Name of cat you are interested in*Date*How did you hear about this cat?*ADOPTER INFORMATIONName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell PhoneHome Phone*Email* 1. Why are you considering adding a pet to your life? (Check all that apply.)* Companion for Children Companion for Adults Companion for other pets Mouser A gift Other Agift For:Other:2. How many people live in your home?*3. If you have children, what are their ages?*4. Does everyone in the house want a pet?*5. Do any family members have allergies or asthma?*6. Have you ever owned pets before?*7. If yes, how long did you have your pets?8. If pet(s) is/are no longer with you, what were the circumstances of their passing or absence?9. What other pets live with you?*Please list Breed age and sex and if Spayed or Neutered Would you like SPOT to give you tips on how to introduce your new cat to your home and resident animals?* Yes No 10. Do you live in a* House Condo Apartment Mobile Home Military Housing Other Other:11. Do you own or rent your home?* Own Rent If renting , do you have your landlord's premission to have a pet? Yes No If renting, may we contact your landlord? Yes No Landlord's nameLandlord's Phone12. Do you have a balcony?* Yes No 13. Do you have screens on all your windows?* Yes No 14. Where will your new pet be when you are not at home?*15. Do you plan to declaw your cat?*16. Will this be an indoor or outdoor cat?*17. Where will you keep the litter box?*18. How many hours per day will your pet be left alone?*19. May we visit your home for a basic safety and security check?* Yes No 20. Do you have the time and will you make the commitment to train your new pet should behavior concerns arise?* Yes No 21. Pets are a lifelong addition to the family, and as such will require investment of your time and money for medical care, grooming, appropriate food, water, proper shelter, clean environment, exercise, attention, affection, and protection from harm. Are you willing and able to provide the appropriate resources that your new pet requires?* Yes No 22. Veterinarian:PhoneVet's clinic or hospital name:23. This pet is not to be passed into other hands without approval of SPOT. Do you agree that if for any reason you cannot keep this pet you will contact SPOT?* Yes No Please contact SPOT at least one week in advance of return to allow us time to find a foster home. Call 760-593-7768.* I CERTIFY THAT THE ABOVE IS TRUE, AND THAT ANY FALSE INFORMATION MAY RESULT IN NULYFING MY APPLICATION. I AGREE TO ACCEPT THE DECISION OF SPOT REGARDING THE SUITABILITY OF ADOPTING A PET. I UNDERSTAND THAT SAID DECISION IS FINAL AND IF NOT APPROVED, NO EXPLANATION OR JUSTIFICATION IS NECESSARY. I ALSO UNDERSTAND THAT FILLING OUT THIS APPLICATION DOES NOT GUARANTEE THAT I WILL BE SELECTED TO ADOPT THIS ANIMAL. DIGITAL SIGNATURE*Please type your first and last name above.If you would like to have a copy of the form please print this document before submittingCommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.