About Us
Adopting A Friend
NC Cat Adoptions
Adoption Questionnaire This questionnaire is to help determine if the proposed adoption is in the best interest of both the kitten/cat and your family. The adoption includes, but is not limited to, the signing of this document, a legal, binding contract. The ultimate purpose of this application is to find the best possible homes for the kitten/cat. The kitten/cat will be completely dependent on you for his/her health, happiness and love. The contract is our written agreement of the terms and conditions under which the kitten/cat is given into your care. Please be patient with our inquisitiveness and concern for the kitten/cat's well being. We wish only the very best for you and the kitten/cat. All questions must be answered as completely and honestly as possible. We reserve the right to refuse any adoption that is not in the best interest of any kitten/cat. Your Name: ___________________ Address: __________________ City/State: _______________ Phone: (Home) _____ (Work) __________ (Cell) ________ Primary Email Address: ___________ Secondary Email Address: _____________ Occupation: ________________ Approx Age of Adults _______________ Who is your veterinarian and his/her phone number? ________ Why would like to adopt our kitten/cat: _______________________________ _____________________________________________________________
The Cats potential home.
- Is this cat only for your household? Yes _____ No _____
- Your household: Number of adults :_____ # of children: _____
- & children’s ages ______
- Does anyone in your household have allergies to animals?
- Yes _____ No _____ Animal?_____
- Does all in the household agree to have a new cat?
- Yes _____ No _____
- About how many hours will cat be alone each day? ____ and per week?___
- What type of home do you have? house\apt\other?
- Do you own or rent? ___ If you rent, are cats permitted in the rental unit?
- Yes _____ No _____
- Is your home a permanent or temporary residence? _____
- Do you plan on a move within the next few years? Yes _____ No _____
If you do move, what will you do with your new kitten/cat? ________
- Is this your first pet? Yes _____ No _____
- Is this your first cat? Yes _____ No _____
- If you have other pets now, what kind are they, how many, and their ages? _________________
Are they current on vaccinations? Yes _____ No _____ N/A_______
Are they spayed or neutered? Yes _____ No _____ N/A ______
- If you have no pet(s) now, have you had any pets in the last two years?
Yes _____ No _____ Where are they now? ______________________
- Have you ever adopted a pet from an organization Yes _____ No _____
If so, which one? ___________
Where is the pet now? _________________
- Have you ever given or had to give up a pet for any reason to an organization or individual? Yes _____ No ____
If yes, When and Why? _______________________
- Have you thought about the initial and future cost, and care of your new cat ?
- Yes ____ No ____
- Do you have the time and interest necessary for training of the cat, if needed? Yes _____ No _____
- Your new kitten/cat can take two months or more to adjust to its new home. Are you willing to allow it this much time to adjust? Yes _____ No _____ If not, why?_________
- Are you able to isolate the new kitten/cat for 4-7 days for he/she to get to know you & your home? ____
- Would you object to follow-up calls and/or visits to check on your new kitten/cat's progress? Yes ____ No ____ If yes, why? ________________________________
- Should your new cat have behavior problems, are you willing to work them out, or call me for help? Yes _____ No _____
- What will you do, if your new kitten/cat does not get along with present/future pet(s)?_______________________________________________________
- _______________________________________________________
- Will your new kitten/cat be kept inside/outside or both _________
- Do you agree to take your new kitten/cat to a licensed veterinarian for a complete veterinary exam within 5 days after the adoption and to follow-up on all inoculations as recommended by a licensed veterinarian?
Yes _____ No _____
Once the 5 day exam has been completed, if your new kitten/cat becomes sick, you have the options to have kitten/cat treated at your own expense by a licensed veterinarian or return kitten/cat to me.
- Do you agree to have your new kitten/cat spayed or neutered by a licensed veterinarian on or before a specific date? Yes _____ No _____ N/A ____
Do you agree to NOT have the cat de-clawed? _______ please int._____
Other Pets & Previous Pets
The Kittys Health:
Most rescued cats have unknown medical backgrounds. For this reason:
Do you agree that if, for any reason, I ask you to relinquish custody of your new kitten/cat, you will do so, unless otherwise agreed upon in writing?
Yes _____ No _____ Initials _____
I understand there is an adoption fee for each of our rescue cats/kittens. I will be told the adoption fee prior .
I certify that the above information is true and that false information may result in nullifying this adoption. Applicant's Signature: _______________ Date: ________ Please fill out completely, and email to: Sandy Chamberlain schamber@roadrunner.com
Who We Are
We are a none profit organization designed to help nurture and
protect the feline species. We focus on trying to match the right cat with the right family or person.
We are located in Statesville, North Carolina. About 30 minutes
north of Charlotte, North Carolina.
