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PAWS, HOOFS & CLAWS
ANIMAL RESCUE & SANCTUARY
Email: Gloria@ghkbooks.com
CAT ADOPTION APPLICATION
Name
_____________________________________________________ Home Phone
__________________________________
Address
___________________________________________________ Work Phone
___________________________________
City/State
____________________________________ Zip __________ Email
________________________________________
Personal Reference
__________________________________________ Relationship
___________________________________
Phone
____________________________________________________ Are you 21 years or older?
Yes ____ No ____
How did you hear about Us?
_______________________________________________________________________________
Are you interested in
(select one): Cat ____ Kitten ____ Name of pet you want to adopt:
_______________________________
To ensure that this
adoption is in the best interest of both you and the pet you selected, we ask
that you answer the following
questions:
1. Please tell us why you
would like to adopt a pet?
_______________________________________________________________
______________________________________________________________________________________________________
Do you live in (select
one): House ____ Apartment ____ Condo/Townhome ____ Trailer ____ Other
______________
Do you: rent/lease ____
own ____ Landlord & Phone #
______________________________________________
3. Are you planning to
move in the next six months? Yes ____ No ____
4. I am adopting this pet
for (select one): myself ____ spouse ____ children ____ gift ____ other
___________________
5. Please list below all
the people (including yourself) that your new companion will be living
with:
Name Age Relationship
6. Will the whole family
share in the care of this pet? Yes ____ No ____
7. Are there any children
that visit your home frequently? Yes ____ No ____ If yes, ages:
_____________________________
8. Are there any regular
visitors to your home, human or animal, with which your new companion must get
along?
Yes ____ No ____ Describe:
____________________________________________________________________________
9. Is there any member of
your household who is allergic to cats? Yes ___ No ___ If yes, who
____________________________
10. What will happen to
this pet if you move unexpectedly?
_________________________________________________________
11. How many hours during
the average work day will your pet spend without a human? ____________
12. What kind of behavior
do you find unacceptable?
_______________________________________________________________
______________________________________________________________________________________________________
HOPE Adoption Application
- Rev. 1/16/03
13. What will happen to
this pet when you go on vacation or in case of an
emergency?_____________________________________
______________________________________________________________________________________________________
14. Do you have a regular
veterinarian? Yes ____ No ____
Clinic name, address and
phone number
______________________________________________________________________
15. Do you have any other
pets? Yes ____ No ____ If yes, please list below:
Type (dog, cat, etc.)
Breed Neutered/Spayed? Owned for how long?
16. Have you had any pets
in the past? Yes ____ No ____ Of yes, please list below:
Type (dog, cat, etc.)
Breed Neutered/Spayed? Owned for how long? Where is the pet now?
17. Do you want this pet
to be (select one): inside only ____ outside only ____ inside/outside ____ don’t
know ______
Where will this animal be
kept during the day?
_________________________________________________________________
Night?
___________________________________ When you're not at home?
_______________________________________
18. Does your home have a
pet door? Yes ____ No ____
19. What do you know about
feline leukemia?
____________________________________________________________________
20. Do you plan to declaw
your cat/kitten? ___________________________
21. Do you have a
fenced-in back yard? _____________________________
I certify that the
above information is true and understand that false information may result in
nullifying this adoption.
Applicant’s
Signature_________________________________________ Date _______________
WE RESERVE THE RIGHT TO
REFUSE AN ADOPTION!
Thank you for completing
the Adoption Application. Please return it to an adoption counselor so that we
may review it with you. The
entire adoption procedure
usually takes about an hour.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ADOPTION
STAFF ONLY~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Driver’s License # (or
other Photo ID):
___________________________________________________________________________
Comments:
________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Results (select one): A
____ D ____ Staff:_ _________________________________ Date:
_______________________ |
