HSWC CAT PRE-ADOPTION FORMVET INFORMATION: Please list all vets that you have used and which pets were treated there.
Name: first last
Are you over the age of 21? If not, what is your age?
Address:
Home Phone: Work/Cell Phone:
How long have you lived at this address?
Email:
Is this residence a: Do you:
If rented, does your landlord allow pets?
If yes, how many are you allowed and are there any size restrictions?
Name and phone number of landlord:
Do you care for children or others on a regular basis?
Do you or your neighbors raise fowl, sheep, or goats?
Heve you ever brought an animal to us?
If yes, please explain:
Have you or any other family member been convicted of cruelty to animals or any other animal related charge?
Are you aware that there is no such thing as a free animal? Are you financially prepared to pay for vaccinations, annual exams, de-worming, etc...?
What are your reasons for adopting a cat?
Do you prefer cats with:
Do you prefer:
Please describe the temperament and activity level you are looking for in a cat:
Is anyone in your household nervous or unsure about cats?
How would you describe your lifestyle?
How many adults and children live in your home?
If children, what are the ages.
Do you have children that visit or live next door?
If yes, ages?
Is anyone in your home allergic to pet hair or dander?
How many dogs, indoor cats, in/out cats, other pets/animals
do you have right now?
I have had dogs and cats as an adult.
What breeds or mixes do you have?
How long have you had them?
Where are they now?
Were all others spayed/neutered and kept up to date on shots?
Finish this sentence:
I need a cat that can tolerate being alone hours a day.When you are at home, where will the cat primarily be kept?
other:
When you are not home, where will the cat be kept?
other:
Where will the cat sleep?
Owning a cat is a lifetime commitment, what provisions would you take/make if you:
Vacation:
Move:
Divorce:
How long do you think it will take for the cat to adjust to itt's new environment?
Do you prefer a cat that:
Your ideal cat would be:
What bad kitty habits are you not able to work through:
Other:
Who will the primary caregiver be?
Are you willing to pay for grooming?
How do you intend to manage fleas and ticks?
What is it about this cat that drew you to him/her?
Do you have any questions or concerns that we may be able to help you?
Please list:
References:
List three (3) personel references and phone numbers (no family members or you vet)Who know your history with your pets:
Ref. 1: Name: Phone:Ref. 2: Name: Phone:Ref.2: Name: Phone:I am Interested in adopting (list cat or cats):
Are you aware that it is mandatory that ALL animals adopted from this shelter are required to be spayed/neutered within 30 days, unless the animal is already spayed/neutered, or under the age of 5 months (and will be performed at the appropriate age). I permit HSWC to attain my vet information and call my references. All information will be kept confidential.
By clicking "submit", I agree to the above statement and confirm that all information submitted is true and correct.
