LONG FORM-CAT ADOPTION APPLICATION

The Seal Beach Animal Care Center thanks you for your interest in adopting from our non-profit, no-kill shelter.

Adoption Policies
Please read the following SBACC policies before filling out this cat adoption application.
- Adopters must be at least 18 years of age.
- Adopters must have legal photo identification.
- Adopters who rent their homes will need to state the pet policy for their home or apartment, including any requirement for a deposit or additional rent.
- If an adopter has a roommate or lives with his/her parents, we must get an OK from the roommate or parent for the adoption.
- Adopters must be willing and able to spend the time and money to provide proper care and medical treatment for their cat.
General Information
1. Date*
MM slash DD slash YYYY
2. Name of the Adopter (person financially responsible)*
First Last
Home Address
Address*
Street Address Address Line 2 City State ZIP Code
Contact Information
Phone - Mobile*
Phone - Home / Landline
Email*
3. Best method to contact you?*
- Phone
- Text
- E-Mail
Best time to contact you?
4. Occupation*
5. Have you adopted from SBACC before?*
- No
- Yes
If yes, when and what is the name of the cat or cats?*
6. Are you interested in adopting a cat or kitten?*
- Cat
- Kitten
7. Are you allergic to cats?*
- Yes
- No
8. Members of Household
Do you have other persons living in your household?*
- No
- Yes
List all persons in your house and their relationship to you:*
Click the + or - icons to add or remove entries.
Name Relationship Age If Under 18 Allergic to Cats? Yes/No
9. Is your household quiet, busy, noisy, other?*
- Quiet
- Busy
- Noisy
Previous and Existing Pets
10. Are there currently any other pets in the household?*
- No
- Yes
List all pets*
Click the + or - icons to add or remove entries.
Breed / Type Age Spayed / Neutered? Kept in or out? Vaccines Current?
11. List previous pets over the last 10 years: Cat/dog/other. What happened to this pet? (gave it away, ran away, deceased, other) If deceased, age at death and cause.
Click the + or - icons to add or remove entries.
Breed / Type Age Kept in or out? What happened to this pet?
12. Do you have a regular veterinarian?*
- No
- Yes
Name & Clinic*
About the Prospective Cat / Kitten
13. What is your primary reason for adopting a cat?*
14. Have you selected a particular cat or cats before filling out this application?*
- No
- Yes
If yes, which cat?*
Where did you see this cat?*
- Website
- At our Facility
Why did you select this cat?*
15. Cats can live as long as 20 years. What provisions will you make for your cat if you are no longer able to care for it?*
16. Do you plan any type of outdoor access for the cat at any age?*
- No
- Yes
Please explain the type of access and at what age.*
17. Who will be responsible for the daily care and health care of the cat?*
18. In addition to routine annual exams and vaccinations, veterinarian costs for sickness or injury can be very costly. Are you willing and able to accept this financial responsibility?*
- No
- Yes
19. How many hours a day will your cat be at home without any human contact?*
20. Residence
Do you own or rent your home?*
- Own
- Rent
How long have you been at your residence?*
Please provide the number of years / months.
Please state the pet policy for your home or apartment - include # of cats allowed and whether a pet deposit and/or additional monthly rent is required.*
21. Will you have one or more litter boxes in the house?*
- No
- Yes
If yes, where will they be located?*
22. Do you have a pet door?*
- No
- Yes
23. Do your windows have screens?*
- No
- Yes
24. Do you have a balcony?*
- No
- Yes
25. Do you have a patio?*
- No
- Yes
26. Do you have any house plants or flowers?*
Many plants are poisonous to cats and will have to be removed from your home if adopting a kitten or a cat.
- No
- Yes
Describe your house plants and flowers.*
27. How will you provide care for your cat when you travel or in case of an emergency?*
28. If you move, would you take your pets with you?*
- No
- Yes
29. If you had to rent, would you look for pet friendly housing?*
- No
- Yes
30. Have you ever rehomed a pet or given one up to a shelter?*
- No
- Yes
If yes, why?*
31. Cats have been known to claw furniture, carpet and drapes, to dig in potted plants, etc. How do you plan to deal with this if it occurs?*
32. Are there behavioral issues you think you would not be able to accept?*
- No
- Yes
If yes, what are they and what would you do to correct them?*
33. How did you hear about Seal Beach Animal Care Center?*
Complete and Submit
To complete the form please agree to the following by checking each box and then clicking the submit button.
Home Visit*
I understand that the adoption process includes a review of my application by the Cat Adoption Committee, and in some cases may require a home visit.*
Decline*
I understand that the SBACC reserves the right to decline the adoption of any cat or kitten.*
Reclaim*
I understand that the SBACC reserves the right to reclaim the cat/kitten should SBACC believe any terms of the adoption agreement have been broken.*
Certify*
I certify that the above is true and correct to the best of my knowledge.*
CAPTCHA

Breed / Type	Age	Spayed / Neutered?	Kept in or out?	Vaccines Current?

Name	Relationship	Age If Under 18	Allergic to Cats? Yes/No

LONG FORM-CAT ADOPTION APPLICATION

Adoption Policies

General Information

Home Address

Contact Information

8. Members of Household

Previous and Existing Pets

About the Prospective Cat / Kitten

20. Residence

Complete and Submit