Adoption Questionnaire

Date*
Please list the name of the cat you are interested in adopting.*
Your Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Work Phone
Cell Phone
Email*
Emergency Contact (Full Name)
First Last
Emergency Contact Phone
Household
What type of housing do you live in?*
Do you rent or own your home?*
If renting, do you have your landlord's permission to adopt a pet?*
If you marker yes to renting your home, have you already paid the pet deposit?
- Yes
- No
Please list the names of all your household members. Include ages for those under 18 years.*
If you do not live within Benton or Franklin County and are planning to travel to Tri-Cities to adopt, are you certain that you want to travel to adopt?
Why are you interested in adopting a pet from outside of your home town?
Who are you adopting this pet for?*
Who will be primarily responsible for the care and supervision of the animal?*
Will this cat be in the presence of children frequently?*
If yes, what ages are the children?
My adopted cat will primarily be an...*
Do any household members have known allergies to cats?*
Have you ever declawed a cat?*
If yes, for what reason?
Would you ever consider declawing a cat?*
Are you interested in adopting a indoor or outdoor companion?
- Indoor only
- Outdoor only
- Indoor/Outdoor
If indoor/outdoor, what type of area do you live in? Quiet neighborhood? Low traffic? Is your yard fenced yard?
Do you typically work long hours away from home? (please state approximately how long your pet would be alone under normal circumstances)
What type of personality are you looking for in a prospective new kitty?
Long Term Care
Due to COVID-19, many people are adopting pets to have companionship while they spend extended amounts of time at home. Will you still be able to provide adequate care for you companion when schedules return to normal?*
What will happen to this cat if you move?*
Do you have a veterinarian for your pet(s)?*
If yes, please list the name of the clinic
Approximate date of last vaccinations for your current pet(s)
How many pets are in your home?
Are all your pets spayed or neutered?
Please list the pets that you have had in the past five years (both current and those you no longer own)
Breed / Age / Gender / Spayed or Neutered / How long owned? / What happened to him or her?
By submitting this form, you certify that this information is true and understand that false information may result in nullifying this adoption. This questionnaire remains the property of the Pet OverPopulation Prevention.
Comments
This field is for validation purposes and should be left unchanged.

Date*
Please list the name of the cat you are interested in adopting.*
Your Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Work Phone
Cell Phone
Email*
Emergency Contact (Full Name)
First Last
Emergency Contact Phone
Household
What type of housing do you live in?*
Do you rent or own your home?*
If renting, do you have your landlord's permission to adopt a pet?*
If you marker yes to renting your home, have you already paid the pet deposit?
- Yes
- No
Please list the names of all your household members. Include ages for those under 18 years.*
If you do not live within Benton or Franklin County and are planning to travel to Tri-Cities to adopt, are you certain that you want to travel to adopt?
Why are you interested in adopting a pet from outside of your home town?
Who are you adopting this pet for?*
Who will be primarily responsible for the care and supervision of the animal?*
Will this cat be in the presence of children frequently?*
If yes, what ages are the children?
My adopted cat will primarily be an…*
Do any household members have known allergies to cats?*
Have you ever declawed a cat?*
If yes, for what reason?
Would you ever consider declawing a cat?*
Are you interested in adopting a indoor or outdoor companion?
- Indoor only
- Outdoor only
- Indoor/Outdoor
If indoor/outdoor, what type of area do you live in? Quiet neighborhood? Low traffic? Is your yard fenced yard?
Do you typically work long hours away from home? (please state approximately how long your pet would be alone under normal circumstances)
What type of personality are you looking for in a prospective new kitty?
Long Term Care
Due to COVID-19, many people are adopting pets to have companionship while they spend extended amounts of time at home. Will you still be able to provide adequate care for you companion when schedules return to normal?*
What will happen to this cat if you move?*
Do you have a veterinarian for your pet(s)?*
If yes, please list the name of the clinic
Approximate date of last vaccinations for your current pet(s)
How many pets are in your home?
Are all your pets spayed or neutered?
Please list the pets that you have had in the past five years (both current and those you no longer own)
Breed / Age / Gender / Spayed or Neutered / How long owned? / What happened to him or her?
By submitting this form, you certify that this information is true and understand that false information may result in nullifying this adoption. This questionnaire remains the property of the Pet OverPopulation Prevention.
Phone
This field is for validation purposes and should be left unchanged.

Household

Long Term Care

Household

Long Term Care