Adopt | Lifeline

YOUR CONTACT INFORMATION

First name

Last name

Phone

Email

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

YOUR NEW PET

WHY DO YOU WANT A CAT OR KITTEN?

DESCRIBE THE CAT OR KITTEN YOU ARE LOOKING FOR

PREFERRED AGE

Kitten (< 6 months)

Young (6 months - 1 year)

Adult (2-7 years)

Senior (over 7 years)

COAT LENGTH

Short

Medium

Long

No preference

SEX

Male

Female

No preference

Please indicate specific color/breed you are looking for, if applicable:

Who will be the primary caretaker of the cat/kitten?

How many hours per day will the cat/kitten be left alone?

How much time each day will you be able to spend with your cat/kitten?

HOUSEHOLD INFORMATION AND PET HISTORY

How many adults live in the home?

Children

Cats

Dogs

Other Animals

Does anyone in your household have cat allergies?

Yes

No

If yes, how does this person plan to manage their allergies?

Have you had pets in the past 10 years? (please provide details about how long you had them and why they are no longer with you)

If you have had to give up a pet in the past, please describe the circumstances:

Are your current pets spayed/neutered?

Yes

No

If applicable, are any of your current pets declawed?

Yes

No

Name of the veterinarian you use:

Veterinarian's phone number

Are you able to provide a veterinarian reference?

Yes

No

If no, may we call your veterinarian for a reference?

Yes

No

Date of your last visit:

Reason for visit:

If applicable, are all of your pets current on their required vaccinations?

Yes

No

Do you own or rent your home?

Own

Rent

How long have you lived there?

If renting, are pets permitted in your home and are there pet fees?

PET OWNERSHIP AND FUTURE PLANNING

If you had to move, what would you do with your pet?

Have you taken into consideration the financial responsibility of pet ownership, and confident you are able to provide adequate food, enrichment, litter box supplies, and veterinary costs?

Yes

No

Describe the responsibility you feel pet guardianship involves?

Your signature certifies that the above information is true and correct to the best of your knowledge.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Month

Day

Year

LiFELINE R&R reserves the right to refuse any adotion at our discretion.

Adoption Application

Adoption
Application