Name: 

Address:

City:   State: ZIP:

E-Mail: 

Facility Name: 

Is your facility 501(c)(3)? Yes No

Please list applicable permit numbers {required}:
USDA
State
City
County

If permit is not required for any of the above jurisdictions please list the contact at that agency:
Name : Phone:

Age: Are you expecting a child or planning a family? Yes   No

Does your job require frequent out of town travel? Yes No

Are you subject to relocation?Yes No

Are you a student?Yes No;   If 'yes' anticipated date of graduation:

Are you in the military?Yes No;   If 'yes' anticipated date of discharge:

How many children are living at home?

Ages of all children included above:

Is anyone in your home allergic to animals?Yes No  

Do you own or rent? own rent

If you rent, please provide name and phone number of your landlord:

Please describe your type of dwelling: Please select Apartment Duplex/Triplex Townhouse/Condominium Mobile Home House Farm/Ranch

How long have you lived at your current address?

If less than two years, please provide your previous address:

Please descibe your neighborhood: Please select City Suburb Country/Rural

Does the enclosure you intend to keep the cat in have a perimeter fence?Yes No

If your property is fenced, please describe what kind:

How tall?  
Is the gate currently locked with a padlock? Yes No

Can strangers gain access to your yard from the street? Yes No

Some insurance companies may cancel your homeowner's insurance if you own an exotic feline. It is your responsibility to check with your agent and ensure that adopting an exotic will not adversely affect your policy.

Do you have other pets at this time? Yes No

If 'yes' list species and if they are kept indoors or outdoors:

Have you ever owned/cared for an exotic feline before?YesNo

What role would you like your new cat to play in your life? {please check all that apply}:

companion/family pet   display   commercial   breeding   education  

other (specify) 

Please describe how the cat will be cared for when you are away:

How many hours per day will the cat be unsupervised?

Have you ever worked with exotics before?Yes No

If 'yes' please tell us where, for how long and with what types of cats:

Please provide us with your current veterinarian information {required}:
Name:
Address:
City:
State: Zip: Telephone:

Please provide three references not related to you:

Reference #1:
Name:
Day Phone:   Eve Phone:

E-mail:

Reference #2:
Name:
Day Phone:   Eve Phone:

E-mail:

Reference #3:
Name:
Day Phone:   Eve Phone:

E-mail:

Do you have a gender preference?   Age preference?

Is there a specific species of cat that you are especially interested in?

Do you understand that often times the complete history of a rescue may not be known and you may encounter some initial adjustment problems? Yes No

Will you be willing to work with us on solving those problems if they occurred?
Yes  No, I would need to return the cat.  

If 'yes' please describe a reasonable timeframe within which you feel the cat should have acclimated:

If you were referred by anyone, please tell us so we may thank them:

Please give us any other information that may help us make the best match for you and a cat, why you are interested in owning an exotic and what your intentions are:

Wild About Cats requires photos of the intended enclosure. Please mail them to: P.O. Box 9182 Auburn, CA 95604 or
e-mail them as a .jpg attachment to contact@wildaboutcats.org. Feel free to send any other photos you feel would be useful.

Please doublecheck that you have filled in all the fields - indicating 'n/a' if a question does not apply to you - incomplete applications will not be processed.

By clicking the 'submit' button I certify that the above information is true and that I have read and agree with the terms of the adoption policy and contract. I further certify that I am financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these obligations. I understand that home checks may be made on a random basis prior to or following adoption. If any information contained in this application is found to be false, I understand the cat will be removed from my premises.