Itty Bitty Kitty Committee
Welcome to the Itty Bitty Kitty Committee adoption program. We request the following information so that we can assist you in the selection of a new cat. This form and a consultation with an Itty Bitty Kitty Committee representative are designed to help you find the cat most compatible with your lifestyle and to assure the lifelong safety of our cats. If you are interested in submitting an application via Facebook simply copy and paste the form, fill it out, and send it back to us. Or you may print it and send it via snail mail at 4537 ½ Brown Street Apt. B South Charleston, WV 25309. If you have questions please call (304)982-0086 or (304)415-0096. We operate the program as volunteers so if we do not answer leave a message.

To be considered as an adopter, you must:

  • Be 21 years of age or older
  • Have identification showing your present address
  • Have the knowledge and consent of your landlord
  • Be able and willing to spend the time and money necessary to provide medical treatment and proper care of the cat
Completion of this application does not guarantee adoption.

Thank you!

Name:_______________________________

Address:______________________________

_____________________________________

Phone Number:_________________________

Email Address:_________________________

Your Age:_________________

How long have you lived at this address? ________________________

Are you adopting for yourself or someone else?___________________________

Describe in detail the cat you’re looking for:______________________________

What kind of pets have you had in the past:____________________________

Which of these do you still have? (Include age, sex and breed)__________________________

____________________________________________________________________________

Have you ever turned an animal into an animal shelter? Yes             No

If yes explain:_________________________________________________________________

Has a pet in your care ever died other than by disease or old age (got out of the house and was hit by a car, killed by a child in your home, killed by another pet, been left in a hot car etc)?

Yes                  No                   Explain___________________________________

Have you ever had a pet euthanized? Yes     No             Explain:____________________________________________________

If you have other pets, will they adjust to a new cat in the house? Yes                No

Why do you want this cat? (please check all that apply)* Companion       Companion for other pet       House pet         Barn cat        Mouser Office cat         Other

How many adults are in your family?________________________________

How many children are in your family? ________________________________

Does any member of your household have an allergy to cats? Yes          No

Where do you live? House        Apartment           Condo            Mobile Home            Other

Do you own or rent your home?         Own         Rent

If you rent, may we contact the owner to obtain permission for this cat to live in your home?  Yes    No

Please list the landlord’s name and contact information_________________________________

What is your current occupation:_________________________________

Name of employer:__________________________________________

Where will your cat live? In the house Outside With free access to both indoors and outdoors In the barn In the garage

Do you have screens on your windows? Yes     No

Do you have a cat or dog door? Yes     No

Will you keep the cat up-to-date on vaccinations? Yes     No

Who is your veterinarian? Please list their name and phone number.

_______________________________________________________________

How did you find out about the Itty Bitty Kitty Committee?_________________________

Are you willing to have a representative of the Itty Bitty Kitty Committee come to see where the cat will be living? Yes       No

Are you aware that cats can live 15 to 20 years and are you willing to take responsibility for this cat for the next 10 to 20 years? Yes     No

Do you agree to allow us to call you to follow up on the adoption?__________________________

Do you agree to return the cat to the Itty Bitty Kitty Committee if things do not work out?  Yes   No

Do you agree NEVER to take the cat to the animal shelter?           Yes                         No

Do you agree to inform us if your contact information changes for any reason?  Yes         No

Do you agree to get the cat spayed or neutered and provide proof that you have done so within 2 months of adoption?     Yes   No                 

(mail receipt with proof of spay/neuter to 4537 ½ Brown Street Apt B South Charleston, WV 25309)