Thank you for your interest in adopting a Lucky Cat. Lucky Cat Rescue (LCR) wants to make certain that every cat adopted goes to a loving home in which the cat will be well cared for. Because of this, our application asks a number of detailed questions which are necessary for our screening process. Please answer ALL questions. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. All adoptions are made at the discretion of Lucky Cat Rescue, Inc. If the adoption is approved, an adoption contract will be completed, donations accepted, and then you take your new feline friend home. Please allow up to a week for processing your application. Before filling out this application, please read Lucky Cat Rescue's "Adoption Guidelines" by clicking here. (Note: Pop-up blockers must be turned off to view guidelines.) For more information about the adoption process, click here. Download Lucky Cat Rescue's adoption application for printing: Download as a Microsoft Word document Download as a PDF file Name of Cat/Kitten: * Your Full Name * Your Age: * Home Address: * City, State: * Zip Code: * Home Phone: * Cell Phone: * Work Phone: * E-mail Address: * What is the best way to contact you? * Home Phone Cell Phone Work Phone E-mail ABOUT YOUR HOME: I live in a: * House Apartment Condominium Mobile Home Dormitory Other Do you: * Own Rent Live with parent(s) Other If renting, does your landlord allow pets? Yes No Landlords name: Landlords phone number: Do you have any plans to move in the next few years? * Yes No How long have you lived at your current address? * How many times have you moved in the past five years? * What would you do if you moved to a residence where pets were not permitted? * ABOUT YOUR FAMILY: How many adults live in your household? * How many children live in your household? * What are the childrens ages? * Are all members of your household in agreement about adopting a cat? * Yes No For whom are you adopting this cat? * Who will be the primary caregiver for this cat? * Who will be financially responsible for this cat? * Are you willing to have all members of your household meet a LCR representative to meet the cat that you are applying for? * Yes No Do any members of your household have asthma, or have allergies to cats? * Yes No Describe your household activity/noise level: * Low Medium High How often do you travel? * How will you care for your cat when you are traveling? * In the event of an emergency, who would care for your cat or what arrangements would you make? * For how many hours would the cat be alone during the day? * 0123456788+ ABOUT YOUR CURRENT ANIMALS: Please list all animals you currently own: Pet #1 - Name: Pet #1 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #1 - Breed: Pet #1 - Age: Pet #1 - Sex: Male Female Is Pet #1 Altered (Spayed/Neutered)? Yes No How long have you owned Pet #1? Are all of Pet #1s vaccinations up-to-date? Yes No Pet #2 - Name: Pet #2 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #2 - Breed: Pet #2 - Age: Pet #2 - Sex: Male Female Is Pet #2 Altered (Spayed/Neutered)? Yes No How long have you owned Pet #2? Are all of Pet #2s vaccinations up-to-date? Yes No Pet #3 - Name: Pet #3 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #3 - Breed: Pet #3 - Age: Pet #3 - Sex: Male Female Is Pet #3 Altered (Spayed/Neutered)? Yes No How long have you owned Pet #3? Are all of Pet #3s vaccinations up-to-date? Yes No Pet #4 - Name: Pet #4 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #4 - Breed: Pet - #4 Age: Pet #4 - Sex: Male Female Is Pet #4 Altered (Spayed/Neutered)? Yes No How long have you owned Pet #4? Are all of Pet #4s vaccinations up-to-date? Yes No Pet #5 - Name: Pet #5 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #5 - Breed: Pet #5 - Age: Pet #5 - Sex: Male Female Is Pet #5 Altered (Spayed/Neutered)? Yes No How long have you owned Pet #5? Are all of Pet #5s vaccinations up-to-date? Yes No MORE ABOUT YOUR CURRENT ANIMALS: If you have a cat, does it get along with other cats? * Yes No N/A Does your current cat go outside? * Yes No N/A If you have a dog, does it get along with cats? * Yes No N/A What veterinarian do you take your pets to (If you dont currently have pets, type N/A in the field below.): * Vet Phone Number Are you experiencing any difficulties with your current pets in terms of health or behavior? Yes No If yes, please describe: Did you have any pets while you were growing up? * Yes No Have you had the experience of being a primary caregiver to a cat? * Yes No Have you ever given a pet away, given it to a shelter or rescue group, returned it to a breeder or sold it? * Yes No Have you ever had an animal for a short period of time and it didn?t work out? * Yes No Have you ever had an animal lost or stolen? * Yes No Have you ever had to retrieve your animal from a pound, shelter or animal control facility? * Yes No Have you ever had an animal die as the result of being hit by a car, being poisoned or from unknown causes? * Yes No Have you previously applied to adopt from Lucky Cat Rescue? * Yes No ANIMALS OWNED OVER THE PAST 10 YEARS: Please list all animals you have owned in the past 10 years, not including the pets that currently live with you. Pet #1 - Name: Pet #1 - Species ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #1 - Breed: Was Pet #1 Altered (Spayed/Neutered)? Yes No How long did you own Pet #1? What happened to Pet #1? When did this happen? Pet #2 - Name: Pet #2 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #2 - Breed: Was Pet #2 Altered (Spayed/Neutered)? Yes No How long did you own Pet #2? What happened to Pet #2? When did this happen? Pet #3 - Name: If other, please specify: Pet #3 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species Pet #3 - Breed: Was Pet #3 Altered (Spayed/Neutered)? Yes No How long did you own Pet #3? What happened to Pet #3? When did this happen? Pet #4 - Name: Pet #4 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #4 - Breed: Was Pet #4 Altered (Spayed/Neutered)? Yes No How long did you own Pet #4? What happened to Pet #4? When did this happen? Pet #5 - Name: Pet #5 - Species: ---CatDogBirdRabbitGuinea PigFerretChinchillaHamsterRat/MouseSnakeFrogLizardFishHorseOther Species If other, please specify: Pet #5 - Breed: Was Pet #5 Altered (Spayed/Neutered)? Yes No How long did you own Pet #5? What happened to Pet #5? When did this happen? PLANS FOR YOUR NEW PET: The new cat/kitten will live: * Indoors Only Outdoors Only Both Indoors and Outdoors Not Sure Yet Where will the cat be when nobody is home? * Indoors Outdoors Will the cat be allowed to have free roam of your home? * Yes No What veterinarian do you plan to use? * Why do you want to adopt a cat/kitten? * Companion Mouser Other Type of cat desired (check all that apply): * Kitten (< 1 year old) Adult (1+ years old) Senior (8+ years old) Male Female Declawed Indoor Only Outdoor Only Indoor/Outdoor Long-haired Short-haired No preference Other If other, please specify: Desired temperament/personality: * Quiet Playful Lap Cat Active Independent Other If other, please specify: Are you aware that some cats require a period of weeks or even months to adjust to their new home/environment/ other pets? * Yes No Are you willing to allow for this adjustment period? * Yes No Are you willing to bring your pet to a veterinarian for yearly exams, and for vaccinations per your veterinarian?s recommendations? * Yes No Are you willing to accept responsibility for this pet for the next 10-20 years or more? * Yes No What circumstances might justify giving up a cat? (Check all that apply): * Baby Moving Too much shedding Want to travel Divorce Allergies Behavioral Problems Children Lost Interest Cat not getting along with other pets New household member dislikes cats Cat not using litter box Destructive scratching Too time consuming Health Problems None Other If other, please specify: If your new cat or kitten exhibits behavioral or adjustment issues, would you be willing to seek the advice of a LCR representatives? * Yes No Please share any kitty habits that you cannot tolerate: (Check all that apply): * Shedding Chewing plants Jumping None Other If other, please specify: Please share with us anything you would like us to know about the new cat or kitten that you would like to add to your family. Would you be interested in learning about some of our ?special needs? or ?long term resident? cats who are in need of loving, forever homes? * Yes No Would you be willing to have an in-home visit by a LCR representative after you have adopted from us? * Yes No PERSONAL REFERENCES :Please provide three personal references such as co-worker, friend or neighbor. Please no family members. Personal Reference #1: * Relationship With Personal Reference #1: * Phone # of Personal Reference #1: * Personal Reference #2: * Relationship With Personal Reference #2: * Phone # of Personal Reference #2: * Personal Reference #3: * Relationship With Personal Reference #3: * Phone # of Personal Reference #3: * Are you ready and willing to accept the personal and financial responsibility of owning a cat? * Yes No Have you fully read and do you agree to Lucky Cat Rescues Adoption Guidelines? * Yes No INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED Do you accept Lucky Cat Rescues terms for application * Yes, I accept. I decline. * Required