feline adoption application

Feline Adoption Application

Thank you for your decision to adopt a rescued cat or kitten. You are encouraged to look at all the animals available to find one that is best suited to your lifestyle. Have A Heart reserves the right to accept or deny any applicant or application based on our requirements for adoption and the needs of the cat or kitten being applied for. Completion of the application does not guarantee approval. Any false information provided by the applicant will result in a nullification of your application and contract. You must be 21 or older to fill out this application, no exceptions

Who are you interested in adopting?

PART I: CONTACT INFORMATION (This information is kept confidential and is for HAH only.)

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Area CodePhone Number

Alternate Phone Number

Area CodePhone Number

Drivers License State and Number

Are you currently a student? If so, part time or full time?

Current residence is*

Do you*

How long have you lived at your current address?*

If less than 1 year, list previous address and how long

If you rent, please answer the following questions

Landlord

Landoard's phone Number

Area CodePhone Number

Are pets allowed?

Is a pet deposit required?

If a deposit is required, has it been paid?

How many household members?

Ages of any children under 18 living in the household

Will cat reside with you at current residence? If not, please explain*

Name of current vet you intend to use*

Veterinarian's phone number

Area CodePhone Number

How did you hear about Have A Heart?

PART II: PETS AND PET BEHAVIOR INFORMATION

Who will have financial responsibility for providing necessary veterinary care?*

Who will be responsible for daily care and feeding?*

Are you aware of the necessary annual vaccines for cats?*

Check the box if you are familiar with

Feline AidsFeline leukemiaRabies

Are you adopting this feline*

Have you ever owned any pets?*

Do you currently own any pets?*

If yes, please list Name, breed, and gender

If you owned pets in the past that are no longer with you, please explain what happened to them. If this will be your first pet, type N/A*

Are your current pets spayed or neutered? If not, please explain why

Have you ever adopted from a shelter or rescue?

Was it a positive experience?

Have you ever taken an animal to a shelter? If so, please explain*

Where will this cat live? *

Inside OnlyInside/OutsideOutside Only

Do you plan to declaw this cat?*

Do you plan to spay/neuter this cat?

If you move, what do you plan to do with this cat?*

Do all members of your household want a cat? If not, please list who does not and why*

Are you prepared for common cat behavior problems, such as clawing and litter box accidents? If not, please list what you are not prepared to deal with*

The information submitted on my application above is true and correct to the best of my knowledge

Applicants Signature