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DATE: ___________________ St. Sophia’s Forgotten Felines ADOPTION APPLICATION P.O. Box 575 Addison, IL 60101 847-773-7MEW (Leave a Message) www.stsff.org info.stsff@gmail.com In order to prevent unnecessary delays due to an incomplete application, we request every question be answered in full NAME: ___________________________________________________ HOME PHONE: _(_____)____________ ADDRESS: ________________________________________________ CELL PHONE: _(_____)_____________ CITY: ___________________ EMAIL: __________________________ ST: _________ ZIP: __________ ADOPTION REQUIREMENTS      You must present current identification which shows your picture and current address You must be willing and able to spend the time & money needed to feed, house, play, train and provide medical care for your cat. You agree to allow an authorized representative of St. Sophia’s to make adoption follow-ups, either by telephone or in person, as deemed necessary. You must carefully read the terms of our Adoption Contract and agree to its terms. You agree that if, for any reason, at any time, you cannot keep the cat you have adopted from St. Sophia’s, you must RETURN THE CAT TO ST. SOPHIA’S. IF YOU AGREE TO THE ABOVE REQUIREMENTS, PLEASE COMPLETE THIS APPLICATION & GIVE IT TO A ST. SOPHIA’S REPRESENTATIVE Name of the Cat(s) you are interested in adopting FAMILY INFORMATION Is the cat for you and your household? If not, for whom? How many adults live in your household? How many children? Does anyone in the household have allergies? What are their ages? HOUSING INFORMATION Do you own your own home/condo? (Please bring copy of mortgage statement at time of adoption) Do you rent an apartment? Are cats allowed? Does your lease have special requirements (such as declawing)? Please Explain (Please bring copy of lease with pet-rider authorization at time of adoption) How long have you been at your present address? EMPLOYMENT HISTORY Are you presently employed? Do you work full time? ____________ Are you retired? Do you work part-time? Employer Name: Employer Address: How Long Have You Been Employed With Your Present Employer? Work Phone_(_____)_____________ Continued On Back PET INFORMATION Are you prepared to accept the habits of cats? Do you presently have a cat(s)? If yes, please fill out the following for each cat AGE SEX (M/F) Spayed or Neutered Declawed? (please indicate 2 or 4-paw) If you do not presently have a cat, did you have any previously? What happened to the cat(s)? _ Are you planning to declaw the cat/kitten you adopt? Does/Did your cat(s) stay inside? If your cat goes outside, please describe Does/Did your cat(s) go outside? Do you plan to let the cat/kitten you adopt go outside? Is you house equipped with a doggie door? Do you have any other pets at home, such as dog, birds, etc.? If so, please describe Has this/these pets been around a cat before? VETERINARY CARE Are you prepared to provide medical care, including, but not limited to, annual veterinary visits and inoculations? Do you currently have a veterinarian? If so, name and phone number of vet May we contact your vet? OTHER Is there anything else we should know? How did you find out about St. Sophia’s? I CERTIFY THAT THE INFORMATION PROVIDED IN THIS ADOPTION APPLICATION IS COMPLETE AND TRUE TO THE BEST OF MY KNOWLEDGE. Signature Date WE RESERVE THE RIGHT TO REFUSE ANY APPLICATION ForRIGHT Office TO UseREFUSE Only ANY ADOPTION WE RESERVE THE Date and Time Turned into a St. Sophia’s Representative Reviewed by Counselor Approved Referred to Reviewed with Perspective Adopter (date and initials) 4/09