Cat Adoption Application

Please indicate which cat(s) you're interested in:

Full Name

Email Address

Address 1

Address 2

City

State

Zipcode

Home Phone

Work Phone

Mobile Phone

May We Text You? May We Text You? Yes No

I live in: I live in:HouseApartmentTownhouse / CondoMobile Home

Do you: Do you:Own ResidenceRent ResidenceLive with relatives

Name and contact number of your landlord or management company:

How long have you lived at your current address?

Please list the names and ages of all people who live in the home full or part time, including yourself

Do you foresee moving in the near future? Do you foresee moving in the near future? Yes No

Is everyone in the household aware of the adoption? Is everyone in the household aware of the adoption? Yes No

Is anyone in the household allergic to cats? Is anyone in the household allergic to cats? Yes No

Are you age 21 or older? Are you age 21 or older? Yes No

Are you currently employed? Are you currently employed? Yes No

Who will be the primary caregiver for the cat(s)?

Does anyone in the household smoke cigarettes?

Why do you want to adopt a cat?

What age cat do you prefer?

What sex of cat do you prefer?

Please list name, age, size and breed of all pets you currently own

Are they all spayed or neutered? Are they all spayed or neutered? Yes No

Why are some of your pets not spayed or neutered?

Are all pets current on vaccinations? Are all pets current on vaccinations? Yes No

How many pets have you owned in the past 10 years?

Where are they now?

Where do your current pets live?

Where will your new cat live?

Do you plan to declaw your new cat? Do you plan to declaw your new cat? Yes No

Please provide the name and phone number of your current veterinarian

What would you say annual veterinary care would be for a cat?

What do you plan to do with your cat when you go on vacation?

Have you ever taken a cat to a shelter? Have you ever taken a cat to a shelter? Yes No

Why did you take your cat to a shelter?

If approved, when do you plan to bring your new pet home? If approved, when do you plan to bring your new pet home? Within the next 48 hours Within the next week Within the next month

Would you object to an authorized Society of Humane Friends representative inspecting the premises where the animal will be kept both before and after adoption? Would you object to an authorized Society of Humane Friends representative inspecting the premises where the animal will be kept both before and after adoption? Yes No

Please provide the name and phone number of a personal reference:

I attest that the above information is accurate. I am also relieving the Society of Humane Friends of any and all liability during the viewing and adoption process. I attest that the above information is accurate. I am also relieving the Society of Humane Friends of any and all liability during the viewing and adoption process. I agree