Cat Adoption Application - Bark Avenue Foundation, Los Angeles CA Date* Date Format: MM slash DD slash YYYY Name of the cat/kitten you wish to adoptName* First Last Email* Phone*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have permission from your landlord to have a cat?* Own - do not need landlord permission Rent - I have permission to have a cat In what type of home do you live?* House Apartment Condo/Townhouse Duplex/Triplex Mobile home Cottage/Bungalo Guest house Are any members of your household allergic to cats?* Yes No Please list the name of each person living in your home. Please specify their relationship to you (spouse, parent, child, etc.) Anyone under 21 years old please specify their age.*Please list ALL pets that you CURRENTLY own. Include the following information: breed, age, gender, length of time in your care, indicate if they are or aren't spayed/neutered.*Please list ALL pets that ALL adult family members have PREVIOUSLY owned. Include the following information: breed, gender, indicate if they were or weren't spayed/neutered, length of time you owned them, what happened to them (if they died please indicate how, if you gave them away please indicate circumstances):*Under what circumstances would you consider giving up/getting rid of your cat?* Moving Divorce Marry/dating someone with allergies Vet bills/Cat becomes ill Planning to have/Had a baby Cat behavior/Cat damages my furniture/belongings I wouldn't give my cat up for any foreseeable reason Other Will you declaw the cat that you are adopting?* Yes No Maybe Where will your cat live & spend his/her time? Cat will only live/spend time indoors Cat will be allowed inside and outside Cat will live outside Are you prepared to provide veterinary care for your cat for the rest of his/her life; including unexpected major illness, injury, disease which may become expensive?* Yes, I am prepared to spend whatever is necessary on veterinary care No, I am only willing to pay for routine annual veterinary care I am willing to spend money on veterinary care but only to a certain limit Are you prepared to take responsibility for this cat for the rest of his/her life, knowing that cats have a life expectancy of at least 15-20 years?* Yes No Is there anything else you would like us to know?
