Adoption Questionnaire

Adoption Choice
  1. Have you already decided on which one of Miss Kitty’s cats you would like to bring home?
  2. If you have already chosen which Miss Kitty candidate you would like to bring home, please enter its name here.
Your Information
  1. (required)
  2. (required)
  3. Are you over the age of 18?
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. (required)
  9. (required)
  10. (valid email required)
Household Information
  1. Do you own your residence?
  2. What type of residence is it?
  3. Why do you wish to adopt a pet?
Additional Information
  1. May we contact your veterinarian for a referral?
  2. Are you willing to commit to keeping your new pet for 10-15 years?
  3. Where will your new pet spend most of its time?
  4. Do you plan to declaw?
  5. Do you understand the local ordinances pertaining to the leash law and rabies vaccination?
  6. May we visit your home in the future to verify the pet’s well being?
  7. If you prefer us not to visit your home, may we call you instead?
  8. Would you like more information about membership to Miss Kitty?
  9. Miss Kitty is a 501(c)3 nonprofit organization which is supported solely by memberships, adoption fees, and donations. All investments may be tax deductible as a charitable expense. It is a charitable tax deduction for federal income tax purposes. We do not receive funding from any government entities or national organizations.
Signatures
  1. (required)
  2. May we sign you up for our Mewsletter?
  3. Captcha
 

cforms contact form by delicious:days