Cat Adoption Application

Please Read Before Beginning to Fill the Form:
For better viewing of the complete form, please consider submitting the Cat Adoption Form on an iPad, tablet, laptop or desktop computer. If all form fields are not filled with requested information – the form will not send. It is very challenging to see all required form information on a mobile phone screen.
Thanks for your help!

Our adoption process starts with you filing an adoption application. You can complete and submit the form below.

When we see you in person, we will need your signature on the application form.
An * indicates required information. The form will not send until all * required fields have information.
If you do not see a ‘Thank You’ page after pressing ‘Send’ – it means the form did not send.
In that case, please scroll up to the top of the form to see the Error Message and Instructions.
Thanks!

If you have any questions please Contact Us.

Cat Adoption Application Form

Please Note:
This form has Required Fields marked with a ' * '.
The form will not send if a Required Field is missing information.
In order to better view the entire form, we recommend submitting this form using an iPad, tablet, laptop or desktop computer.
If you do not see a 'Thank You' screen after completing the form and pressing the 'Send' button - it means the form did not send. If you do not see a 'Thank You' page after pressing 'Send', scroll up to the top of the form to view an Error Notice and Instructions. Thank you!
Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City State ZIP Code
How long at current address? Years/Months
Do you live in:*
- Home
- Apartment
- Mobile Home
- Live with Parents
Home Phone*
Mobile or Work Phone
Your Email*
Who is your landlord?
If renting, do you have a copy of your Pet Addendum?
- Yes
- No
If renting or leasing, phone number of landlord.
Employer
Employer Contact Email
CAT ADOPTION INFO
Cat Gender Preference*
- Male
- Female
- No Preference
If you have seen cat on our website that you would like to meet, list the name of the cat.
Approximate age of animal.
Type of pet personality wanted.
Is this your 1st experience with a pet?*
- Yes
- No
What made you decide you wanted to adopt a cat and how long have you been looking?*
What is the primary reason you want to adopt?*
- Companion for self / family / pet
- Gift
- Other
Have you ever adopted an animal before?*
- Yes
- No
If 'Yes' - where did you adopt?
Have you ever given up an animal for adoption?*
- Yes
- No
If 'Yes' - Where did you give up the animal for adoption?
What percentage of time will your pet be:
Indoors*
Outdoors*
Do you have a cat door?
- Yes
- No
HOME ENVIRONMENT
Number of people regularly in your home:
Number of Adults in Household:*
Ages of Adults:*
Number of Children in Household:*
Ages of Children:*
Example: 4,6,12
Is anyone allergic to cats in your house?*
- Yes
- No
If Yes, please give details:
Who will be responsible for the cat?*
Will there be any regular extended periods of time your cat will be alone (other than normal work hours)?*
- Yes
- No
If Yes, please describe what arrangements will be made for the cat's regular and emergency care:
Name of current veterinarian or clinic:
What brand of food will you provide for your cat?*
Can you keep your new cat isolated for at least a week from your existing pets?*
- Yes
- No
Where will you keep your new cat isolated?*
CURRENT PETS IN HOUSEHOLD - DOGS
Do you currently own one or more dogs?*
- Yes
- No
How many dogs currently in the household?
Please list the ages of dogs (separated by a comma - if more than one dog)
Is each dog you own current on their shots?
- Yes
- No
Are all of your dogs spayed or neutered?
- Yes
- No
If your dogs (or dog) are not neutered - why not?
Please give percentage of time your current dogs (or dog) are kept inside and outside.
Indoor %
Outdoor %
CURRENT PETS IN HOUSEHOLD - CATS
Do you currently own one or more cats?
- Yes
- No
How many cats currently in the household?
Please list the ages of cats (separated by a comma - if more than one cat)
Is each cat you own current on their shots?
- Yes
- No
Are all of your cats spayed or neutered?
- Yes
- No
If your cats (or cat) are not neutered - why not?
Please give percentage of time your current cats (or cat) are kept inside and outside.
Indoor %
Outdoor %
CAT ADOPTERS:
Do you plan to declaw?
- Yes
- No
If you plan to declaw - do you plan to declaw:
- Front Paws only
- Front and Back Paws
Are you familiar with the laser declaw method?
- Yes
- No
Are you familiar with other alternatives to stop scratching?
- Yes
- No
Location of the litter box?
Please click on ALL the behaviors you are unwilling or unable to deal with, tolerate or work through until resolved:
- Eliminating outside the litter box
- Jumping on counters/tables
- Destructive clawing of furniture or carpet
- Digging in plants
- Mouthiness
- Aggression toward other animals
- Shedding
- Night activity
List any other behaviors you are unwilling or unable to deal with, tolerate or work through until resolved:
Are you familiar with the following feline diseases:
Feline Leukemia?
- Yes
- No
Feline Infectious Peritonitis?
- Yes
- No
Feline Urological Syndrome?
- Yes
- No
Feline Immune deficient Virus?
- Yes
- No
Please tell us how you heard about us?
- PetSmart Customer
- I am a Previous Adopter
- Petfinder / PetArk search
- Google Search
If you were referred to us - please let us know who referred you?
I certify that the information entered above is true and that false information may result in nullifying this adoption.

I also authorize my veterinarian to release my veterinary records on my personal pets to Lost Paws Rescue of Texas.

I authorize Lost Paws Rescue of Texas to contact me by phone, email or in person at the information released in this application.

I agree to pay the adoption fee, as required. I understand that the Lost Paws Rescue of Texas adoption fees are applied to defray the costs of medical care and boarding for our adoptable dogs and cats. We are an all volunteer organization and 100% of donations and adoption fees go towards the well-being and adoption of animals in our care.

I agree to all provisions of the Lost Paws Rescue of Texas contract. I acknowledge that if I break the contract terms - I may be subject to criminal and civil prosecution.
Signature*
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Please Note: If you do not see a 'Thank You' page after pressing 'Send' - it means your form has not sent! In that case, please scroll up to the top of the form to view an Error Notice and Instructions. Thank you!

Cat Adoption Application

Cat Adoption Application Form

Lost Paws Rescue of Texas Happy Adopters – Oliver