Cat's Name:

Cat's Description (breed, color, age):

Check here if you first saw this cat at PetSmart of Newton    

Applicant's Personal Information

*Last Name:     *First Name:

Name of Spouse/Other Adult Living in Home:

*Address:

*City:    *State:    *Zip:

*Home Phone:   Work Phone:   Cell Phone:

E-mail Address:

Ages of all other family members living in the home:

Do you     own     rent your house     rent an apartment?

The minimum age to adopt an animal is 18.   Are you: Under 18?    18 or over?

Applicant's Home Environment Information

Are there other pets in your home?: Cats?:     Dogs?:

Who is your veterinarian?

Are all of your pets spayed/neutered?: Yes     No     If not, why?

Are your cats exclusively indoors or indoor/outdoor?

Are any of your cats declawed?

Do you own a carrier that is not cardboard?

Please use the space below for anything you'd like to add:

Conditions of Adoption:

• Adopter shall provide proper food, water, shelter, and veterinary care for this cat at all times.
• BARKS shall have the right to remove this cat from the adopter’s property if not satisfied with the conditions concerning the maintenance of the cat.
• If circumstances make it impossible to keep this cat, the adopter shall not abandon it or give it away, but return it in a healthy condition at no cost to BARKS.
• The adopter shall obtain any required licenses or tags from the municipality in which the adopter is a resident.

*Applicant's initials:     *Date: