Which cats are you interested in?

Your Name (First, Last):

Spouse/Partner/Roommates Name (First, Last):

Birthdate:

Address:

City:

State:

Zip Code:

Your E-mail:

Phone Number:

Employer:

How many adults live in your household?
Please Choose1234More

How many children live in your household?
Please Choose01234More

If there are children in your household, have they been around pets?
Please ChooseN/AYesNo

Is anyone in your household allergic to pets?
Please ChooseNoCatsDogs

If you selected anything but No, how is the allergy managed?

What is your living situation?
Please ChooseOwnRentMilitary HousingLiving with Family

If you don't own, what is your pet policy?

Do you have other pets?
Please ChooseNoCatsDogs

If you have any other pets, are the pet(s) current on their vaccinations?
Please ChooseN/AYesNo

If you have any other pets, are the pet(s) spayed/neutered?
Please ChooseN/AYesNo

Please describe each of your pets. (name, species, time owned, where are the pets primarily housed (indoor or outdoor)):

Which veterinarian/vet practice do you use and may we contact them?

Have you ever had to turn in a pet to a shelter or rehomed a pet?
Please ChooseYesNo

If YES, what was the reason and where did the animal go?

We want to make sure the pet you have chosen is a good fit for your household. Please answer the following questions about your expectations and plans for the pet.

Are you committed to providing for a pet for its lifetime (12 to 20+ years)
Please ChooseYesNo

Are you prepared to take your pet for a complete physical exam and to provide any necessary medical treatment, along with annual shots and recommended veterinary care?
Please ChooseYesNo

What are the reasons for adopting a cat?
Please ChooseCompanionChilds PetCompanion for other petGift for someoneOther

If you selected OTHER, please specify:

What energy level would you like in a cat?
Please ChooseLowMediumHighDoesn't Matter

Are you prepared to spend $400 - $700 a year for pet expenses (food, medical, vet care, grooming)?
Please ChooseYesNo

Do you understand that it is illegal in Virginia to declaw cats?
Please ChooseYesNo

If you have other pets, how will you introduce this cat?
Keep separate at firstSlowly over several daysJust put togetherNeed Guidance

Under what circumstances would you give up this pet?
NoneDestructive to furniture/carpetingLitter box accidentsScratches peoplePet medical expensesMoving/deploymentLifestyle changes (baby, development of allergies, etc.)Other

If you selected OTHER, please specify:

Have never been convicted of animal cruelty, neglect or abandonment?
Please ChooseYesNo

I agree that should I ever need to rehome this cat that I will contact Tips N ToeBeans before taking any actions so that we may take the cat back into our care.
I Certify

I certify the above information to be true and correct and authorize verification of all statements presented in this application and that I am 18 years or older.
I consent to this condition

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions and sign the application can result in this application being declined. Also, if any omission or untruth is discovered after an adoption takes place, I understand that Tips N ToeBeans reserves the right to annul the adoption and reclaim the animal. I give Tips N ToeBeans permission to fully investigate the information provided as well as potentially contact veterinarians, landlord (if applicable), and related officials.
I consent to these conditions

In addition, I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal, and other applications received on this animal. I understand it is Tips N ToeBeans prerogative to decide which home is most appropriate and that their decision is in the best interest of the animal and is final.
I consent to these conditions

Signature: Type your full name.

Drivers License Number

Todays Date