Name
*
First Name
Last Name
Date of Birth
*
Email Address
*
Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Are you applying for a specific cat? If so, which cat?
*
Why do you want to adopt a pet?
*
What do you like most about having a pet?
*
What do you like least about having a pet?
*
Who are you adopted the pet for?
*
Who will be the primary caregiver of the pet?
*
Are you employed?
*
Occupation
*
Employer Address, City, State, Zip:
Work Phone Number:
(###)
###
####
How long have you worked here?
How long have you lived here?
*
Do you rent or own?
*
Do you plan on moving in the foreseeable future? If so, where will you move and why?
*
Please list the names and ages of the adults with whom you live:
*
If you are adopting as a couple, how long have you been with your significant other?
Are you married?
Yes
No
Engaged
N/A
Please list the names and ages of any children with whom you live:
Are all members of your household aware of and in agreement with this adoption?
*
Yes
No
If no, what are their objections or concerns?
Does anyone in your home suffer from animal allergies?
*
What is your household activity level?
*
Do all of the adults work full time?
*
How many hours are you gone a day?
*
How many hours a day will your new pet be alone?
*
If you have any companion animals currently in your home, please list their names, type of animal, gender, age and if they are spayed/neutered:
*
Has a previous pet ever run away?
*
Where will your new pet be kept when he/she is alone?
*
Where will your new pet be kept during the night?
*
Do you travel often?
*
Who will care for your pet when you travel? Please provide full names, phon numbers and email addresses:
*
Is a home visit okay?
Yes
No
Can you financially afford the medical care, training and other expenses associated with having a pet?
*
If you rent, does your lease allow pets?
Yes
No
N/A
Landlord Name:
Landlord Address and Phone Number:
Please provide the name, address and phone number of two (2) people not related to you but who can attest to your character and ability to have a pet:
*
Please provide your veterinarian's name, address and phone number:
*
Please provide any other information that may be helpful for us to know when reviewing your application:
Does your home have any window screens?
*
Does your home have a balcony, terrace, deck, etc?
*
Are you planning on letting your cat outside?
*
Are you planning on declawing your cat?
*
How did you find out about Animal Lighthouse Rescue?
*
In connection with this adoption, we request a $275 donation to help us offset costs. Is this acceptable to you?
*
Yes
No
