Full Name *

First Name

Last Name

What is your Date of Birth *

MM

DD

YYYY

Primary Caretaker Phone *

(###)

###

####

Full Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of home do you live in? *

HOUSE

APARTMENT

CONDO/TOWNHOUSE

STUDIO

LOFT

MOBILE HOME

RETIREMENT HOME

LIVING WITH PARENTS

COLLEGE DORM

Do you have any of the following in your home? *

CHECK ALL THAT APPLY.

PATIOS

BALCONY

PET DOORS

UNSCREENED WINDOWS

FRONT AND/OR BACK YARD

GARAGE

DOG DOORS

How many children and how old are they? Do they live with you full time or part time? *

CHECK ALL THAT APPLY.

CURRENTLY PREGNANT

INFANT: Newborn to 2 years

YOUNG CHILDREN: age 2 to 12

TEENAGERS: age 13 to 18

NO CHILDREN

LIVES WITH ME FULL TIME

LIVES WITH ME PART TIME

Name of Spouse or Significant Other that lives in the home *

First Name

Last Name

Do you plan on moving any time soon? *

YES

NO

NOT SURE

Why is now a good time to adopt a kitty? *

CHECK ALL THAT APPLY.

COMPANION FOR SELF/PARTNER

COMPANION FOR CHILD

COMPANION FOR ELDERLY PARENT

COMPANIONS FOR PET DOG/CAT

REPLACE LOST/DECEASED CAT

AS A GIFT

OTHER REASON

What type of environment do you want for your kitty? *

Pick all that apply.

INDOOR PET ONLY

INDOOR BUT CAN GO OUTSIDE SOMETIMES

FULL INDOOR/OUTDOOR ACCESS

GARAGE AND OUTDOOR ACCESS ONLY

OUTDOOR PET ONLY

Do you plan on declawing your new kitty? *

YES

NO

NOT SURE

DEPENDS ON BEHAVIOR

Are you prepared to take care of your kitty for 15-20 years. *

YES

NO

NOT SURE

SIGN YOUR FULL LEGAL NAME *

I agree and certify that my application to Krazy for Kats, Inc is valid and true. I understand that if I am approved to adopt a pet from our rescue, this online form will become part of my legal adoption record.

First Name

Last Name

TODAYS DATE: *

MM

DD

YYYY