Helping Hands Rescue, cat and kitten adoption form.

CAT ADOPTION APPLICATION FORM

This may seem like an excessively detailed, even invasive, questionnaire, but please keep in mind that the more information we have about you, your household and your expectations of your rescued cat, the easier it will be to make a successful match. Finding the perfect match between adopter and cat is our most important goal. Helping Hands Rescue reserves the right to refuse adoption to anyone. No animals will be adopted to prospective owners who mislead or fail to provide accurate information on the adoption application.

Please fill-out the form below, click here to fill it out using Microsoft Word or click here to download a copy to fill-out.

Are you inquiring about a specific cat?	Yes No	Date:
Name:		Birthday:
Address:		City:
State:		Zip:
Home Phone:		Work Phone:
Cell Phone:		Email:

Have you applied to adopt a rescue cat or other companion pet from another group?			Yes No
How many adults in the household?
Please list their names, ages and occupations:
(Adult 1)
(Adult 2)
(Adult 3)
(Adult 4)
How many children in the household?
Please list their names, ages and occupations:
(Child 1)
(Child 2)
(Child 3)
(Child 4)
Do all adults in household know of plans to adopt cat?		Yes No
Who will be the primary caregiver for the new cat?
How long at current address?
Do you own or rent?
Time at current address?
If you rent, please provide the name and phone number of the property owner:
Vet’s name and phone number?
Where will the cat be kept during the day/night?
Where will the cat be kept when alone?
List breed & age of all household pets:
(Animal 1)
(Animal 2)
(Animal 3)
(Animal 4)
Will the cat be allowed outdoors?		Yes No
Do you plan to declaw the cat?		Yes No
Do you plan to spay/neuter this cat, if not already done?		Yes No
If no, why?
What will you do if your cat claws furniture or shows destructive behavior?
What circumstances would cause you to find a new home for your cat? (Please check all that apply): None Illness New baby Allergies Tired of caring for it Moving Change in roommate/partner Poor litter box habits Shedding Other (please specify)
Are you willing to make the commitment to take responsibility for this cat for the next 15-20 years?		Yes No
Who will take care of the cat if something happens to you?
Please provide the names and phone numbers of two personal references, not including family members:
(Personal Reference 1)
(Personal Reference 2)
Do you agree to pay an adoption fee, depending on the cat’s age, health and possible special needs?		Yes No

I agree to alter the animal adopted through Helping Hands Rescue within 2 weeks if animal is not already altered – kitten within 4 months (female)/6 months (male).
Exceptions:
I agree to provide adequate food, shelter, water, medical treatment and humane treatment at all times. Adoption fees will not be refunded after a period of 2 weeks. Adoption fees for cats start at $75. Additional charges may be added for expenses for medical, boarding, etc., that we have paid for animal. Upon adoption, HHR relinquishes all responsibility of the adopted pet to the new adoptive owner. HHR will not be held liable for any personal liabilities or damage to property or financial indebtedness incurred for the care of the adopted animal after adoption.
Applicant Signature
Date
Typing your name to this electronic form constitutes your consent and signature. Thank you for completing this application and thank you for wanting to give a forever home to one of our rescued animals!