Charles River Alleycats Adoption Application
Adoption Family Information
Name
Address
City
State, ZIP
Phone (home)
Phone (office)
Phone (mobile)
Email Address
Vet Name
Vet Address
Vet Phone
Cat/Kitten Information
Are you interested in a specific cat or kitten? If so, what is his/her name?
Household Questions
Type of Home	House Apartment/Condo
Do you Rent or Own?	Rent Own
If you rent, do you have your landlord's permission?	Yes No
Landlord's Name
Landlord's Phone
Total number of people in the household
Do you or anyone in the household smoke inside?
Number and Age of Children in the household
Number of hours per day that no people are in the home
Are there any other pets? If so, what is their type and age?
Are the other pets vaccinations up to date?
Are the other pets Spayed/Neutered?
Experience Questions
What is your previous experience with cats?
How many cats have you had in the past?
Have you ever had to give up a cat? Why?
What is your reason for wanting to adopt?
If adopting a kitten, what is your reason for wanting a kitten instead of a cat?
How would you address it if your cat scratched the furniture or others?
Have you ever had a cat declawed?	Yes No
Do you plan to keep this cat inside at all times?	Yes No
Personal References
We require 2 personal references in addition to your veterinary reference. Only one reference can be a relative.
Reference 1 Name
Reference 1 Phone
Reference 1 Relationship
Reference 2 Name
Reference 2 Phone
Reference 2 Relationship