Cat Application

Cat Adoption Application

Requirements

Must be 21 years or older
Must have the consent of all adults in the home
If renting have written consent from landlord to have a dog at the address listed
Consent to a home visit

* Indicates required field

Cat Name *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Are you *

Employer's Name *

Employer's Number *

Type of home *

Do you? *

Landlord Name *

Landlord Number *

How long at address? *

Previous address if less then 2 yrs *

Are you familiar with Pet Laws in your area? *

Are you willing to let an MHR rep visit your home? *

Please list all members of your home

Name *

Relationship *

Age *

Role in care *

Name *

Relationship *

Age *

Role in Care *

Name *

Relationship *

Age *

Role in Care *

Allergies to pets? *

Is this your 1st cat *

Are you familiar with a cat's needs? *

Why are you interested in adopting? *

Do you plan on declawing? *

Ever taken a pet to a shelter? *

If yes, why? *

Cats can be costly over the years, vaccines, license, food. Are you prepared to care for this cat for it's entire life> *

How often do you scoop the litter box? *

Past pets

Name *

Type *

Age *

Male/Female *

Fixed & Up to date on shots? *

Still Own? *

Indoor or Outdoor *

If no, why? *

Name *

Type *

Age *

Male/Female *

Fixed & Up to date on shots *

Still Own? *

Indoor or Outdoor *

If no, why? *

Name *

Age *

Type *

Male or Female *

Fixed & Up to date on shots *

Indoor or Outdoor *

Still Own? *

If no why? *

Who cares for your pets when you travel? *

Where will the cat be kept during the day? *

Where will the cat be kept at night? *

How long will the cat be alone each day? *

Important Personality traits? *

New cat's sometimes take months to adjust to a new home. Are you willing to allow time for adjustment? *

Do you understand if you can no longer keep this cat you must return them to MHR? *

If no why? *

How did you hear about us? *

References

Veterinarian Name *

Veterinarian Phone Number *

Do we have your permission to contact? *

Personal Referances

Name *

Phone Number *

Years Known *

Name *

Number *

Years Known *

By submitting this application, I certify the above information is true and correct. I understand any misrepresentation of the above may result in refusal of application. I understand that adoptions are at the discretion of the MHR representative and completion of this form does not guarantee adoption.

Electronic Signature *

Date *

Submit