151 NC Highway 9, Ste B #167, Black Mountain, NC , NY 28711, United States

[email protected]

(828) 447-1230

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Senior Cat Adoption Application

Home / Senior Cat Adoption Application

Laps and Naps Home for Senior Cats Inc. reserves the right to refuse any adoption application. Please understand that completing this application does not guarantee you will be approved. No animals will be placed in the care of prospective adopters who mislead our staff or fail to provide accurate information on the adoption application.

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Name *

First

Last

Address

City

State

Zip Code

Home Phone

Cell Phone

Work Phone

Email *

Date of Birth

Employer

Position

Does your job involve frequent travel?

Yes
No

If yes, how will you arrange for care of this cat?

In what type of home do you live?

House
Apartment
Condo
Mobile Home

Do you:

Own
Rent

If you rent, does your lease allow pets in your home?

Yes
No

What is the name and phone number of your landlord/property management company?

Please list all of the people living in your household, including their relationship to you and their age:

How would you describe your household?

Quiet
Average
Hectic
Other

If you share your dwelling, are all members of the household in agreement concerning the adoption of a senior cat?

Yes
No

Are you or anyone in your household allergic to animals?

Yes
No

If yes, how do you intend to deal with this?

Will this Senior Cat have free range of your home?

Yes
No

If no, please explain:

Please list ALL pets currently living in your home (Please include Pet Name, Breed, Age, Spay/Neuter Status, Current on Vaccinations and FIV/FeLV Status (Cats Only)):

Who is your current veterinarian (or previous veterinarian if you’ve owned pets within the last 5 years)?

Current veterinarian phone number:

Please list all previous pets that are no longer with you (Please list Name, Breed, Age, and Circumstances (died, ran away, stolen, rehomed, etc.))

Have you ever surrendered a pet to a shelter or rescue?

Yes
No

If yes, what were the circumstances?

Please list a personal reference (Name, Relationship, Phone Number, and Years Known)

How many hours a day would the Senior Cat be left alone?

Are you willing to spend the time and effort necessary to help this pet adjust to your home and lifestyle?

Yes
No

Do you have a doggie door installed in your home?

Yes
No

Would you agree to a home visit?

Yes
No

Under what circumstances would you not keep this cat?

What would you do if the cat urinated or defecated outside of the litter box?

Please list any comments or questions for us:

How did you hear about Laps and Naps Home for Senior Cats?

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Address:151 NC Highway 9, Ste B #167, Black Mountain, NC 28711Phone:(828) 447-1230Email:info@lapsandnaps.org

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