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CNY Cat Coalition

Cat rescue, adoptions, and spay/neuter services

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Adoption Application

If you are interested in adopting a cat from the CNY Cat Coalition, please fill out the form below. You may also choose to fill out a paper copy of this form at our store adoption centers.

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Name *

First

Last

Certification *

I promise that all of the information provided below is accurate and truthful. I understand that providing false or misleading information can result in my application being denied or a cat being taken back from me after adoption.

Email *

Email

Confirm Email

Phone *

May we text you at this number? *

Yes
No

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Applicant's age *

Are you a college student? *

Yes, full-time
Yes, part-time
No

Please list all other household members and ages *

Do you own or rent your home? *

Own
Rent
Live with family

Does your family own or rent the property?

Own
Rent

What is your landlord's name? *

Landlord's phone *

What are the pet fees for your rental? (annual deposit, monthly charge, etc) *

Housing Type *

House
Apartment
Mobile Home
Student Housing

What is your or your household's source of income? *

Full-time employment
Part-time employment
Retired
Government assistance—please explain below
Other—please explain below

Please explain your source of income to be used to care for your pets. *

What is the name of your employer? *

What type of work do you do at your employer? *

Are you able to afford $500+ in pet-related expenses per cat per year? *

Yes
No

Pet ownership comes with financial requirements that all new pet parents must be prepared to meet. We cannot adopt animals to households who cannot show appropriate financial means to care for them for both routine and emergency needs.

Do you already know which cat(s) of ours you're interested in? *

Yes
No

What is the cat's name and description (color, gender, etc) *

Where did you see the cat up for adoption? *

Petfinder.com / Cat Coalition website
Fairmount PetSmart adoption center
Clay PetSmart adoption center
Luna Cat Cafe
Other (explain below)

Other *

Where did you see this cat listed for adoption? Be as specific as possible.

If you are looking for the right cat, please describe what characteristics you'd like (e.g., age, gender, color, personality, good with dogs, cats, kids, etc.) *

I'm looking for this new cat to be: *

Indoor only
Indoor-outdoor
Outdoor only
Barn cat

Have you adopted from a rescue before? *

Yes
No

Which rescue(s) did you adopt from and when? *

Have you ever had to give up a pet or find a new home for it? If yes, please explain. *

If you became unable to care for or keep your pets, what plan do you have for them? *

Do you have any current CATS or have you had any CATS in the past 5 years? *

Yes
No

Do you have any current DOGS or have you had any DOGS in the past 5 years? *

Yes
No

List all Current and Recently Owned Cats and Dogs, including NAME, DOG or CAT, GENDER, AGE, YEARS YOU'VE OWNED IT, AND IF IT IS SPAYED/NEUTERED *

Please list your primary veterinarian practice name and phone number. You will need to contact your veterinarian and give permission for our organization to verify your records. *

By submitting this application, I hereby give permission for this agency/foster caregiver to contact my veterinarian to verify spay/neuter, vaccination, and pertinent account information, for the purpose of pre and post adoption approval.

How often are your pets seen by your veterinarian? *

Are all of your current/recent cats and dogs up to date on vaccines? (Must be verified by your veterinarian) *

Yes, all are up to date
Some are up to date
No, they are not up to date

My current or recent cats were: *

Indoor only
Indoor-outdoor
Outdoor only
Barn cats

Are there any other cats or dogs in your home who are owned by someone else? *

Yes
No

List all Cats and Dogs owned by others, including NAME, DOG or CAT, GENDER, AGE, and IF SPAYED/NEUTERED *

Please list three personal or professional references below who are not related to you or your household.

Please let your references know that you have listed them for the purposes of adopting a cat and that they may receive a call or text from an unknown number.

Personal Reference 1: List a personal reference name, relationship, and phone number (NO FAMILY MEMBERS) *

Please list non-family members such as coworkers, neighbors, friends, etc.

Personal Reference 2: List a personal reference name, relationship, and phone number (NO FAMILY MEMBERS) *

Please list non-family members such as coworkers, neighbors, friends, etc.

Personal Reference 3: List a personal reference name, relationship, and phone number (NO FAMILY MEMBERS) *

Please list non-family members such as coworkers, neighbors, friends, etc.

Please tell us any questions you have about this cat, our adoption process, pet ownership, etc

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