First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Cell Phone*

What is your current age?*

Who is your current employer?*

How long have you been with this company?*

Are you a student?*
Choose one: Yes No

Are you a permanent resident of the United States?*
Choose one: Yes No

Which animal are you interested in? If unknown, skip to the next question to start telling us about what you are looking for.
Choose an animal: Alexander McQueen Alvin Amanda Andy Annie Atticus Baby E Baloo Bella Belle Benson (adult) Bourbon (bonded to Prince) Briar (bonded to Cayenne) Captain Sushi Cayenne (bonded to Briar) Chance Colin Robinson (bonded to Nandor the Relentless) Fox Frannie Frodo Fuego Galaxy Green Bean Gretel Heidi Jack Jazzy K2 Leah Link London Lucille Maggie of the Grayson Clan Marie Claire Molly Ms. Sassypants Nandor the Relentless (bonded to Colin Robinson) Nola Nova Oberon Percy Petunia Prince (bonded to Bourbon) Raja Ranger Saber Saffron Sam Elliott Samson Savannah Scrunchie Simon Strawberry ‘Banana’ Split Tom Servo Tommi Girl Tyler Willow of the Grayson Clan

What age are you looking for?

What gender of cat are you looking for?

What coat length are you looking for?

What traits are you looking for in a pet?

How much time will the animal spend alone during an average day?*

Will the animal be kept inside or outside*
Choose one: Both Indoor/Outdoor Indoor Outdoor Unknown

Are you planning to declaw?*
Choose one: Yes No

Is there a dog door in your home?*
Choose one: Yes No

Please give us the reason you were drawn to and want to adopt this "specific" cat. This helps us to be sure a good match is being made.

Why are you interested in adopting a pet at this time*

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home?*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal?
Choose one: Yes No

If you rent, do you have a pet deposit and/or pet rent that needs to be paid? We list this as a reminder and something for renters to consider.
Choose one: Yes No

Do you have coyotes, hawks, owls etc in your area?*
Choose one: Yes No

Who in the household will care for the pet?*

How many people reside in your household?*

Have you previously owned a cat?*
Choose one: Yes No

Have you previously adopted from RAIN/Rescuing Animals In Need?*
Choose one: Yes No

Is anyone in the home allergic to animals? Certain cat danders can mimic other animals such as rabbits. An allergy to one type of animal may mean an unexpected allergy to a particular type of cat.*
Choose one: Yes No

If there are animal-allergies in the home, can you please describe? Include known types, if medications are currently taken, etc. We want to make the best match for everyone involved, including the cat.

Is this animal a gift for someone?*
Choose one: Yes No

How many animals are currently in the home? (No need to list tank-animals like fish)*
Choose one: None 1 2 3 4+

If you currently have animals, please tell us more about them here. Species, age, gender, temperament, etc. This will help us make a proper match.

Please list all dates for most recent vaccinations of the animals in the home and which vaccinations were administered (e.g. Rabies, FVRCP, DHPP, etc.)

Please provide your veterinarian's name (clinic is fine) and phone number. If you do not already have a vet, let us know and we can give some recommendations on how to find one for future-use.*

If there was a medical emergency for your pet, how much would you be willing to spend? Please explain.*

How many children are living in the home?*
Choose one: None 1 2 3 4+

If there are children living in the home, what are their ages?

How often do non-household children visit your home?*

We believe it is imperative that all children be told the importance of giving a new cat the space it needs to acclimate into a new home. Children can be very excited about their new family member and accidentally cause trauma to the cat with behaviors that scare the animal. For the best chance at a positive acclimation, we ask that you do and affirm the following:

Have you ever given up a pet? If yes, please explain.*

If you were to lose your source of income or died, what provisions have you made or are you willing to make for the animal? Please explain.*

Many people assume family will take over the care of their animal but this is not always true. We strongly recommend having this discussion so that all parties involved know what is to be expected and, ultimately, that the cat is going to be taken care of. Have you discussed these provisions with friends/family?*
Choose one: Yes No

How did you hear about us? This helps us to determine where we can focus our efforts on getting the word out.

I certify that the information entered on this application is true.*