Feline Application/Adoption Cat wanting to adopt: ______
Revised: March 2010
To be considered for adoption of a cat you need to:
ð Be at least 18 years old.
ð Have the knowledge and consent of all adults living in your household.
ð Have a valid government-issued photo ID.
ð Have landlord’s consent to bring an animal onto the property.
ð Understand that you are making a lifetime commitment to the cat. Remember that the animal you choose has already been abandoned or unwanted at least once in its lifetime. Cats may live 12-15 years or more. Your thoughtful consideration and commitment will help insure a lifelong placement.
ð Understand that Honey Do Animal Rescue reserves the right to refuse the adoption of any animal.
ð Provide the name and contact information of 1 or more references [attach].
Applicant Information
Name [first, middle, last]: ______
Mailing Address: ______
City, State & Zip: ______County: ______
Home Telephone: ______Work Telephone ______
Cell Phone: ______E-mail Address: ______
Do you □ Own or □ Rent your House, Apartment, Mobile Home, or Condo? If you rent,
Landlord’s Name/Management Company ______Phone: ______
Why do you want to adopt this pet? ______
How many pets do you currently have in your household?
Cats: ____ Breed(s): ______Spayed/neutered? □ Yes □ No Ages:______
Dogs: ____ Breed(s): ______Spayed/neutered? □ Yes □ No Ages:______
Other: ____ Types: ______Ages: ______
Are there children living in the household? □Yes □ No Ages: ______
Does anyone in the household have animal allergies? □Yes □No If yes, how do you plan to manage this issue? ______
Will this pet be kept indoors or outdoors? □ Indoors □Outdoors □Both If the pet will be outdoors what type of safety or protection do you have? ______
______
Are you familiar with the animal laws in your town? □No □Yes
Can you afford veterinary care, grooming, emergency expenses, supplies and food for the lifetime of this pet? □Yes □No If you have a veterinarian, please provide contact information:
All pets making the transition from shelter to a new home need time to adjust to a new family and may require house training and behavior training. Are you willing to provide any needed training? □Yes □No
Information regarding the history, health and behavior of adopted animals may not be available or accurate.
§ What behavior would you be unwilling to work with?______
§ What reasons might cause you to return this pet?______
Because rescue animals have unknown medical histories, a quarantine period is recommended if you have other pets at home.
By signing below, I certify that the information I have given is accurate and complete. I hereby grant Honey Do Animal Rescue permission to confirm any information provided in this application/adoption agreement with any appropriate third party including landlords and veterinarians. I agree to pay HDAR the adoption fee of $ ______. I understand that if I can no longer care for the cat that I may return the cat to HDAR but that no portion of the adoption fee will be returned. I understand that once the adoption is finalized 1) I will be responsible for all medical bills and decisions regarding the cat and 2) I agree that neither Honey Do Animal Rescue nor its Board Officers/Members, volunteers, or agents will be liable for any damages or injuries caused to me or any third person by the cat.
Applicant/Adopter Signature: ______Date: ______
□ Approved By: ______Date: ______
□ Disapproved By: ______Date: ______
1
1 Applicant/Adopter Initials: ______