Your Pet History
Thank you for inquiring about the homeless animals at Katie’s Place.
Please complete this application in full.
By completing this application, you give us the right to verify the information contained within.
We reserve the right to reject any application for any reason.
Include the history of all pets you’ve had in the last 10 years, whether alive or deceased.
What year were you born?
Have you had a cat before?
How did you hear about Katie's Place?
Have you read and understood our brochure "The Decision to Get a Pet"?
Have you ever adopted from Katie's Place before?
If yes, what was the animal's name?
Where are they now?
Why are you looking to adopt at this time?
Have you applied for a pet from another shelter or rescue? What was the outcome?
What kind of pet are you looking for? (Personality, gender, age, hair length, colour, markings, personality traits etc. Please be specific. If you saw a particular cat on our website you are interested in, please mention their name here)
Are you financially able to provide regular vet care, including spay/neuter, vaccinations, yearly check-ups and emergency care if required?
Please tell us about your home: Who all will be living in the home with this pet? Include Name, Relationship to you, age, and any allergies
Is everyone living in the home in agreement about adopting a pet at this time?
What are the ages of children frequently visiting the home?
Do you currently live in a
Other (please specify below)
Where you live, do you...?
Landlord's Phone Number
Are pets allowed?
Please tell us about how this pet will live: Who will be the main care giver for this pet?
Will this pet be...?
Indoor & Outdoor
Where will this pet spend its daytime hours? (Be specific, ie basement, barn, deck, yard, porch, laundry room, bedroom, kitchen, entire house etc.)
Where will this pet spend its evening hours? (Be specific, ie basement, barn, deck, yard, porch, laundry room, bedroom, kitchen, entire house etc.)
Where will this pet spend its nighttime hours? (Be specific, ie basement, barn, deck, yard, porch, laundry room, bedroom, kitchen, entire house etc.)
Do you have a dog or cat door or plans to install one or more?
Do you work...?
Do you work..?
in the home
away from home
What will happen to the pet if you have to move?
Under what circumstances would you NOT be able to keep this pet?
What would happen to this pet if something happened to you?
Please describe how you will feed this pet? (Brand, food type, frequency etc.)
Have you ever been forced to give an animal away for any reason?
If yes, please explain
What will happen if this new pet does not get along with an existing pet in the home?
What is your monthly budget for a single cat for food?
What is your monthly budget for a single cat for litter?
What is your monthly budget for a single cat for vet care?
Do you have a regular veterinarian?
Veterinarian's Phone Number
What is your philosophy on vet care?
What qualities do you look for in a vet?
What is your financial limit for vet care?
Have you ever not conducted tests or care recommended by your vet due to cost?
How do you feel about pet insurance?
What treatments have your pets (past or present) ever received? Please check all that apply.
Annual Check Ups
Pet History 1 - Please enter the name of your previous (or current) pet
Species [eg cat,dog,rat,fish]
Breed [eg Siamese, short-haired tabby, Chihuahua]
Date of birth
not sure, not applicable
Where and when did you get him/her?
Where is he/she now?
If deceased, please share the date & circumstances
What is he/she like (describe their personality)?
What vet did he/she see?
Is there anything else you would like us to know about him/her?
Don't forget to include your complete pet history for the last 10 years.
After submitting, click here to continue your pet history <<<
Sat & Sun: by appointment only
10255 Jackson Avenue, Maple Ridge, BC
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