Sue Rabeaux’s Cat Ranch
P.O. Drawer C
Sunset, Louisiana 70584
mycatranch.com

To be considered eligible to adopt a cat, kitten, dog, or puppy from My Cat Ranch, please print and fill out this questionnaire neatly, completely, and to the best of your ability. Once filled out, you may mail it to the address above for consideration. Once we have received and reviewed your application, we will contact you for an interview. Thank you!

As an adopter you must

• Be 21 years of age or older
• Have a valid driver’s license
• Have the knowledge and consent of your landlord, or own your own home
• The entire family must agree to the adoption
• Be willing and able to give the proper care and medical treatment for the pet

Name: ________________________________________________________________________________

Home Phone: ____________________           Cell Phone: ________________________________________

Work Phone: ____________________          

Address: _____________________________________________ Apt #: ____________________________

City: ________________________________________ State: __________ Zip: ______________________

Email: ________________________________________________________________________________

Occupation: ____________________________________________________________________________

Employer: ______________________________________________________________________________

Employer Address: _______________________________________________________________________

Please list all members of your household:    Name: _______________________________ Age: _____         

Name: ___________________________ Age: _____ Name: ___________________________ Age: _____

Name: ___________________________ Age: _____ Name: ___________________________ Age: _____

Name: ___________________________ Age: _____ Name: ___________________________ Age: _____

Are all of the adults in your house aware that you are adopting a pet? _______________________________

Who will be the primary caregiver for you new pet? ____________________________________________

Is any member of your household allergic to cat or dog hair or dander? _____________________________

Which pet(s) are you interested in adopting? _________________________________________________

Do you have a fenced in yard? ________ If yes, what kind of fence? __________________ Height?______

Do you have a pool? _________ If yes, is there a fence around the pool? ____________________________

What pets have you had in the past?

Are they current on their vaccinations? (Circle) Yes       No       Not Sure

If you have other pets, will they adjust to the new pet? (Circle) Yes       No       Not Sure

What is your opinion of spaying and neutering? _______________________________________________

Why do you want a pet? _________________________________________________________________

Are you prepared to love and care for this pet for the next 10 to 15 years? _________________________

How many hours during the average day, will this pet spend without a human? ____________________                                             

Where will this pet be kept when you are at home? ________________________________________

When left alone? _______________________Where will it sleep at night? _____________________

Do you have a regular veterinarian? (Circle) Yes       No

If yes, please provide name and phone number: _______________________________________________

Will you provide medical care for the animal if it becomes sick? ___________________________________

FOR CAT ADOPTIONS ONLY:

Where will your cat live? (Circle) Inside Only    Outside Only    Inside & Outside

If Outside: Do you live in the country or city? _______________ Are you near a busy street? ___________

How long after adoption would you start allowing your kitten/cat outdoors? ___________________________   

Have you owned a declawed cat in the past? (Circle) Yes       No  

Are you considering declawing this cat?  (Circle) Yes       No      Maybe

FOR DOG ADOPTIONS ONLY:

How often, and what type of exercise will you give him/her? _____________________________________

Will you provide your dog with heartworm preventative? _______________________________________

I certify that the above is true, and understand that false information may nullify this adoption.

I understand that this application remains the property of Sue Rabeaux’s Cat Ranch.

Signed:                                                                                                         Date:              

Thank you for completing the adoption application. Please return it to us so that we may review it with you. This is only an application and does not entitle you to adopt a pet.