LAPCATS Adoption Application You will receive an email to confirm that your application was received. Please be patient as we are an all volunteer group. We will ONLY respond if your application has been approved and will do our best to do so within 3 working days of receipt of your application. Thank you. All questions MUST be answered.

Name & Age *

Email

Cat's Name You're Interested In *

Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Main Phone Number *

### - ### - ####

Other Phone

### - ### - ####

Do you own or rent? *

OwnRentOther

Years at Present Residence *

Previous Address (If less than 3 years at present address)

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

References (Not Related to You)

Name

Prefix

First

Last

Suffix

Phone Number

### - ### - ####

Name

Prefix

First

Last

Suffix

Phone Number

### - ### - ####

Your Needs A description of the section goes here.

Please tell us what your ideal cat would be and what characteristics you are looking for in the "perfect cat." *

Vet Information Please provide us with your veterinarian's information

Name

Prefix

First

Last

Suffix

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number

### - ### - ####

Family Information A description of the section goes here.

Number of Adults in Household *

012More

Names of ALL adults living in household *

Are there any children in the house? *

Yes   No

How old are the children living in the household?

Have the children lived with animals in the past? *

Yes   No   N/A

Have you or any member of your family had a history of allergies or asthma? *

Yes   No

Are there any smokers in the house? *

Yes   No

If YES, do they smoke in the house?

Average number of hours a day someone is at home *

What animals currently reside in your home or have recently lived in your home? *

All pets owned as adult in the past and present. If they are no longer with you, please list reason why. *

Information on Current or Most Recent Dogs/Cats

Are they up to date on vaccinations? *

Yes   No   N/A

Have they been microchipped? *

Yes   No   N/A

Have they been spayed/neutered? *

Yes   No   N/A

If they have not been spayed/neutered, please explain:

Have you ever had a cat de-clawed? *

Yes   No

Would you like your new cat to be de-clawed? *

Yes   No

What might persuade you to have a cat de-clawed? *

Have your current cats been tested for Feline Leukemia & FIV? *

Yes   No   N/A

Do your current pets go outside and will your new cat have access to the outdoors? *

Yes   No   Sometimes

Under what conditions are your animals outside? *

Have you ever given an animal away or surrendered to a shelter? If so, why? *

Do you have someone who would take your animal(s) permanently should something unexpected happen to you? If yes, please name that person. *

What would you do if someone in your family became allergic to your cat? *

What is a reasonable amount of money to spend on routine vet care and emergency vet care? *

Have you thought about what you would do if there was a change in your living situation (ie: dating, marriage, co-habitation, divorce, pregnancy, children, moving) AND the relationship hinged on your getting rid of the cat(s)? Please give a detailed resp

What if your cat doesn't like the new pets you bring into your home? *

What would you like us to know?

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