Step 1 of 10 - Fill In Your Information 0% Cat WordPress ID (Hidden/Autopopulate) User Account (Hidden/Autopopulate) Name* First Last Pronounsshe/herhe/himthey/themAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Alternative phonesEmail* Subscribe to Tabby's Place Newsletter Subscribe to Tabby's Place Newsletter Preferred Method of Contact*Preferred Method of ContactAnyPhoneEmailHow did you hear about Tabby's Place?*How did you hear about Tabby's PlaceA friendAnother shelterNewspaperRadioTVVeterinarianWebDriving byFacebookOtherHave you previously adopted or applied to adopt a cat from Tabby's Place?*Have you previously adopted or applied to adopt a cat from Tabby's PlaceYesNoWho Did You Adopt From Us? Your Age*Please enter a number greater than or equal to 1.Ages of other residentsType of Residence*Type of residenceHouseApartmentCondo/TownhouseFarmOtherResidence Status*Residence StatusOwnRentLive with parentsHow would you describe your household most of the time? (select all that apply):* Have children and/or children frequently are visiting our home Have friends and family visiting frequently Someone is usually or always home The household is busy and lively The household is somewhat busy The household is calm and quiet How would you describe your lifestyle? (select all that apply):* work from home most days work at home some days work outside of the home retired and home often work days are long (more than 8 hours) travel frequently are planning on growing our family Experience with cats*Experience with catsFirst TimeGrew up with catsSome experienceVery experiencedWhere Will the Cat Live?*Where will the cat live?Indoors onlyIndoors with controlled access to outdoors (enclosure, stroller, or harness)Sometimes outdoorsMostly outdoorsOutdoors only How would you address a behavior issue such as fearfulness, scratching, biting, or aggression to other animals?*How would you address a medical issue such as an upper respiratory infections, dental disease, or lifelong medical diagnoses (cancer, arthritis, diabetes, etc.)?*If you were to move, what would you do with your pets?*Under what circumstances would you consider giving up a cat (e.g., scratching furniture, inappropriate elimination)?*Are there any circumstances in which you would consider declawing a cat?*Cats can live 18+ years. Are you prepared for this commitment even through changes in your life or theirs?*YesNoUnsure: I'd like to discuss this moreIf you have, or plan to have, children, are you comfortable with the possibility of a child being bitten or scratched?* Yes No Unsure N/A Have you ever given up a pet?*If yes, please explain. Yes No Please explain why you gave up a pet previously.* Are you adopting for your own household?* Yes No Is everyone in the household aware and supportive of this adoption?*Select oneYesNoUnsureDoes anyone in the household have a history of cat allergies?*Select oneYesNoUnsureIf you are away from home for a short period of time (i.e. vacation or visiting family/friends) how will you plan to provide care for your cat?*If you could no longer care for your cat due to health, financial, or other reasons, what would you do with your cat?*Acclimation Period*Some cats require several weeks, or even months, to acclimate to their new home. Are you willing to allow for this adjustment period? Yes No Unsure Financial Ability*Cats require a minimum of one physical exam each year, as well as vaccinations and blood work per your veterinarian's recommendation. A cat may also need additional veterinary visits and care should he or she become ill. We estimate the average annual medical cost of a cat to be $125-$150 for a young, healthy cat and $250 for a geriatric cat. Are you able and willing to cover these costs? Yes No Unsure Why are you looking to adopt?*Desired ages*No preferenceKittenYoung AdultMature AdultSeniorChoose as many as apply.Would you consider adopting a pair of cats?*YesNoNot sure, but I'd like to hear more about thisWhat type of cat do you think would be the best fit? (select all that apply):* Family Companion: good with children, happy to be involved in daily activities, enjoys lots of attention Quiet Cuddle Buddy: happiest spending time with you Independent: likes to do their own thing, prefers some alone time Easy Going: easily adjusts to different people and situations Activity companion: likes to experience new things, wants to be part of everything you do, enjoys lots of mental stimulation Travel companion: comfortable traveling, open to new experiences Emotional Support Cat Barn Cat/Working Cat Friend for My Current Pet A Cat Who Needs Me the Most/Would Benefit Most from Adoption A cat who needs a trusted friend A Cat Who Needs Ongoing Medical Care Many of our cats have special needs which require various levels of care. Would you consider learning more about a cat that needs/has (select all that apply)* Special diet Oral or topical medication(s) Injectable medication(s) Physical limitations (blindness, mobility issues, etc.) Expression of their bladder and colon (incontinence) More frequent vet care Has to be an only cat Behavioral needs (medication, training, enrichment) None of the above Have you had any experience with a cat that needs/has following? (select all that apply):* Special diet Oral or topical medication(s) Injectable medication(s) Physical limitations (blindness, mobility issues, etc.) Expression of their bladder and colon (incontinence) More frequent vet care Has to be an only cat Behavioral needs (medication, training, enrichment) None of the above Select any specific cats you are interested in.BlackberrySammyMoo MooLolaTuckerVinnieRihannaXenaPrescottCharlesAtariHoopla GreenPorkrollMr. MustacheEarthaCornbreadGulliverChicken NuggetTaylor HamPollyMagdaRashidaHipsFergieJuelShaggyMaloraOramBabyGatorGreccaBoobalahOliviaBettyMarciaPepitaCarrotAnkaTuxOliveStevenAngelo Have you had a veterinarian in the past 4 years?* Yes No Veterinarian Reference*Practice Name* Practice Phone* Records under another name?* If the vet records are listed under a different name than yours m(e.g., due to marriage), please specify that name.Personal References (Cannot be a relative)*Personal Reference Name* Please specify a friend, neighbor or co-worker. This person should not be a family member or romantic partner. Personal Reference Phone* Personal Reference Relationship*NeighborFriendWork colleaguePet sitterOtherPersonal Reference Name* Please specify a friend, neighbor or co-worker. This person should not be a family member or romantic partner. Personal Reference Phone* Personal Reference Relationship*NeighborFriendWork colleaguePet sitterOther Do you have any pets at this time?* Yes No Name* Species*Select...DogCatReptileSmall Pet (hamster, guinea pig, etc.)RabbitBirdFarm AnimalOtherAge*Please enter a number greater than or equal to 0.Is this pet spayed/neutered?*Select...YesNoWhere does this pet live?*Select...IndoorIndoors with controlled access to outdoors (enclosure, stroller, or harness)Sometimes OutdoorMostly OutdoorsOutdoors OnlyPlease describe this pet’s personality*Has this pet been around/been introduced to other cats before?*YesNoUnsureAdd Pet Add pet Name* Species*Select...DogCatReptileSmall Pet (hamster, guinea pig, etc.)RabbitBirdFarm AnimalOtherAge*Please enter a number greater than or equal to 0.Is this pet spayed/neutered?*Select...YesNoWhere does this pet live?*Select...IndoorIndoors with controlled access to outdoors (enclosure, stroller, or harness)Sometimes OutdoorMostly OutdoorsOutdoors OnlyPlease describe this pet’s personality*Has this pet been around/been introduced to other cats before?*YesNoUnsureAdd Pet Add pet Name* Species*Select...DogCatReptileSmall Pet (hamster, guinea pig, etc.)RabbitBirdFarm AnimalOtherAge*Please enter a number greater than or equal to 0.Is this pet spayed/neutered?*Select...YesNoWhere does this pet live?*Select...IndoorIndoors with controlled access to outdoors (enclosure, stroller, or harness)Sometimes OutdoorMostly OutdoorsOutdoors OnlyPlease describe this pet’s personality*Has this pet been around/been introduced to other cats before?*YesNoUnsureAdd Pet Add pet Name* Species*Select...DogCatReptileSmall Pet (hamster, guinea pig, etc.)RabbitBirdFarm AnimalOtherAge*Please enter a number greater than or equal to 0.Is this pet spayed/neutered?*Select...YesNoWhere does this pet live?*Select...IndoorIndoors with controlled access to outdoors (enclosure, stroller, or harness)Sometimes OutdoorMostly OutdoorsOutdoors OnlyPlease describe this pet’s personality*Has this pet been around/been introduced to other cats before?*YesNoUnsureIf you have more than 4 pets currently, please list your other pets here:Have you owned pets in the past?* Yes No Name* Species*Select...DogCatOtherAge*Please enter a number greater than or equal to 0.Why do you no longer have this pet?* Add Pet Add Pet Name* Species*Select...DogCatOtherAge*Please enter a number greater than or equal to 0.Why do you no longer have this pet?* Add Pet Add Pet Name* Species*Select...DogCatOtherAge*Please enter a number greater than or equal to 0.Why do you no longer have this pet?* Add Pet Add Pet Name* Species*Select...DogCatOtherAge*Please enter a number greater than or equal to 0.Why do you no longer have this pet?* Tabby’s Place wants to make sure you feel prepared to welcome a new cat into your home. We have lots of resources available that we can share with you and discuss. Please select any topics you’d like to learn more about, or have any questions/concerns about.Allergies to catsIntroducing the cat to your home & setting up an introduction roomIntroducing your cat to another animalVet careIdentifying medical issuesPet InsurancePredeceasing your catLiving with a cat with clawsLitter box habits and hygieneCats with Feline Immunodeficiency Virus (FIV)Cats with Feline Leukemia (FeLV)Nail trimming and groomingEnhancing your cat’s mental and physical wellbeingOther: Is there something we didn’t list that you have questions about? Back Up Caretaker/AdopterFor persons 18-21 or over 70 only.Name* Relation*ChildParentSpouseSiblingOther RelativeFriendOtherPhone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon State/Province Zip/Postal Code Tabby’s Place will confirm that this person is fully aware of their commitment to adopt and care for your cat in the event that you are no longer able to do so for any of the above reasons and include his/her name on your adoption contract to allow transfer of ownership if necessary. Term* I understand that Tabby's Place reserves the right to deny an adoption request for any, or no, resason and that Tabby's Place may choose not to reveal specific reasons.* Term* I affirm that all of the information. on this application is true and complete and I understand that any incorrect information or omissions are grounds for denial.* Term* I hereby grant permission for any veterinary offices listed on this application to speak to an employee of Tabby's Place to discuss information related to my ownership and care of pets.* Term* I have read and understood the Tabby's Place Policy Regarding the Age of Potential Adopters.* Signature* Please type your name to act as your digital signature.