March 2018 Kitten/Cat Adoption Application

Anderson County Humane Society

2020 Kitten/Cat Adoption Application
Our rescue organization is making every effort to place our foster cats and kittens in a home that fits their needs & personalities. We appreciate your sharing the following information with us to assist in our mission.
What cat/kitten are you interested in adopting & why? *
Your full name & age *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Your email *
Phone Number *

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Names and ages of all permanent residents of your home (adults/children) *
If no children, do any ever visit? *
What type of home do you live in? *

House Apartment/Condominium Manufactured home
Do you own or rent your home? *
If you rent , please provide your landlord/renting agency's phone number
Will you allow a home visit prior to or after adoption? *

No Yes
Please list all pets currently living in your home along with their age/breed and if they are altered *
What other pets have you had in the last 5 years? *
Why are they currently not with you? *
Have you ever surrendered or returned a pet to a shelter? *

Yes No
Have you ever given away or sold an animal? *

Yes No
If yes to either question above, please explain
What would you consider a reason for not keeping a cat? *
Rescued animals need time to adjust to their new home. How long are you willing to give this cat to adjust? *
Cats sometimes claw or pick furniture. How would you manage this problem? *
Have you ever declawed previous cats and do you plan to declaw this one? *
Will your cat be *

Inside only Inside/outside Outside only
Describe the dynamics in your household (busy/quiet). How many hours a day will the cat be alone? *
How often do you feed your cat?
Does anyone in your house have pet allergies? *

No Yes
Do you use parasite prevention? *

Yes No
If yes to above question, what type?
If the cat/kitten you are applying to adopt has long fur, are you aware of the grooming requirements?
If you go out of town on vacation, who will care for your cat? *
If something were to happen to you, do you have a plan in place for your pets? *
What veterinarian do you use? Name/phone number *
May we contact your veterinarian? *

Yes No
If this cat becomes sick or injured, how will you handle this situation?
By submission of this form, I am aurthorizing the veterinarian named above to release information concerning past or present care of my pets.

I have not nor has anyone in my household ever been charged with any form of animal abuse, neglect or cruelty.

I am 18 years of age or older and have read this application in it's entirety and have answered each question honestly and to the best of my ability.
Applicant's signature *
Co-applicant's signature
Date

Month Day Year
The Submit button will appear once all required fields have been completed.

Thank you for taking the time to submit this form.

After you click the Submit button, you will be redirected to the main page and you will receive a confirmation email.
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Anderson County Humane Society

Our rescue organization is making every effort to place our foster cats and kittens in a home that fits their needs & personalities. We appreciate your sharing the following information with us to assist in our mission.