Cat Application

I am so glad you are interested in adopting from our shelter! Let's get a little information so we can get started!

Initials *
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Cell Phone *
Home Phone
Drivers License or ID number *
Birthdate *
Email Address *
Best way to reach you *
How did you hear about us?
If other, where?
Cat Interested In
Describe your dream cat. Gender? Coat type, color, length? Age? Size? Energy? Etc. *
Who are you adopting this cat for? *
Name of all adults in home *
Ages of children in home *
Any visiting children? *
If yes, what are the age ranges.
Any animal allergies in the family? *
If yes, please explain.
How busy is your family's schedule?
How do you describe yourself (loud, quiet, active, etc)?
Are you planning on the following in the next month? *
Where will your cat stay during vacations/traveling?
Do you *
Do you have your landlord permission to have pets? *
Where will your cat stay during the day? *
Where will your cat stay during the night? *
Who will have the primary responsibility for this cat?
Have you had cats before?
If yes, what happened to them?
Have you surrendered or given away a pet?
If yes, please provide reason:
Please provide the name and phone number of your vet: * Name: Practice: Phone number:
Please list any other cats in home. Name, Age, Sex, Altered? If none, please type none. *
Do you have other pets in the household? Please list Name, Type, Age, Sex, Altered? If none, please type none. *
Under what circumstances would you return your cat? *	moving too costly new baby aggression medical reasons not enough time behavior problems other
Other:
Have all the member of your household met the cat? *
Have you, or anyone in your household, ever been convicted of neglect or cruelty to animals, or violent crime? *
If yes, when and explain:
Are you willing to have a HCAS representative do a home visit by appointment? *
If not, why?
Falsified information will lead to automatic rejection of the application. HCAS reserves the right to refuse any applicant.
Anything else you would like us to know?
I understand it is my responsibility to see and evaluate the cat for myself before agreeing to adoption. Adoption of a lifelong animal friend should not be impulsive, but rather a carefully thought out decision, which will ensure a loving, lasting friendship. *
Date

Thank you for completing this questionnaire! This information will help us match you with the right cat for your family.

Expect a call with-in 7 to 10 days to schedule a time for you to come in to meet our cats.