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• General Information
• *Name:
• *Date:
• *Address:
• *City:
• *State
• *Zip:
• Phone Number Home:
• Phone Number Work:
• Phone Number Cell:
• *Email
•  
• What kind of cat are you looking for?
• *Are you able to make a lifetime commitment to caring for a cat? (A cat's life-span can be as long as 20 years!)
  • Yes
  • No
  • Unsure



• *Are you over 18?
  • Yes
  • No





• Household Information
• *Do you own your own home?
  • Yes
  • No
• Landlord's Name and Phone:
• How many adults in your household?
• How many children/ages?
• Do all the members of the household know you plan to adopt?
  • Yes
  • No


• Is anyone in the household allergic to cats?
  • Yes
  • No
  • Not Sure
• Who will be the cat's primary caretaker?
• How many hours a day will your cat spend alone?
• Will your cat be allowed outdoors?
  • Yes
  • No
  • Unsure
• Will you declaw your cat?
  • Yes
  • No
  • Unsure
• If you move will you take your cat with you?
  • Yes
  • No
  • Unsure
• What will you do if your cat scratches the furniture?
• What will you do if your cat bites or scratches someone?
• Will you bring your cat to the vet annually?
  • Yes
  • No
  • Unsure
• How much do you think annual vet care costs?
• Have you adopted from MRFRS before?
  • Yes
  • No
  • Unsure
• Have you ever surrendered your cat to MRFRS?
  • Yes
  • No
  • Unsure
• Have you previously or do you presently have a pet?
  • Yes
  • No
•  


Please provide information about the pets you have had in the past 3 years:


• Pet Name:
• Species:
  • Cat
  • Dog
  • Other
• Deceased?
  • Yes
  • No
• Cause?
• Spayed or Neutered?
  • Yes
  • No
• Declawed?
  • Yes
  • No
• If pet is still alive is he/she up-to-date on shots?
  • Yes
  • No
  • Unsure
•  
• Pet Name:
• Species:
  • Cat
  • Dog
  • Other
• Deceased?
  • Yes
  • No
• Cause?
• Spayed or Neutered?
  • Yes
  • No
• Declawed?
  • Yes
  • No
• If pet is still alive is he/she up-to-date on shots?
  • Yes
  • No
  • Unsure
•  
• Pet Name:
• Species:
  • Cat
  • Dog
  • Other
• Deceased?
  • Yes
  • No
• Cause?
• Spayed or Neutered?
  • Yes
  • No
• Declawed?
  • Yes
  • No
• If pet is still alive is he/she up-to-date on shots?
  • Yes
  • No
  • Unsure



• Veterinarian's Name:
• Location:


• Phone:
The information I have provided is true. I understand that any misrepresentation of the facts may result in my losing adoption privileges.


•  
• Signature:
• Date:



•  

NOTE: All fields with an asterisk (*) is required in order for the form to be submitted to us. If the application does not submit, this will most likely be the problem.

(If there is a problem with the adoption form, please email the webmistress at: webmistress@mrfrs.org)