Cat Adoption Form

    What type of cat are you interested in?

    Name of cat you are interested in and preferred color/personality type:

    How many people currently reside in your household?

    Any children in the household?

    List ages:

    For whom are you adopting the cat?

    Does any member of the family have any allergies to animals?

    If yes, explain:

    Who will be responsible for the cat’s care?

    Where do you live?

    Do you own or rent your residence?

    If renting, what is the name and phone number of your landlord?

    Are companion animals allowed?

    Where will the cat be kept?

    If outdoors, will the cat be

    Will anyone be home during the day?

    How many hours will the cat be left unattended?

    When no one is home, where will the cat be kept?

    If you move, what will you do with the cat?

    How far from the road/traffic is your home/farm located?

    Is the volume of traffic

    Have you ever had a companion animal before?

    Describe the companion animals you still care for, or that are living in your household(include name, breed, age, neutured, where they were kept, and the time they were in your care):

    Describe the companion animals you no longer care for(include name, breed, age, neutured, where they were kept, the time they were in your care, and the reason they are no longer with you):

    Are your companion animals up to date with their vaccinations?

    Please provide name of your veterinarian:

    Please provide the phone number of your veterinarian:

    Are you financially able and willing to provide annual checkups, vaccinations, and ANY medical care necessary?

    If you have a dog, is he/she permitted to run loose?

    What precautions would you take to properly introduce a new cat into your home if you have other animals (a dog, bird, rabbit, another cat, etc.)?

    What will you do if your new cat does not get along with your present companion animals?

    Are you planning on declawing?

    Have you ever adopted an animal from a rescue/animal control agency?

    Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility?

    if yes, explain:

    Why do you want to adopt a cat?

    If a disciplinary or behavior problem arises, what steps will you take to work on it?

    Are you familiar with your local animal control laws?

    Are you willing to sign legal pet adoption papers?

    Do you agree to permit a visit to your home/farm by appointment?

    By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in UDR Canada refusing adoption privileges to me/us. If my/our request for adoption is approved and later UDR Canada discovers the above information is not true or correct, UDR Canada reserves the right to remove the adopted cat from my home/farm.