Foster-to-Adopt Application

Primary cat you're interested in *

First Name *

Middle Initial *

Last Name *

Date of Birth *

Spouse First Name

Spouse Middle Initial

Spouse Last Name

Spouse Date of Birth

Your Street *

City *

State *

Zip Code *

Home Telephone Number

Mobile Phone Number

Your Email Address *

What Is Your Occupation? *

Who Is Your Employer? *

Number of adults in home? *

Number of children in home? *

What are their ages?

Do you rent or own? *

If renting, what is your landlord's name and number?

Have you had any animals in the last 10 years? *

If yes, list name, age, type (dog, cat, etc), and whether they are alive or deceased

If you've had cats, have they been indoor, outdoor, or both?

Have you ever declawed a cat? *

If yes, please explain why.

If you moved to the countryside would you let your cat outside? *

Veterinary Reference for pets within last 10 years (Enter name, address, phone #)

How did you find Ten Lives?

If you choose not to adopt, are you able to continue fostering until the cat is adopted? *

By signing this application, I agree to the following: All statements made on this application are truthful; I have made no false statement with regard to family members in household, status of my home ownership and any other statements made on this application. *

Electronic Signature *