Name of foster cat you wish to adopt

Description of cat you wish to adopt

Your Contact Information

First Name   Last Name

Address        City    State    Zip

Telephone Number     Additional Phone Number

When is the best time to call you?             No more than 3 attempts will be made to contact you.

Email Address

Your Family Information

Number of Adults in Household    

Number of Children under 18 living in Household

While many cats very much enjoy children, some cats should not be with small children, due to behavior, health or a delicate build. When telling us about the children in your household, please let us know if there will be children who visit often, such as grandchildren. Children's visiting friends don't need to be included.

Number of visiting children under 18, such as grandchildren, nephews, etc. 

 Ages of children in household 

Is anyone in your home pregnant?            

We intend for this cat to be a member of your home. It is important that everyone in your house is aware that you plan to adopt. This includes your spouse, children who are living at home, a full time babysitter who provides care in your home, or anyone else who may have daily contact with this cat.

Are all members of your household aware of your plan to adopt a cat?            

Is anyone in your home allergic to animals?            

About your home

Do you reside in House Apartment Other

Do you  Own Rent

Renters: Your landlord will be contacted prior to adoption. Failure to submit landlord contact information will disqualify you for adoption.

If renting, what is your landlord's policy concerning pets?

Name of Landlord Address

City State   Zip   Telephone Number

Your Animal Experience

Do you currently have other animal(s)?  Yes No

If yes, please list type of other animal(s).

Age of pets   Are they spayed/neutered?  Yes No

How many other pets have you owned over the last five years? 

Please tell us why those pets are no longer with you. A reason must be given for each pet.

Who will change the cat's litter box?            

Declawing is a surgical procedure that amputates of the last joint of your cat's "toes". It is not just a "permanent manicure".   

Do you plan to declaw this cat?            

Do you plan to keep this cat as an indoor only cat?            

Some cats take longer than others to adjust to new circumstances. How long are you willing to are you willing to allow for this adjustment period?           

References

We will be calling your veterinarian to verify your animal's health care.                                                     

Please inform your vet that we will be calling in order that records can be shared with us.

If you have no current veterinarian, please list your most recent vet, no matter how long ago.                                                                                     

Please provide the name(s) those records will be listed under if different from above.

Name of current/past veterinarian     

Address of current/past veterinarian  

Telephone Number                           

Name of a reference we can contact 

Reference Address                             

Telephone Number                           

Why do you want to adopt this cat? What makes you the best home we can find?

How did you learn about Foster Pet Outreach? (newspaper, friend, website, etc)

Please note:  

(1) We reserve the right to visit the home where the cat will live prior to adoption.  

(2) We reserve the right to approve or deny any adoption for any reason and the right to not disclose the reason.

(3) You must be at least 18 to apply.

(4) Foster Pet Outreach prefers to limit our adoptions to an area within approximately 60 miles of Peoria, Illinois so we can keep our promise to return the pet to our foster care program if the adoption is not successful.