Catnip Acres Adoption Application

Please fill out the form below or print the application and bring to Catnip Acres

To be considered for an adoption you must:

Have the knowledge and consent of all adults living in your household.
Have a valid ID with current address.
Have landlord’s name and telephone number.
Have your veterinarian’s phone number.
Understand that Catnip Acres must approve your application (based on the policies set by the board of directors.)

Your Name




Zip Code


Home Phone

Cell Phone

Work Phone

Your Age

Name of the cat you wish to adopt and description

What type of pets have you owned in the last 10 years? Place a comma between pets.

Name, Breed, Age, and Sex of Pet(s)

Spayed and/or Neutered?

Do you still own this/these pet(s)? If not, why?

Name and Phone number of Veterinarian for the above animal(s)

Do you want this pet for:

 Companion Gift Other

Do you plan to declaw?

 Yes No Not Sure

This cat will be without human companionship for how many hours per day?

Days per week?

Where will your cat be kept during the day? (Check all that apply)

 Indoors Outdoors Basement Garage Other

During the night?

 Indoors Outdoors Basement Garage Other

Do you plan to let your cat outdoors?

 Yes No

Where do you live?

Do you rent or own?

 Own Rent

Landlords name and phone number if you rent

Does your landlord allow pets?

 Yes No I Don't Know

Will you need to pay a deposit to your landlord to keep a cat?

 Yes No I Don't Know

Will your rent increase if you have a cat?

 Yes No I Don't Know

Please provide the following information about your household:

Number of adults

Number of Child and their Ages

Is anyone in your household allergic to cats?

 Yes No I Don't Know

What will you do with your cat if you move in the future?

How much do you anticipate spending yearly to feed, vaccinate, license and provide medical care for your cat?

Would you be willing to have a home visit from a representative from Catnip Acres

 Yes No

Have you adopted a cat from us before?

 Yes No

By typing my name below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a cat. I authorize investigation of all statements on this application. I understand that this application is the property of Catnip Acres.

Name and Date