960 N. Flag Chapel Rd.
Jackson, MS 39209
Pet Interested in:
(Person applying MUST be 21 yrs of age).
Occupation #2: Spouse's Place of Employment:
If this relationship were to change, whom would the pet remain with?
Do you have children? Yes No
Do they live with you? Yes No
Have they been around cats? Yes No
Reasons for adopting?
What qualities you are looking for in a cat?
What, if any, concerns do you have about adopting?
Type of Dwelling:
The cat will be:
PAST/PRESENT PET HISTORY (Past 10 years only)
Current pets in household: Dogs Cats Other -
(Please describe PAST and PRESENT animals)
Age of Pet
Age Pet Acquired?
Are your pets vaccinated? Yes No
Date of last vaccinations:
May CARA contact your vet? Yes No
Do you have a friend or relative who would care for the cat(s) if you became
incapable of caring for him/her for an extended period of time? Yes No
Please provide: Name:
CARA reserves the right to approve this individual, with no bias, for the
ultimate protection of the cat(s).
Under what conditions would you NOT keep your new pet?
Move to a place that doesn't allow pets
Pets didn't get along
Move out of state
Too much hair
Wouldn't give up for any reason
ALL DOGS MUST BE RETURNED TO CARA SHOULD YOU NOT BE ABLE KEEP THEM!
If the cat(s) become destructive, what would you do?
Do you travel frequently? Yes No
Where will your cat(s) stay when you are on vacation?
Please briefly describe your lifestyle: (active, social, homebodies, etc)
How did you hear about CARA?
Referred by Someone
ADOPTIONS MAY REQUIRE A HOME CHECK AND/OR DELIVERY OF CAT(S).
I CONSENT TO THIS IN THE EVENT MY APPLICATION IS APPROVED:Yes No
Signature: Required on pick up
Providing false information will result in the nullification of this application.