Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Alternate Phone (###) ### #### How did you hear about Junebug Foundation? * Name of cat/kitten you wish to adopt * Children (with ages) * Who will be responsible for the cat’s care (feeding, cleaning litter box, taking to vet)? * Do you own or rent your home? * Own Rent If renting, do you have permission to have a pet? Yes No Landlord’s name and phone number (if applicable) Name and Phone Number of your Veterinarian? * Do we have permission to contact your veterinarian regarding the care of your current pets? (are they up to date on vaccines, heart worm preventative)? * Yes No Reason for wanting to adopt a cat/kitten * Companion Mouser Gift Companion for other pet Will the cat/kitten be allowed outside? * Yes No If applicable, when will the cat/kitten be allowed outside? What other pets are in the household, their ages? Any dogs in the household? If so, have they been around cats before? * Is anyone in the household allergic to cats? * Yes No What will you do if your cat/kitten scratches your furniture or shows other destructive behavior? * It can take weeks for a cat/kitten to adjust to a new household and other pets. Are you prepared to help them through this period? * What will you do if your cat/kitten has issues with the litter box? * Seeing as a cat can live up to 20 years, are you committed to caring for the cat/kitten for the duration of it's life? * If you pet is diagnosed with a serious and/or costly illness, what are your plans for dealing with this? * Who will care for your cat/kitten in the event of your absence (emergency, vacation)? * Thank you!