HSAC Cat Adoption Application

Please use this form to apply to adopt one of our wonderful cats or kittens.

We want to reduce pet homelessness. Your honest and thoughtful responses will help us match your family with the best cat/kitten for your lifestyle.

How did you hear about us?
Which cat/kitten would you like to adopt?
If the name of the animal you wish to adopt is not on the above list, or if you would like help choosing the right pet for your family, please let us know what breed, size, age, and temperament pet you are interested in adopting.
Your First Name (required) *
Your Last Name (required) *
Home Phone *
Cell Phone
Street Address (required) *
City (required) *
State (required) *
Zip Code
E-Mail Address
Please list all members of your household, including yourself, and their ages. *
Employer and Employer Address
Do you own your home? *
If you rent, please provide your landlord's phone number. We will contact your landlord to ensure that the pet you wish to adopt will be permitted on the property.
Please list the other pets that live in your household, including species, breeds, and ages. We love to hear about your animal family members! *
Are these pets spayed/neutered? If any of your current pets are not sterilized, please explain why. *
Do you have a regular veterinarian? *
If you answered "yes" to the above question, please tell us the name and phone number of your regular veterinarian. We will contact your veterinarian to verify that your current pets are spayed/neutered and are up-to-date on their vaccinations. If you do not have a current veterinarian, please describe which veterinarian you plan to use for yearly health checks and if your pet gets sick. *
For whom are you adopting this cat? If for someone else, please explain. Do they know? *
Please describe why you are excited about adopting this cat/kitten. *
If you can no longer care for this pet, we require the pet to be returned to HSAC. Do you agree to this condition? *

Humane Society of Adams County,Inc.