are you adopting this cat for yourself?
YES
NO
Does every person in the household agree to having a cat in your home?
YES
NO
UNSURE
How many adults are in the
How many children in the household and their ages?
Who will be responsible for feeding, grooming, and cleaning the litter box?
Myself
My Spouse
My Children
Who would care for the kitty if
Cats lick their fur to clean themselves; this produces CAT DANDER to which many people are ALLERGIC. Have you or anyone in your household ever
experienced an allergic reaction to a cat
YES
NO
UNSURE
Have you ever owned a cat before?
YES
NO
Cats currently in your household?
If you currently have cats, what are ages of cats? Are they spayed or neutered? Are they current on vaccinations?
Have your cats been tested for
YES
NO
UNSURE
Are your cats declawed?
NO
YES-ALL
YES-FRONT ONLY
Dogs currently in your household?
If you currently have dogs, are they spayed or neutered? Are they current on vaccinations? Have they been around cats before?
What is the name and number of your veterinarian?
Have you ever given away an animal to an individual, family, shelter, or rescue group?
YES
NO
If yes, where and why?
Why do you want this cat?
Companion for
family
Companion
for other animal
office cat
mouser
other
Do you have a certain type of cat in mind? (check all that apply)
kitten
adult
senior
male
female
short-hair
medium-hair
long-hair
If you have a specific cat in mind, provide name here:
Where will your cat live?
in home
office
outdoors
in a barn
in a garage
Scratching is a typical cat/kitten behavior. How will you deal with this?
If you had to move, what would you do with this cat?
Under what circumstances would you give up your pet? (check all that apply)
divorce
does not
like family member
aggression
allergies
litter box
issues
moving
behavior
problems
a new baby in
house
scratching
furniture
change in
lifestyle
does not like
other pets
Medical
Problems w/ the Pet
child lost
interest
Cats can live 15-20 years. Are you willing to take responsibility for this cat for that length of time?
YES
NO
What are you able to afford in expenses for a cat, including proper nutrition, routine veterinary exams, vaccines, and unexpected veterinary
bills?
$0-$300 a year
$300-$600 a
year
$600-$1000 a
year
You understand that you are interested in adopting a rescued animal and that previous medical history is not known. You understand that FCCR
cannot guarantee the health of these animals.
YES
NO
Unsure
Any other information you would like to let us know:
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