Adopt a Cat Form

Adopt a Cat

Name of Animal or Special Request: 

How did you hear about this pet? 

APPLICANT INFORMATION:

First Name:     Last Name: 

Physical Address: 

City:     State:     Zip: 

Cell Phone:     Home Phone:     Work Phone: 

Email address: 

I am a: Renter   Homeowner

How long have you lived at your present address? 

If applicable, Landlord’s Name:     Phone Number: 

How many adults are there in your household?

Do children live in your home/visit your home regularly? Yes   No

If yes, how many?     What are their ages?

Do you have any other animals in your household? Yes   No

If yes, what type/age?     How many?

Are they up to date on vaccinations? Yes   No

If no companion animals at the time, have you had animals in the past? Yes   No

Are animal allergies a concern with family or regular visitors? Yes   No

Is everyone in the household in favor of adopting this animal? Yes   No

Do you plan to declaw? Yes   No

The cat will be: Indoors Only   Outdoors   Outdoors/Indoors

Have you considered the costs of pet ownership and are you willing and able to provide the animal with the necessary care and medical support? Yes   No

VETERINARY REFERENCE:

Name: 

Phone Number: 

OTHER ANIMAL CARE REFERENCES (not a family member):

MUST PROVIDE AT LEAST ONE; 2 REFERENCES NEEDED IF NO VET REFERENCE

Name: 

Phone Number: 

Name: 

Phone Number: 

BY CHECKING THE CHECKBOX BELOW:

  • You are giving the Montclair Township Animal Shelter permission to use the information in this application to contact all references, veterinarians, and landlords listed.
  • You certify that the information you provided us on the form is accurate and truthful.
  • You understand that this is an application and does not guarantee that any particular companion animal will be adopted out to you and that the Montclair Township Animal Shelter has the right to deny applications if they feel the home is not a good match for an animal.

Check to Agree     Date:



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