First Name *
Last Name *
Birthday * MM 1 2 3 4 5 6 7 8 9 10 11 12 / DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YYYY 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Email *
Primary Phone *
Type of Residence * Please select House / Townhouse Residence / Student Housing Apartment / Condo Rural / Other
If you rent an apartment or condo, does your Lease Agreement allow pets? * Please select Yes No Unsure
Numbers of adults in home: *
Numbers of children in home:
Ages of children:
Is anyone in your household allergic to cats? * Please select Yes No Unsure
If you discover, post-adoption, that someone in your family may be allergic, how will you deal with this issue? *
Do you have pets in your current household? * Please select Yes No
How long have you had your current pet(s)?
Types of animals currently residing with me: * Please select Dog Cat Other / Multiple
If "Other / Multiple", please describe: *
Are these animals up to date with their vaccinations? Please select Yes No
If "No", please explain: *
How do you plan to introduce your new pet to your current pet(s)? *
Have you ever surrendered, sold or given away an animal? * Please select Yes No
If "Yes", please explain: *
Have you had an animal(s) in the past that is no longer with you? * Please select Yes No
If "Yes", how long did you have each and what happened to them? *
Which cat(s)/kitten(s) are you interested in adopting? *
What personality type do you feel best suits your personality and lifestyle? *
Describe, in detail, your own personality and lifestyle: *
Do you plan on letting your adopted cat/kitten outside? * Please select Yes, free roaming No Yes, supervised Yes, with harness
What type of animal behaviour would be completely unacceptable to you? *
On a scale of 1 to 10 (1 = not at all, 10 = very experienced), how would you rate your knowledge of the requirements of a cat/kitten? *
Have you or anyone in your household ever been investigated by any animal welfare group or organization? * Please select Yes No
If "Yes", please explain: *
Have you or anyone in your household ever been charged or convicted of an animal related offense? * Please select Yes No
If "Yes", please explain: *
I understand that the adopted cat/kitten must remain in my care. Should my situation change this cat is to be returned to SNKI. * Please select Yes No
I understand that a home visit may be conducted, pre and/or post adoption at the sole discretion of SNKI * Please select Yes No
Do you have a current vet/vet clinic? * Please select Yes No
Who is your current vet? *
Do you intend to have your adopted cat/kitten declawed? * Please select Yes No Might Consider
On average, how much do you think it would cost yearly to maintain the health of your pet? * Please select 0-$100 $100-$300 $300-$500 $500+
Emergency treatment may be necessary without warning. Are you prepared to deal with this type of situation if it does occur? * Please select Yes No
I authorize the above noted veterinarian(s) to verify my pet's medical history with Spay Neuter Kingston Initiative * Please select Yes No I do not have a vet, yet.
Vet Clinic Phone:
Number of years at current vet:
Please list other veterinarian(s) here if pet has been seen by more than one veterinarian.
Personal Reference (Not Family Members): *
Relationship: *
Reference Phone: *
If "Other", please explain:
Applicant Signature (type your name): *
