CATZ JAZZ ADOPTION APPLICATION

Are you applying for a cat or kitten? (type N/A if undecided):    

Name of cat(s) you are interested in adopting (type N/A if undecided):    

Today's Date:    

Your name:    

Driver’s license number and state of issuance: 

Your email:   (please set your spam filter to allow emails from CatzJazz or check your filtered box to make sure you don't miss our correspondance emails;
catzjazz representatives also send email from aol.com) 

Phone numbers (please list home and cell number):    

Applicant Address where cat will reside (include city and zip):    

Is this residence a house, apartment, duplex or condo?    

Do you own or rent this dwelling? (please name apt complex or condo if renting)    

How long at this residence?    

Name and phone of landlord/leasing agent: (type N/A if not applicable)    

Place of Employment:    

Length at this Employment:    

Work phone/ext:    

How many hours will cat spend alone? (explain):    

Where will cat be while you're away from home?    

Where will cat be kept at night?    

Have you ever given up a pet? (please write yes or no. if yes, explain:)    

How many animals are currently in your household?    

Pet #1 Name:   Type/Breed:     Animal is: Spayed/Neutered Not Spayed/Neutered   How Long Owned? Less than 1 Year 1 to 5 Years Over 5 Years   Sex Female Male   Age Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Declawed? Yes, Declawed No, NOT Declawed   Where is animal kept? This animal is always kept inside This animal is always kept outside This animal is kept inside and outside

Where did you acquire this pet? and why?

Pet #2 Name:   Type/Breed:     Animal is: Spayed/Neutered Not Spayed/Neutered   How Long Owned? Less than 1 Year 1 to 5 Years Over 5 Years   Sex Female Male   Age Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Declawed? Yes, Declawed No, NOT Declawed   Where is animal kept? This animal is always kept inside This animal is always kept outside This animal is kept inside and outside

Where did you acquire this pet? and why?

Pet #3 Name:   Type/Breed:     Animal is: Spayed/Neutered Not Spayed/Neutered   How Long Owned? Less than 1 Year 1 to 5 Years Over 5 Years   Sex Female Male   Age Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Declawed? Yes, Declawed No, NOT Declawed   Where is animal kept? This animal is always kept inside This animal is always kept outside This animal is kept inside and outside

Where did you acquire this pet? and why?

Pet #4 Name:   Type/Breed:     Animal is: Spayed/Neutered Not Spayed/Neutered   How Long Owned? Less than 1 Year 1 to 5 Years Over 5 Years   Sex Female Male   Age Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Declawed? Yes, Declawed No, NOT Declawed   Where is animal kept? This animal is always kept inside This animal is always kept outside This animal is kept inside and outside

Where did you acquire this pet? and why?

Pet #5 Name:   Type/Breed:     Animal is: Spayed/Neutered Not Spayed/Neutered   How Long Owned? Less than 1 Year 1 to 5 Years Over 5 Years   Sex Female Male   Age Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Declawed? Yes, Declawed No, NOT Declawed   Where is animal kept? This animal is always kept inside This animal is always kept outside This animal is kept inside and outside

Where did you acquire this pet? and why?

Pet #6 Name:   Type/Breed:     Animal is: Spayed/Neutered Not Spayed/Neutered   How Long Owned? Less than 1 Year 1 to 5 Years Over 5 Years   Sex Female Male   Age Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Declawed? Yes, Declawed No, NOT Declawed   Where is animal kept? This animal is always kept inside This animal is always kept outside This animal is kept inside and outside

Where did you acquire this pet? and why?

Pet #7 Name:   Type/Breed:     Animal is: Spayed/Neutered Not Spayed/Neutered   How Long Owned? Less than 1 Year 1 to 5 Years Over 5 Years   Sex Female Male   Age Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Declawed? Yes, Declawed No, NOT Declawed   Where is animal kept? This animal is always kept inside This animal is always kept outside This animal is kept inside and outside

Where did you acquire this pet? and why?

Please list all of the previous animals you have owned in the past 5 years that are no longer with you:

Previous Pet #1 Name:   Type/Breed:     This animal was: Spayed/Neutered Had Not Been Spayed/Neutered   How Long Was This Animal With You? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   What Age Was This Animal At Time of leaving? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Had He/She Been Declawed? Yes, Declawed No, NOT Declawed   Where was this animal kept? This animal was always kept inside This animal was always kept outside This animal was kept inside and outside

What Happened To Previous Pet #1?:  Died Put To Sleep Ran Away Gave Away Sold Stolen Gave to Shelter Other Choose One

Please explain in your own words what happened to Previous Pet #1:

Where did you acquire this pet? and why?

Previous Pet #2 Name:   Type/Breed:     This animal was: Spayed/Neutered Had Not Been Spayed/Neutered   How Long Was This Animal With You? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   What Age Was This Animal At Time of leaving? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Had He/She Been Declawed? Yes, Declawed No, NOT Declawed   Where was this animal kept? This animal was always kept inside This animal was always kept outside This animal was kept inside and outside

What Happened To Previous Pet #2?:  Died Put To Sleep Ran Away Gave Away Sold Stolen Gave to Shelter Other Choose One

Please explain in your own words what happened to Previous Pet #2:

Where did you acquire this pet? and why?

Previous Pet #3 Name:   Type/Breed:     This animal was: Spayed/Neutered Had Not Been Spayed/Neutered   How Long Was This Animal With You? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   What Age Was This Animal At Time of leaving? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Had He/She Been Declawed? Yes, Declawed No, NOT Declawed   Where was this animal kept? This animal was always kept inside This animal was always kept outside This animal was kept inside and outside

What Happened To Previous Pet #3?:  Died Put To Sleep Ran Away Gave Away Sold Stolen Gave to Shelter Other Choose One

Please explain in your own words what happened to Previous Pet #3:

Where did you acquire this pet? and why?

Previous Pet #4 Name:   Type/Breed:     This animal was: Spayed/Neutered Had Not Been Spayed/Neutered   How Long Was This Animal With You? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   What Age Was This Animal At Time of leaving? Less than 1 Year 1 to 5 Years Over 5 Years Over 10 Years   Had He/She Been Declawed? Yes, Declawed No, NOT Declawed   Where was this animal kept? This animal was always kept inside This animal was always kept outside This animal was kept inside and outside

What Happened To Previous Pet #4?:  Died Put To Sleep Ran Away Gave Away Sold Stolen Gave to Shelter Other Choose One

Please explain in your own words what happened to Previous Pet #4:

Where did you acquire this pet? and why?

Have all the cats in your household been tested for FeLV (feline leukemia) and FIV (feline AIDS)?    

What type & brand of foods do you feed your current pets? i.e. NutroMax dry, canned, etc    

Are you interested in declawing this cat? (please write yes or no. if yes, explain:)    

Are you prepared for chewing, scratching, housetraining and other mischievous behavior?
Choose One Yes No I wouldn't know what to do
What will you do if this cat claws furniture or shows other destructive behaviour? (Briefly describe below how you would reprimand the animal): 

Will this cat be neutered/spayed?    

How much time will this cat spend outdoors/indoors?    

What characteristics in a cat/kitten are important to you?    

What types of cat/kitten behaviour do you find hard to deal with?    

Have you ever moved without taking pets with you? (please write yes or no. if yes, explain:) 

If you suddenly must move, or make a lifestyle change, and cannot keep the pet, what will you do? 

If cat became seriously ill or injured and medical treatment is too expensive, what will you do? 

Who will be the primary caretaker?    

Number of adults and children in household? (please list ages of children)    

Do all adults agree to adoption?    

Is anyone in your household allergic to cats?    

Does anyone in your household smoke?    

Why do you want a cat? (please explain if this cat is for yourself, a family member, a gift (for whom), a child's pet, a mouser,
a house pet or a companion for another pet):

Why do you want to adopt this particular cat? (please write N/A if you haven't picked a cat)

Please list your vet(s) information (Also indicate Name that your records would be under.) If you have no vet, please indicate.