Feline Adoption Application - SPCA Westchester, New York

Name*

First Last

Date

Address*

Street Address Address Line 2 City State ZIP / Postal Code

Email*

Phone*

I am over 21?*

Yes
No

I'm here to:*

Adopt
Inquire

Personal Reference (cannot be a family member)

Relationship*

Name*

First Last

Phone*

Housing

Do You Rent or Own?*

Rent
Own

Residence Type*

What is your pet policy (if any?)*

Landlord/Management Name*

Landlord/Management Phone Number*

Did you know that in the state of NY, declawing is considered inhumane and illegal?*

yes
no

Total Number of People in Household*

Adults (18+)*

Children*

Yes
No

If yes, please list:*

How many children and their ages

Has anyone in your household ever experienced animal-related allergies?*

yes
no

Who will be responsible for the cat's day-to-day care?*

When traveling, how will you provide for your cat?*

Are you currently employed?*

yes
no
retired

How many hours will the cat be left alone daily?*

Did you know that it costs about $1,000-2,000 per year to provide basic care for a healthy cat?!

Are you financially prepared to provide for the health and wellness of your new cat?*

Yes
No

If you are unable to continue to care for the cat, who will take over care?*

Have you ever rehomed a pet?*

yes
no

If yes, why?*

Under what circumstances would you not keep a cat (select all that apply)?*

Current Household Pets Include: Species/Breed, Age, Sex, Altered (y or n), Vaccinated. If no current pets list NONE.*

Veterinarian Name*

Veterinarian Phone Number*

I'm looking for a:*

Kitten
Kitten Pair
Teen
Adult
Senior
Bonded Pair

It can take cats weeks or months to settle into a new home. Is this a concern for you?*

yes
no

Most cats do not like excessive handling. Is this a concern for you?*

yes
no

Please select the options that you feel best suits you and your home.

The activity in my home is like:*

Where will your cat spend most of its time?*

If other, please explain.*

My cat needs to be good with (select all that apply):*

Dogs
Cats
Birds
Livestock
Traveling
Children
Seniors
Strangers
Other

If other, please explain.*

What behaviors are you not willing to work with?*

Litterbox problems/Spraying
Timid/Shy
Scratching on Furniture
Jumping on Counters
Scratching People
Doesn't like to be handlded
None
I am willing to work with any behavior

Please let us know if you have any questions or concerns below:

How did you hear about us?*