Cat Adoption Application | The S.P.E.A.K. Animal Sanctuary

Please complete the application below. Fields marked with an asterisk are required.

Name

Phone

Street Address

City

State

Zip

Are you 21 or older?

Yes

Are you a current or prospective college student?

Yes

Employer

Who will be the primary caregiver of the cat?

Have you ever owned a cat before?

Yes

Reason for adopting a cat

How did you hear about our cat shelter?

Have you adopted a pet before?

Yes

Household Information

I live in a:

House

Apartment

Condo

Mobile Home

Do you own your home?

Yes

Do you plan to move soon?

Yes

Do you rent your residence?

Yes

How long have you lived at your current residence?

I live with:

Alone

Spouse

Parent

Roommate(s)

Children

Other

What is the activity level in the house?

Very Active

Moderately Active

Quiet

Do any of the members in the household have allergies to cats?

Yes

Not Sure

Will your cat stay:

Indoors

Outdoors

Both

Pet Information

Please list all pets you have owned within the past 10 years

Pet Name

Breed

Age

Spayed/Neutered?

Years owned

Still live with you?

If not, why?

My current/previous veterinarian(s) is

Phone number

Please read and sign:

Many factors determine which applicant will be matched with a particular pet. If you are not able to adopt a pet today, it does not mean that you are not considered a good pet owner or that your home is not acceptable. Our goal is to place all animals into homes that will best suit their individual needs. Please ask for clarification if you have any questions.

I verify that I myself have filled out this form and have completed this application truthfully. I fully understand the adoption process.

By the applicant entering their name in the box below, they are electronically signing this application and it carries the same legal value as if it were signed by the applicant in person.

Signature

Submitting your application...

Thank you! Your application has been submitted.