Adoption Application Please fill out this form in its entirety and click “submit” Adopter Profile and Questionnaire You can choose "save for later" at the bottom if you need to pause before submitting. Consent* I agree to these terms for applying to adopt:1. Be 21 years or older. 2. Have identification showing your present address. 3. Have the knowledge and consent of all adults living in your household. 4. Be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for your pet. 5. Will NOT declaw the adopted cat and it will be 100% indoors. 6. Will pay an adoption fee set by O'Malley Alley Cat Rescue. 7. Understand that O'Malley Alley Cat Rescue has the right to deny or approve your application; this application will be retained in our files.Name* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone*Email* Enter Email Confirm Email Name of Co-Applicant First Last PhoneAddress* Street Address Address Line 2 City ZIP Code How long at this address?*Years or Months*Reference previous question.YearsMonthsDo you live in:*HomeApartmentWith ParentsMobile HomeDo you:*OwnRentName & phone # of landlord if you rent:*Employer*Employer Phone #Cat Description and Lifestyle Information:Name of cat you would like to adopt*Or type "undecided" Characteristics of cat you prefer: Select All Female Male 0-6 months 6-12 months 1-5 years 5-10 years Senior Active Non-active Lap cat Cat-friendly Dog-friendly Child-friendly Check all that apply.What made you decide you want to adopt a cat?*Is this your first experience with a pet of your own?*YesNoHave you ever adopted a pet before?*YesNoIf yes, from where?*Have you ever given up an animal for adoption or surrender?*YesNoIf yes, why and how long ago?*What is your plan in case of a life changing event (health, loss of home, financial, divorce)?*What percentage of time will your cat be indoors?*Please enter a number from 0 to 100.What percentage of time will your cat be outdoors?*Please enter a number from 0 to 100.Do you have a doggie door?*YesNoNumber of people regularly in your home:*___ Adults ___ Children and their ages:Is anyone allergic to pets in your house?*YesNoIf yes, please explain.Who will be responsible for daily care of the cat?*Will there be regular extended periods of time your cat will be alone (other than normal work hours)?*YesNoIf yes, please describe what arrangements will be made for the cat's daily and emergency care:What brand and type of food do you plan to provide for your cat?*Brand Name / wet or dryHave you ever had a cat declawed?*YesNoDo you plan to declaw your cat?*NoFront PawsAll PawsWhat are your preferences for anti-scratching deterrents?*Check all that apply. Scratching Post Kitty Claw Caps Mani/Pedi's Furniture Covers Declaw Not Concerned Location of litter box?*Are you familiar with how to help a cat adjust to a new home?*YesNoUnsureTo provide food, daily care and medical care for this cat, how much do you anticipate spending annually?*Less than $100$100-$200$200-$300$300-$400$400-$500$500 or moreCurrent pets in your household:How many other cats do you currently have?*NoneOneTwoThreeFour or moreName of current veterinarian and/or clinic?*Choose which best describes CAT 1:*Female - SpayedFemale - NOT spayedMale - NeuteredMale - NOT NeuteredFemale - Spayed - DECLAWEDFemale - NOT Spayed - DECLAWEDMale - Neutered - DECLAWEDMale - NOT Neutered - DECLAWEDApproximate Age of CAT 1:*Length of Ownership of CAT 1:*Choose which best applies for CAT 1:*Current on Vaccines and Yearly ExamHas not been to the vet in the past yearWhat percentage of time is CAT 1 outdoors?*Please enter a number from 0 to 100.Choose which best describes CAT 2:*Female - SpayedFemale - NOT spayedMale - NeuteredMale - NOT NeuteredFemale - Spayed - DECLAWEDFemale - NOT Spayed - DECLAWEDMale - Neutered - DECLAWEDMale - NOT Neutered - DECLAWEDApproximate Age of CAT 2:*Length of Ownership of CAT 2:*Choose which best applies for CAT 2:*Current on Vaccines and Yearly ExamHas not been to the vet in the past yearWhat percentage of time is CAT 2 outdoors?*Please enter a number from 0 to 100.Choose which best describes CAT 3:*Female - SpayedFemale - NOT spayedMale - NeuteredMale - NOT NeuteredFemale - Spayed - DECLAWEDFemale - NOT Spayed - DECLAWEDMale - Neutered - DECLAWEDMale - NOT Neutered - DECLAWEDApproximate Age of CAT 3:*Length of Ownership of CAT 3:*Choose which best applies for CAT 3:*Current on Vaccines and Yearly ExamHas not been to the vet in the past yearWhat percentage of time is CAT 3 outdoors?*Please enter a number from 0 to 100.Choose which best describes CAT 4:*Female - SpayedFemale - NOT spayedMale - NeuteredMale - NOT NeuteredFemale - Spayed - DECLAWEDFemale - NOT Spayed - DECLAWEDMale - Neutered - DECLAWEDMale - NOT Neutered - DECLAWEDApproximate Age of CAT 4:*Length of Ownership of CAT 4:*Choose which best applies for CAT 4:*Current on Vaccines and Yearly ExamHas not been to the vet in the past yearWhat percentage of time is CAT 4 outdoors?*Please enter a number from 0 to 100.How many dogs do you currently have?*NoneOneTwoThree or moreName of current veterinarian and/or clinic?*Please describe your dog(s):*Include breed, if spayed or neutered, and if cat-friendly (if known).Additional notes you wish to add about current pets:Previously Owned Pets:Have you previously owned cats (within last 5 years)?*YesNoName of former veterinarian and/or clinic?*Choose which best describes former CAT 1:*Female - SpayedFemale - NOT spayedMale - NeuteredMale - NOT NeuteredFemale - Spayed - DECLAWEDFemale - NOT Spayed - DECLAWEDMale - Neutered - DECLAWEDMale - NOT Neutered - DECLAWEDLength of Ownership of former CAT 1:*What became of former CAT 1?*Choose which best describes former CAT 2:N/AFemale - SpayedFemale - NOT spayedMale - NeuteredMale - NOT NeuteredFemale - Spayed - DECLAWEDFemale - NOT Spayed - DECLAWEDMale - Neutered - DECLAWEDMale - NOT Neutered - DECLAWEDLength of Ownership of former CAT 2:What became of former CAT 2?Choose which best describes former CAT 3:N/AFemale - SpayedFemale - NOT spayedMale - NeuteredMale - NOT NeuteredFemale - Spayed - DECLAWEDFemale - NOT Spayed - DECLAWEDMale - Neutered - DECLAWEDMale - NOT Neutered - DECLAWEDLength of Ownership of former CAT 3:What became of former CAT 3?Additional notes you wish to add about former pets:Almost Done!Please check ALL the behaviors you are NOT willing or NOT able to deal with, tolerate or work through till resolved:*To better fit our cats with your expectations, check all that may apply. Eliminating outside the litter box Jumping on counters/tables Destructive clawing of furniture or carpet Diggin in plants Mouthiness (chewing, biting) Loudness (meowing) Aggression toward other animals Shedding Night activity None Are you familiar with the following diseases or conditions?*Check all that may apply. Select All Feline Leukemia (FeLV) Feline Immunedeficient Virus (FIV) Feline Infectious Peritonitis (FIP) Feline Stomatitis Feline Urological Symptons None Adopter Signature*Today's Date* Date Format: MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.