Adoption Application

Before you fill out an application please read and agree to our Adoption Contract.

Should you have any questions about the agreement we encourage you to give us a call at 914-434-7436 or email us at We look forward to speaking to you.

Then fill out our Adoption Application below and hit the send button! A copy will be sent to you for your records. If you haven’t heard back from us within 24 hours, please send us an email at to let us know!

Note: Required fields are marked with an *

tlc Rescue Pre-Adoption Application

I Have Read and Agree to the Contents of the Adoption Contract?*

Contact Information

First Name:*

Last Name:*

Street Address:*



Zip Code:*

Email Address:*

Re-enter Email Address:*

Primary Phone #:*

Secondary Phone #:

Home Information

Do You Rent or Own?*

How Many Years Have You Been At the Above Address?*

If You Rent, are Pets Allowed in Your Building?

If You Rent, Please Provide the Name of the Landlord/Renting Agent:

If You Rent, Please provide the Landlord/Renting Agent’s Phone #:

Do You Have Screens in All of Your Windows?*

Do You Have a Terrace/Balcony?*

Family Information

Please List All Human Members of Your Household, Including the Ages of Any Children and Whether You May Have a Child in the Next 3 to 5 Months:*

If Anyone in Your Household Has an Animal Allergy, Please Describe:

Does Everyone in Your Household Want This Pet?*

Adoption Information

Why Do You Want to Adopt this Cat?*

If Other, Please Describe:

If a New Baby Enters Your Home, Will You Keep This cat?*

If You Have To Move, Will You Keep This cat?*

Will You De-claw This Cat?*

Will You Allow This Cat to Go Outdoors?*

The Average Life Span of a Cat is 12 - 16 Years. Are You Ready for the Emotional and Financial Commitment?*

How Much Do You Anticipate Spending Annually to Feed, Vaccinate, and Provide Medical Care For Your Pet?*

For How Many Hours Each Work Day Will This Cat Be Without Human Companionship?*

How do you plan on correcting behavior problems such as:
Scratching Furniture*
Climbing on Counters/Table*
Pottying Outside the Litter Pan*

Other Pet Information, If Applicable

Please List All Pet Members of Your Household, Including Type, Gender, Size, and Age:

Are They All Vaccinated, Spayed/Neutered and Licensed? If Not, Please Describe:

Are Your Other Cats De-clawed:

Prior to Any Present Pets, Please Describe Your Previous Pets:

For How Long Did You Have Your Previous Pets?

Where are Those Pets Now?

If You've Ever Given a Pet to a Shelter or Another Home, Please Describe the Circumstances:

Please List Contact Info for Vets You Have Used in the Last Five Years and the Name You Used With Each:

Employment Information

Occupation: *

Employer's Name:

Employer's Address :

Employer's Phone# :

How Long Have You Been Employed at This Company?:

Personal References

Reference Name: *

Reference Relationship: *

Reference Phone# : *

Reference Name: *

Reference Relationship: *

Reference Phone# :*