Application to Adopt A CAT

Submitting An Application:

For your convenience, an online application is available below.  Or, you may print the PDF version of the application (located in the right-hand column) and return it by:

• Faxing it to: (860) 216-5637
  
• Scanning and emailing it as an attachment to: ADOPT@thesimonfoundation.org 
  

A vet reference is required as part of the application process. To expedite this process, please call your vet in advance and give them permission to release your records to us. 

Online Application to Adopt A CAT

* Required

Title DR MISS MR MRS MS

First Name *

Last Name *

Email Address *

Home Address *

City *

State *

Zipcode/Postcode *

Country * -- Select Country -- AFGHANISTAN ALAND ISLANDS ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CâTE D'IVOIRE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Enter Word Verification in box below *

Email Address

Date *

Name of cat you would like to adopt: *

What is your occupation? *

Spouse/Partner's occupation:

Do you live with: * Spouse/Partner Roommate Parents Alone

What are your current living arrangements? * -- Please select -- House Apt Condo Trailer

How long have you lived at this address? *

How long do you plan to live at this address? *

Do you rent or own? * -- Please select -- Rent Own

If you rent, does your lease allow pets? (A copy of your lease agreement or written approval from landlord will be required.) * -- Please select -- Yes No

Please provide contact information for your landlord. (Name, address, phone)

In what type of setting is your home located? * Urban Suburban Rural

Name and contact information of veterinarian you will use for this cat: *

Do you currently own any other pets or are there any other pets living in your home? *

Please list each animal including type, breed, age, gender and whether altered or declawed.

How were these pets acquired?

Vaccine status and expiration date for each pet living in the home:

If you currently own a cat, how does it get along with other cats?

If you currently own a dog, how does it get along with cats?

What veterinarian are you currently using for these pets? (Please include contact information.)

Whose name is listed on the veterinary records?

Other than your current pet(s), have you owned any other animals? * -- Please select -- Yes No

If YES, please share the following information about each pet (breed, gender, altered, weight, number of years you had pet, how was pet acquired, cause of death and what age pet died).

How many adults live in your home? *

Ages?

How many children live in your home? *

Ages?

Does anyone in your house have allergies to animals? * -- Please select -- Yes No

Does anyone in your house have asthma? * -- Please select -- Yes No

What is the noise/activity level of your household? * -- Please select -- Quiet Moderate Active Very Active

Who will be responsible for taking care of the cat? *

What is your experience with cats? * First time owner Had cats growing up Have owned one or two cats Experienced cat owner

If you have children, please describe their experience with cats.

Do children visit your home often? * Yes No

If YES, what are their ages?

Is anyone home during the day? * Yes No

If YES, who?

If NO, how many hours a day will the animal be left alone?

How often do you travel? *

Who will care for your cat while you are away? *

Why are you adopting a cat? *

Who is the cat for? *

Where will the cat be kept during the day? *

Where will the cat be kept at night? *

Where will the cat sleep? *

Will the cat be allowed outdoors? If YES, under what circumstances? *

Do you plan on declawing the cat? If YES, why? *

Please describe the declawing procedure.

Are you now or have you ever experienced behavior or training problems with a pet? * Yes No

If YES, please explain the issues and how they were resolved.

What will you do if your cat is destructive? *

What is your definition of disciplining a cat? (Please provide examples.) *

Have you ever surrendered a pet or had a pet for a short time that didn't work out? * Yes No

If YES, please explain the circumstances.

If for any reason you cannot keep a Simon Foundation adopted cat, do you agree to return it to The Simon Foundation, Inc.? * Yes No

Are you willing to have an initial in-home visit or follow-up visit by a representative of The Simon Foundation, Inc. if The Simon Foundation, Inc. deems it necessary? * Yes No

Are you willing and able to accept full and immediate responsibility for the ownership of a cat, including all health care costs and necessary burdens and responsibilities of owning a cat? * Yes No

Are you willing to seek and begin immediate training if behavioral issues arise within days of taking ownership of the cat? * Yes No

If NO, why not?

How did you hear about The Simon Foundation, Inc.?

Please list two references who are not family members (include name, home phone, work phone, cell phone and relationship). *

Please provide a veterinary reference including name, address and phone number. *

Download & Print

Application to Adopt a CAT (1085 KB)

Adopting a Kitten: