Adoption Application * Indicates required field "*" indicates required fields Step 1 of 7 14% Name* First Last Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Preferred Contact Method Email Phone No Preference Employment Status* Full Time Part Time Retired Student Unemployed Work from Home Full Time Parent Other Have you adopted with us in the past?* Yes No When (month/year) and the cat's name?How did you hear about Crash's Landing?Why do you want to adopt from Crash's Landing? HOMELIFEPlease list the names of all adults in the household and your relationship to them.Do all of the adults in the household know you plan to adopt a cat? Yes No Have your children lived with cats previously? Yes No N/A Is anyone in your household allergic to cats? Yes No How do you plan to address the allergy?Household Activity LevelQuietActiveVery ActiveDo you rent or own your home?* Own Rent Roommates? Yes No Name and Contact Info for Each RoommateDo you have permission from your landlord to have a cat? Yes No Landlord's name and Phone Number* PET HISTORYHave you owned a cat before?* Yes No Do you currently have pets?* Yes No Tell us about every pet in the household, including those that do not belong to youBe sure to include name, type and breed, age, gender, spay/neutered, indoor, outdoor, how long they have been part of your household, and last vet visit for every animal in the house.List all pets you've had in the past 10 years and why you no longer have the pet.Current and previous veterinarian: name, clinic name, phone numberThis field is required if you currently have pets or if you have had any pets in the last 10 years.Under whose name and what address are records kept? NEW PETWill your new cat have frequent contact with children under 10 years old?* Yes No How many hours a day will your cat be alone?* On the first night home, where will the cat stay? (be specific)*It may take a cat a month or longer to adjust to its new home. What steps will you take to help them adjust?*Are you committed to providing a home for this cat for up to the next 15 years?* Yes No How much do you plan to spend on annual veterinary care?*Please enter a number greater than or equal to 0.How much do you plan to spend annually on food and litter?*Please enter a number greater than or equal to 0.What would you do if you went over budget on pet expenses?* Are you willing to provide, and can you afford, emergency care for all of your current and future pets?* Yes No Will your cat live indoors, outdoors, or a combination of both?IndoorsOutdoorsIndoors and OutdoorsNot sureHow would you handle the situation if your cat started scratching your furniture?What would your first step be if you found that your cat had urinated outside the litterbox?Who do you have in mind to care for your cat if you go away for a few days?Who do you have in mind to care for your cat if you go away for several days (such as a vacation)?Who do you have in mind to care for your cat in case of a family emergency?If you move, will you take the cat with you?* Yes No What circumstances might justify giving up a cat? (check all that apply) Baby Moving Shedding Want to travel Divorce Allergies Behavior problems Cat becomes ill Children lost interest Cat not getting along with other pets Not using littter box Destructive Scratching Too time consuming None Other Other circumstance to give up a cat It is Crash’s Landing’s policy that all cats be returned to us if the adopter is no longer able to care for them. Are you willing to return the cat to Crash’s Landing if for any reason you are no longer able to provide care?* Yes No REFERENCES *** Please enter three references other than family members.Reference 1Name* First Last Relationship* Email Phone*Best time to call* Reference 2Name* First Last Relationship* Email Phone*Best time to call* Reference 3Name First Last Relationship Email PhoneBest time to call YOUR IDEAL CATDeclawed Yes No Preferably No preference Age Baby (less than 1 year) Young (1 to 2 years) Adult (3 to 7 years) Senior (more than 7 years) No preference Coat length Short Medium Long No preference Special needs Yes No Maybe No preference Temperament Are you open to cats that may require additional daily care? OUR CATSIf there are specific cats you wish to meet at Crash's or Big Sid's, please list them here. (You can, of course, visit with any of our cats.)SUBMITTING YOUR APPLICATIONBy clicking the Submit button below, I certify that: * The information I have given is accurate * I understand that Crash's Landing has the right to deny any application * I give permission for a representative of Crash's Landing to call the references and veterinary practice I have listed above