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Before You BEGIN... Only Fill Out This Application if you are in

🍁Fort Smith CANADA 🍁

Contact Information

First Name *

Last Name *

Primary Phone *

Alt Phone

Email Address

Address *

City/Town *

Province *

Postal Code *

Your Family

Cat's Name (if known)

Who are you adopting this cat for? *

Have all members of your family been introduced to this Cat? *

Is Anybody in Your Home Allergic to Cats? *

Number of Adults in Home (18+) *

Number of Children in Home (0-7) *

Number of Children in Home (8-17) *

How busy is your household? *

How would you describe yourself? *

How would you describe the other people in your house? *

Are you planning the following in the next month?

Going on a holiday

Moving to a new home

Change in your schedule

Do you have a veterinarian?

Yes

Not Yet

Please provide name, phone number and details

Your Home

Type of Home *

Do you own or rent? *

Do you have your landlord's permission to have a cat?

Landlord's Name and Phone Number

Outside Areas *

Balcony

Patio

Yard

What type of street do you live on? *

Busy

Quiet

Country

Who will be the cat's primary care giver? *

Where will the cat be during the day? *

Where will the cat be at night? *

Where will the cat stay when you go on holidays? *

Have you ever had cats before? *

What happened to them?

Have you ever surrendered a pet to the FSAS or other organization? *

Other Pets

Do you have other cats? *

How are they towards other cats?

Type/Breed

Do you have dogs or other animals? *

How are they towards cats?

Type/Breed

Desired Cat Characteristics

Gender

Coat

Age

Breed

Please give us any other information that might be important to help us make a better match.

Problems you are willing to work on:

Behavioural Problems

Litter Box Use

Scratching Furniture

Socialization Problems

Fearful

Shy

Nervous

I am not willing to work on any problems

I need more information to decide

Check all that apply

Will you have the cat de-clawed?

I would like my cat to:

Friendly With Children

Very Important Somewhat Important Not Important

Friendly With Cats

Very Important Somewhat Important Not Important

Friendly With Dogs

Very Important Somewhat Important Not Important

Friendly With Me

Very Important Somewhat Important Not Important

Friendly With Visitors

Very Important Somewhat Important Not Important

Enjoy Being Groomed

Very Important Somewhat Important Not Important

Enjoy Being Held

Very Important Somewhat Important Not Important

Enjoy Being Patted

Very Important Somewhat Important Not Important

Be Calm

Very Important Somewhat Important Not Important

Be Active

Very Important Somewhat Important Not Important

Be Playful

Very Important Somewhat Important Not Important

Be Quiet

Very Important Somewhat Important Not Important

Be Independent

Very Important Somewhat Important Not Important

Never Wake Me At Night

Very Important Somewhat Important Not Important

Never Scratch Furniture

Very Important Somewhat Important Not Important

Never Be Aggressive

Very Important Somewhat Important Not Important

Always Use Litter Box

Very Important Somewhat Important Not Important

Under what conditions would you return your cat?

Aggressive

Scratching Furniture

Not Using Litter Box

Not Getting Along With Other Cats

Too Costly

Not Enough Time

Sick Cat

New Baby

Check all that apply

Disclaimers

Disclaimer:

I understand that it is my responsibility to see and evaluate the cat for myself before agreeing to adoption. This cat will reside in my home as a companion. I will provide him/her with adequate food, water, shelter, training, affection and medical
care. All of the information I have given above is true and complete. I am in full agreement with the Fort Smith Animal Society terms of adoption. The Fort Smith Animal Society is in no way liable or responsible for any damage, accident or injury resulting from the placement of a cat into my household.

Falsified information will lead to automatic rejection of the application -We reserve the right to refuse any applicant

Please check to acknowledge. *

I have read and acknowledge this disclaimer.

Have you ever been convicted of neglect or cruelty to animals? *

Yes

Are you willing to have a Fort Smith Animal Society or other SPCA representative do a home visit by appointment? *

Yes

If no, why not?