Cat Adoption Application

Lost But Loved
Animal Rescue

Cat Adoption Application

Please completely fill out this form and then hit the submit button. One of our representatives will be in contact with you soon!

Full Name: *

E-mail Address: *

Phone Number: *

Street Address: *

City: *

State: *

Zip Code: *

Date of Birth: *

Occupation: *

Married/Single: *

Children? Ages?: *

Are there any other individuals living in the same household? Names and ages: *

Does anyone have allergies or asthma that would be aggravated by a cat?: *

Have you ever owned a pet before? What kind?: *

What happened to your previous pet(s): *

Are there any other pet(s)? Species, Breed, Age, Gender: *

Are/were any of your pet(s) current on their vaccinations? If not, why not?: *

Are/were any of your pet(s) spayed/neutered? If not, why: *

Name and phone number of your past or present veterinarian: *

Do you rent or own? If renting, name and number of your landlord: *

Where will the cat stay during the day and at night?: *

Do you travel or go out of town a lot? If so what do you plan on doing with your cat(s) while you are away?: *

Have you discussed adopting a pet with your family? Is everyone in agreement about adopting?: *

Have you ever been charged with cruelty to animals? If so please explain: *

Would you be OK with LBL Animal Rescue running a background check to make sure that all of the above information given is correct?: *

By typing your full name in the box to the right you are agreeing to have all of your pets veterinary records released to Lost But Loved (L.B.L.) Animal Rescue either by phone, fax, or e-mail so that we can process your adoption application: *

Name of Cat(s) you are interested in: *

Signature: *

Date: *

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