Adoption Application — Cats and Kittens
THE ADOPTION FEE FOR CATS AND KITTENS IS $100.00

Thank you for taking the time to answer this application honestly. Our volunteers will make every effort to place a cat or kitten in your home that is the right fit for both you and the animal. Please include any additional information on this form that you think may help assure that one of our pets may be right for you. By submitting this on-line application form, you agree to allow Columbia Second Chance the right to contact your vet and other references to inquire about your status as a potential home for a CSC animal.

I. Tell us about yourself:

Your Name: *required
Your E-Mail Address: *required
Street address:
City: State: Zip:
Phone Numbers (plus area codes):
Day Evening Cell

How many hours a day are you away from home?
Are there children in your home? If yes, what are their ages?
Is acquiring a new cat a family decision?   
Should your current family/home situation change, will the pet be a part of that change?   

II. Tell us about your home:

What type of home do you have? 
Do you own or rent your home? Do you have roommates?
Do you intend to be a single-pet family or multiple-pet family? Have you ever had a declawed cat?
Where will your new cat sleep at night?
Do you intend to use a cat door?
If yes … do you live in a low-traffic area?
Is your yard fenced?
Where will your new cat stay while you're not at home?

For Renters: Landlord's name:
Landlord's phone number (plus area code):
Do you have a pet deposit? If you have a pet deposit, have you paid it?

III. Tell us about your other pets (list the pets that you have had in the last five years or still have):

Name Type/Breed Age Sex Altered? Still Have? (If not, why?)

Are all your current pets up to date on their vaccinations?
Please give us your veterinarian’s name and phone number for confirmation:
Practice: Vet’s Name:
Vet's Phone (plus area code):


IV. We will need at least two (2) personal references and their phone numbers.

Name Phone (plus area code):

Name Phone (plus area code):

Is there a particular CSC cat (or breed) that are you interested in adopting? If so, please list:



Please include any additional information that you think may help assure that one of our pets may be right for you.


The *required information must be included to submit this adoption application form.
  Thank You!
This questionnaire helps us in placing the right cat or kitten with the right family. An improper placement, or one in which all the details are NOT known, can end tragically - usually for the pet. We look forward to meeting you in the near future.

If you will be mailing this form please mail it to:
Columbia Second Chance
P.O.Box 10186
Columbia, MO 65205