Cat Adoption Form
All About Animals NJ
Which cat are you interested in adopting?
1st choice:
2nd choice:
Unsure/No Preference
Name: Drivers License:
Address: Rent:  Own: Birthdate (MM/DD/YY)
City:   State:  Zip Code:
Time at Address: email:
Home Phone:  Alternative Phone:
Employer's Name: Employer's Phone:

If you are a renter (Please note that you will be required to prove that pets are OK):

Landlord's Name: Landlord's Phone:

Household Information

Does anyone in your household suffer from allergies? YesNo
Is everyone in your household aware of and agreed upon getting a cat?YesNo
How frequently do you travel for business or pleasure?
What will you do with your cat while traveling?
How many hours a day will the animal be left alone?
How will you discipline the cat?
Is there someone who can take care of the cat permanently if you are no longer able to?
Name : Phone:
Relationship to you:
Residence Type: Home Townhouse Apartment Mobile Home
Activity Level in House: Quiet Active Hectic
Adult Members of Household: Number and Ages of Children:

What you are looking for in a cat

Gender: Male Female No preference Age: Kitten Adult Senior No preference
Coat: Short Medium Long No preference
Activity Level: Low Moderate High No preference
Where will the cat be kept? Inside Only Outside Only Inside and Outside

Characteristics: Check all that apply
playful aloof lap cat tolerant
affectionate shy naughty vocal
rambunctious lazy friendly kid friendly

Under what conditions would you consider giving up this cat?
personal move personal illness scratching chewing
biting allergies spraying hissing
pregnancy/new baby litter box problems compatibility with other pets
stealing food Other (please explain):

Do you realize that a cat can cost over $1000 per year? YesNo
What will you do if the costs exceed that amount?
Are you aware that cats can live between 15 and 20 years? Yes No
Have you ever adopted an animal before? Yes No
If yes, from where?
Have you ever had to give up/surrender a pet? Yes No
If yes, please provide details:

Will you agree to a home visit? Yes No Will you agree to a follow up visit? Yes No
Why do you want a cat? Mouser Companion Gift Other:
If a gift, is the person aware that they will receive a cat? Yes No

Who will feed the cat? Clean the litter?
What will you do if the cat claws your furniture?
Would you prefer a declawed cat? Yes No

Information about other pets you either currently have or had in the past

(NOTE: This MUST be filled out)

Check here if you have never had a pet before:
Name Breed Sex Age Spayed/
Declawed? Still with you?
why or why not)
MF YesNo Indoor
MF YesNo Indoor
MF YesNo Indoor
MF YesNo Indoor
MF YesNo Indoor
MF YesNo Indoor

Veterinary Information

Current Veterinarian: Phone:
Do we have permission to contact your vet for a reference? Yes No
Person's name your pets are listed under:
Previous Vet (if with vet < 2 years): Phone:

By clicking submit you agree that you have answered all questions truthfully and understand that any intentionally false statements will cause this application to be void.