Cat Adoption Application 2 : Adopt or Foster : Homeward Animal Shelter

At this time, we are operating on an appointment-only basis. Please fill out an adoption application (below) and we will be in touch shortly to set up a time for you to meet the animal of your choosing after you have been approved. Thank you!

The Homeward Animal Shelter strives to place the animals entrusted to our care in permanent, loving homes. The purpose of this application is to aid us in that process and to get acquainted with prospective adopters. We want to help you in your choice of a dog that will be well suited to your family, home, and lifestyle. Your decision is important since this is a lifetime commitment.

Your Contact Information

First Name (Required)

Last Name (Required)

Street Address (Required)

Apt/Suite #

City (Required)

State / Province (Required)

Postal / Zip Code (Required)

Home/Cell Phone (Required)

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Work Phone

Co-Applicant's First Name

Co-Applicant's Last Name

Co-Applicant's Phone

Are you at least 18 years of age or older?

Cat Information

Please list the name of the cat(s) you're interested in adopting. If you're not interested in a particular cat, please just type "pre-approval" in the first choice box.

First Choice: Name of Cat You're MOST Interested In

2nd Choice (if applicable)

3rd Choice (if applicable)

Have you already met the cat you're applying for?

Have you discussed the energy level of this cat with a staff member?

Who are you adopting this pet for?

Who are you adopting this pet for? (Required)

Reason that you want a cat (check as many that apply)

Mouser
Farm/Barn Cat
Companionship
Breeding
House cat
Therapy cat
Gift for Someone

If Gift for Someone, Who?

If you move in the future, what will you do with the cat you adopt?

If you move in the future, what will you do with that cat you adopt? (Required)

This pet will be without human companionship for how many hours per day and how many days per week?

Hours per day (Required)

Days per week (Required)

Will you ever allow this cat outdoors?

If yes, will the cat be (check all that apply)

Allowed to roam free
On a leash
Confined in a cat carrier or crate
Other - please explain below

How will you handle any behavioral issues that may arise (including scratching, crying, getting on counters, etc.)?

How will you handle any behavioral issues that may arise? (Required)

Do you plan to declaw this cat?

Yes
No
N/A (cat is already declawed)

About You & Your Household

Please indicate the type of you home live in?

House - Own
House - Rent
Mobile Home - Own
Mobile Home - Rent
Apartment - Rent
Condo - Rent
Live with Parents

If Live with Parents, Parent's name(s)

Parent's Phone Number

If you rent, Landlords/Rental Agencies will be contacted to verify permission to own pets. This includes mobile home parks. Please provide the following:

Name of apartment complex or mobile home park

Landlord's or Rental Agency's Name

Landlord's or Rental Ageny's Phone Number

How many people live in your household? (Required)

If there are any children under the age of 18 in the household, please list their ages here.

Ages of children in home:

Are all household members in agreement with this adoption?

If No, please explain who is not in favor and why.

Do you run a daycare in your home?

If yes, please list the ages of the children in your care.

Do any household members have pet-related allergies, and if so, to what?

If yes, explain

Are you a student?

If yes, please indicate whether you are a full-time or part-time student. Also explain what you will do with this animal when the academic year is over.

Have you ever owned a cat?

Have you ever allowed your current, or any previously owned, cats outdoors?

Yes
No
Not applicable

If you have a cat currently, is it declawed?

Have you ever adopted a pet from this or any other shelter/rescue?

If yes, please indicate whether you still have this pet. If you no longer have this pet, please explain why.

Have you ever given a pet away or surrendered a pet to a shelter/rescue organization?

If Yes, please explain the circumstances.

Current & Previous Pets

Please list all animals in your care in the last 5 years (include roommate's or relative's pets currently residing in your home).

Please list the following for each pet: Name of Animal; Species (dog,cat,other); Breed; Age; Are they spayed/neutered? Still living with you? If not, please explain why.

Name of Veterinary Clinic used for your pets

Veterinary Clinic Phone Number

Name of Owner on Pets' Records at Vet

Personal References

Please list two references who:

a) Know you well
b) Do NOT live with you
c) Did NOT accompany you to the shelter.

At least one reference must be unrelated to you.

Reference #1 First Name (Required)

Reference #1 Last Name (Required)

Reference #1 Relationship (friend, neighbor, co-worker,etc.) (Required)

Reference #1 Phone Number (Required)

Reference #2 First Name (Required)

Reference #2 Last Name (Required)

Reference #2 Relationship (friend, neighbor, co-worker,etc.) (Required)

Reference #2 Phone Number (Required)

Adoption Discounts

Please mark if any apply to you. We offer discounted adoption fees for senior citizens (ages 65 and over), as well as active military members and veterans. We may ask for proof of age/service.

Senior Citizen (65 yrs. and older)
Active Military Member or Veteran
N/A

Since many animals come from unknown backgrounds, Homeward Animal Shelter cannot be responsible for the health or behavioral problems and cannot guarantee personality or temperament. Therefore, I am prepared to provide any necessary medical care including regular vet care and annual vaccinations as well as any humane behavioral training required.

Check this box to indicate that you understand and agree to the above.

By typing my name below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet. I authorize investigation of all statements on this application. I also understand that Homeward Animal Shelter reserves the right to deny my adoption application for any reason if they feel it is not in the best interest of the animal(s).

(Required)