2. Have you ever adopted or attempted to adopt from another shelter? Yes No
Name of shelter & details

3. Have you ever owned a cat before? Yes No Presently own
Is/was the cat spayed/neutered? Yes No
How old is/was your cat(s)?
If you no longer have your cat, what happened?

4. Do you currently have other pets? Yes No
Pet type: Age: How many pets do you currently have?

5. How many people live in your household?
Adults:
Children (specify ages):

Will all members of your household be present when you visit the shelter? Yes No
Are all of the adults in the household know that you are planning to adopt? Yes No
Are all adults agreeable to the adoption? Yes No

6. Are you aware of any allergies in the family/household? Yes No
If "Yes", how do you plan to handle the allergies with a cat in the household?

7. Do you:

If renting, does your lease allow pets? Yes No
Landlord's Name Landlord's Phone

8. Will the cat live strictly indoors or will it be allowed outside?
Indoors Indoor/Outdoor

9. Will you agree to have this cat spayed / neutered? Yes No already done

10. Do you fully understand that if the cat is not spayed/neutered TBAW will take the cat back?
Yes No

11. Are you aware of the cost of owning a cat? - i.e., routine and emergency medical care such as vaccinations(rabies, distemper), exam for parasites(stool, ear mites), etc. Yes No

12. Do you plan to declaw this cat? Yes No

13.Who is your veterinarian? Vet Phone#:
Town: City: State:
Account in name of Pet's name
Are/were your pets up to date on all shots? Yes No

15. What provisions will you make for this cat if you must go out of town or away on vacation?

17. Can you make this commitment for the many years a cat can live (15-20+years)?
Yes No

18. Do you agree to return this cat to TBAW should the adoption not work out or if you need to give the cat up at some time in the future? Yes No

19. Additional Comments: