Personal Information:

Date

First name

Last name

Animal of interest

Birthday

Physical Address

Town

State

Zip code

Mailing Address (if different from physical address)

Email

Cell Phone

Home Phone

Place of employment / Job Title

Household Information:

Name of Spouse/Partner (If applicable)

Number of adults in your home

Number of children in your home

Ages of children in your home

Does anyone in your home have allergies? If so, please explain

In what type of home do you reside? (please choose one)

Do you:

Name of Landlord/Home owner (Use N/A if you own)

Phone or Email of landlord/home owner (Use N/A if you own)

How long have you lived at your current residence?

Please list the address of the last place you resided and for how long

Veterinarian Information:

You must contact your veterinarian for permission to speak with us for a vet reference. Please check box

Name and phone number of your veterinarian

How many pets are living in your home currently

Please list ALL current and past pets you have had within the last 5 years. Please include name, species, gender, age and if they are still with you or not

Please indicate the type of cat you are looking for:

Why do you want this cat (Chose all that apply)

Age range desired

Gender

Male

Female

Open to gender

Additional requirements (good with children/good with cats/good with dogs etc.)

Where will this cat live?

Strictly indoor

Strictly outdoor

Indoor/outdoor

Do you plan to have this cat declawed?

Yes

No

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Have you ever given an animal away to another person or animal shelter?

Yes

No

If yes, what were the circumstances?

Have you considered what you would do with this cat if you had to move? What would that be?

Have you considered what you would do with your cat if you couldn't take care of it due to personal injury, illness, or death? Do you have someone who will take your pet, and have you discussed it with them?

Please list TWO personal references, who are NOT family or spouse

I certify that the above information, along with any other information I have given either verbally or in writing is correct to the best of my knowledge. I further realize that any false statements can result in my application being denied. The SHS has the right to deny any adoption/applicant for any reason, without giving cause.

Cat Adoption Application

Personal Information:

Household Information:

Veterinarian Information:

Please indicate the type of cat you are looking for:

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