High Hopes

Adoption Center

Feline Adoption Application

Thank you for thinking about adding a feline family member to your home. We will use this application to help match you with the puuurfect kitty for you and your family! Please fill out this application as fully as possible. Our goal is to match each cat with a life-long family. We retain the right to refuse adoptions.

Is there a specific cat(s) you would like to adopt? Cat’s Name _______________________________________

Potential Adopters Information:

Name _________________________________________________________ Phone: ________________________________

Address _______________________________________________________ Cell: __________________________________

_______________________________________________________________ Work: _________________________________

Occupation _______________________________________ Place of Employment ___________________________________________

I [ ] Own [ ] Rent: a(n) [ ] Apartment [ ] House [ ] Trailer/Mobile Home [ ] Other ___________________________

(RENTERS:, Landlord’s name and number _________________________________________ Does your lease allow pets? [ ] Yes [ ] No)

Length of time at this address: ____________________ [ ] I plan to move. When? _________________________________

What will happen to this pet if you move? ______________________________________________________________________________

How many adults in household? ___________ Children? ___________ Ages of children: ________________________

Are all of the adults in the household aware of and approve of the idea of adopting a new pet? [ ] Yes [ ] No

How many hours per day will your pet be left alone? ________ Where will your pet be while you are: home? _________ away? _________

How much time per day do you plan to spend: caring for __________, grooming ________, and playing with _________ your new pet?

What, if any, other animals live in the home? (list species, age, breed, and gender): _____________________________________________

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How much do you think a pet will cost in food, supplies, and routine medical bills each year?__________ Medical Emergencies? _________

Are you prepared to provide yearly vet care/vaccinations, wholesome food, and sufficient toys and supplies? [ ]Yes [ ] No [ ]Unsure

I would like a(n): [ ] indoor cat [ ] outdoor cat [ ] indoor/outdoor cat

I prefer a(n): [ ] adult cat [ ] kitten [ ] an older cat

I would like a cat that: (check all that apply)

[ ] gets along with other cats [ ] gets along with dogs [ ] gets along with children [ ] is good with the elderly

[ ] is litter box trained [ ] is de-clawed [ ] only requires a little grooming [ ] might require regular grooming

[ ] likes to lay on my lap [ ] likes to be petted [ ] is active/independent; not a “lap kitty”

I’m interested in: [ ] two cats that already get along [ ] two kittens [ ] a “special needs” cat or kitten

If you can not keep your new pet, do you agree to return it to the High Hopes Adoption center? [ ] Yes [ ] No

Do you agree to seek professional advice (from a Veterinarian, Behaviorist or HHAC) for behavior problems, should they arise? [ ]Yes [ ] No

Will you allow a representative from High Hopes Adoption Center to visit your home? [ ] Yes [ ] No

I understand and agree that the information I have provided is subject to verification. I certify that I am at least 18 years old and the information I have provided herein is true.

____________________________________________________________ ___________________________________

Signature Date

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Do Not Write Below This Line

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