Name *
Address *
City *
Postal Code *
Phone 1 *
Phone 2
Phone 3
Email *
What year were you born? *
How did you hear about Katie's Place? *
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) *
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? *
Other housing *
Square Footage *
Landlord's Name *
Landlord's Phone Number *
Please tell us about how this pet will live: Who will be the main care giver for this pet? *
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.) *
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.) *
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? *
Veterinarian's Name *
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? *
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 *
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.