Johnson County Adoption Application2160 N. Graham Rd Franklin, IN 46131Phone: 317-736-3924 Fax: 317-738-3166Cat Adoption Application Name(s) of Cat(s) You Are Applying For: Dough Boy Lilibet Mikah Lenny Cassie Cash Butterscotch Baked Bean Applicant's Information * First Name Last Name Primary Phone * (###) ### #### Secondary Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email Address * Your household consists of: * Adults Only Family with Children over 10 years old Family with Children under 10 years old Pets currently in the home: Name: Species: Dog Cat Other: Breed: Sex: M F Spayed/Neutered? Yes No Where is this pet primarily kept: Inside Outside Name: Species: Dog Cat Other: Breed: Sex: M F Spayed/Neutered? Yes No Where is this pet primarily kept: Inside Outside Name: Species: Dog Cat Other: Breed: Sex: M F Spayed/Neutered? Yes No Where is this pet primarily kept: Inside Outside Your Ideal Cat, mark all that apply: Sex: Male Female No Preference Age: 8-16 weeks 4-12 months 1-3 years Adult Senior No Preference Coat length: Short Medium Long No Preference Activity Level: Low Medium High No Preference Do you understand that if you adopt a cat from our facility, per the contract, no cat is to be declawed, for the entire life of the animal? Yes No PLEASE READ CAREFULLY AND INITIAL ON THE LINE: * An approved application and/or a scheduled visitation does NOT guarantee the animal will be placed in your home. I certify that I am 18 years of age of over and that all of the information above is complete and accurate to the best of my ability. I understand that giving false information on this application will immediately disqualify me from the adoption process. I also understand that if I have failed to answer all of the questions or fail to sign this application, my application is subject to being declined. Finally, I understand that the Johnson County Animal Shelter and its employees cannot attest to or guarantee the health of any animal adopted from this facility. Signature: Date MM DD YYYY Signature: Date MM DD YYYY NLCC Staff Initials: * FOR OFFICE USE ONLY: Date MM DD YYYY Time Hour Minute Second AM PM Name Location Thank you for submitting your application! Applications are usually processed within 1-3 business days.
