<p>All 4 the Love of Cats Animal Rescue P.O. Box 1113 Palatine, IL 60078-1113 Phone: 847-302-6410 FELINE ADOPTION APPLICATION www.all4theloveofcats.com</p><p>Pet’s Name______ID#______Date______Time______Counselor______Please print and complete this form. All questions must be answered to be considered for adopting! Last Name______First______MI______Maiden Name______Spouse/Roommate______First______MI______Maiden Name______Address______City______State______Zip______Length of time at address ______Previous Address______City______State______Zip______Length of time at address______Current Phone______Work Phone______Spouse Work Phone ______Email address______Driver’s Lic. #______Spouse/Roommate Driver’s Lic. # ______Do you own______Rent______Landlord’s Name & Phone # ______No. of adults in household______No. of children in household______Ages of children ______Are all members of your household here with you today? Yes______No______Who is missing? List name[s], age and relationship ______</p><p>Employment: Company ______Phone______Shift______How long employed there ? ______Spouse/Roommate______Phone______Shift______How long employed there? ______</p><p>Have you ever trained or had a kitten before: Yes______No______Do you have a scratching post: Yes______No______Have you ever trained or had an adult cat? Yes______No______Will this be your first feline? Yes______No______Do you have a carrying crate? Yes______No______Do you have any allergies to pets? Yes______No______Have you ever had to get rid of a pet? Yes______No______If yes, please explain. ______Who will be responsible for feeding, training, and vet care? ______How many hours will the cat be left alone each day? ______Where will the cat be housed: (Circle one) Indoors only Outdoors only In & Out Barn Other, explain ______Do you want a declawed feline? Yes______No______If one is not available, would you declaw? Yes______No______Why to you want a pet? (Circle all that apply) Companion Companion for other Pet Mouser For a child Gift Other, explain ______</p><p>Form revised by: C. Fitzgerald for Sarah Cole on 8/7/08 @ 1:30PM Current Pets (List only canines and felines) Write none if you currently have no pets. How long have Kept Dog/C Name Age you had the inside or What vet to you use with this pet? at animal? outside?</p><p>Past Pets List all canines and felines owned in the last 10 years. Write none if you have had no pets in the last 10 years. Purchased/received from How long did Kept Dog/C Name where and at what age? you have your inside or Where is pet at pet? outside? now?</p><p>List all veterinarians you used with past pets: (Include clinic name, phone number and city) ______PLEASE READ AND SIGN: I certify that all the information I have given on this application is true. I understand that any false information, unanswered questions, and omitted information will result in immediate rejection.</p><p>Signature:______Spouse signature______</p><p>Date:______Date______Office Use Only Please to not write in the space below: Application reviewed by: Date:</p><p>Potential Adopter interviewed by: Date:</p><p>Form revised by: C. Fitzgerald for Sarah Cole on 8/7/08 @ 1:30PM Application approved for: Date:</p><p>Application rejected by: Reason: ID#</p><p>Form revised by: C. Fitzgerald for Sarah Cole on 8/7/08 @ 1:30PM</p>