Adoption-Form Adoption FormApplicant Name* Applicant's Date of Birth* Co-Applicant's Date of Birth Co-Applicant Name Date of Application*Applicant's Driver's License Number Address*City* State* Zip Code* Home Phone Mobile Phone* Email I opt in to receive email communications from Hill's Pet Nutrition?*Yes, opt inNo, opt outAre you interested in a particular cat? If so, who? Personal InformationDo you rent or own?RentOwnHow long have you lived at this address? If renting, please list Landlord's name Landlord's Phone Employer How long have you been employed at your current job? Please describe what you do at your job?How many people are living in your household? How many children are in your household? Does anyone in your household have allergies to cats? If so, how will you handle this? Are you a member of the Active Military or Reserves?YesNoIf so, what will you do with your cat upon deployment?Are you a student?YesNoIf so, where is your hometown? What will you do with your cat during school breaks and upon graduation? Please complete if you have not already fallen in love with a particular cat so that we can help!Age of cat desired: Sex of cat desired: Cat hair preference: Cat hair color preference: Why do you want this cat? Is this cat a gift? If yes, does this person reside in your house?YesNoPlease list all pets you currently have along with names, breed and age If you have a dog, do you have a doggie door? What other pets have you had in the past and what happened to them? Have you ever had a kitten before? If yes, where are they now? Have you ever had to turn a pet into a shelter or re-home it before? If yes, please explain If you currently have cats, have they been tested for FeLV and FIV before?YesNoUnsureAre they declawed?YesNoUnsureWhy were they declawed? Where will your cat live?Indoors onlyOutdoors onlyIndoor & OutdoorDo you have a fenced in yard?YesNoDo you have a Vet now?YesNoPlease list Vet name: Please list Vet Doctor's name: Do you intend to have your new cat declawed?YesNoUnsureAre you aware of the alternatives to declawing?YesNoIf you cat becomes seriously ill or injure and requires expensive veterinary care, how will you handle this? If you have a contingency plan, please explain: How will you discipline your cat? Are you prepared to make a lifetime commitment to your new cat?YesNoIf your cat doesn't use the litter box appropriately are you willing to take them to the vet to determine if it is a medical or behavioral problem and are you willing to try to solve the problem?YesNoIf you travel, how will you care for your cat? How did you hear about us? Please list any information you would like us to know about you:Please provide 2 personal references of people who know how you care for animals and will be willing to talk to us about that:Reference One Name: Reference One Relationship: Reference One Phone # Reference One E-mail Address: Reference Two Name: Reference Two Relationship: Reference Two Phone # Reference Two E-mail Address: Do you want to Opt-In to receive email communications from Hill’s Pet Nutrition?*YES NO By submitting this application I attest that the information I have provided is true and I understand that giving false information will result in my application being denied. The Hermitage No Kill Cat Shelter reserves the right to deny the adoption of a cat to anyone that the Hermitage feels will not provide a loving and responsible home for that animal. I understand that this application is property of The Hermitage and I authorize investigation of all statements in this application, references, landlord approval and background. Check if you understand.I understand Submit
Adoption-Form Adoption FormApplicant Name* Applicant's Date of Birth* Co-Applicant's Date of Birth Co-Applicant Name Date of Application*Applicant's Driver's License Number Address*City* State* Zip Code* Home Phone Mobile Phone* Email I opt in to receive email communications from Hill's Pet Nutrition?*Yes, opt inNo, opt outAre you interested in a particular cat? If so, who? Personal InformationDo you rent or own?RentOwnHow long have you lived at this address? If renting, please list Landlord's name Landlord's Phone Employer How long have you been employed at your current job? Please describe what you do at your job?How many people are living in your household? How many children are in your household? Does anyone in your household have allergies to cats? If so, how will you handle this? Are you a member of the Active Military or Reserves?YesNoIf so, what will you do with your cat upon deployment?Are you a student?YesNoIf so, where is your hometown? What will you do with your cat during school breaks and upon graduation? Please complete if you have not already fallen in love with a particular cat so that we can help!Age of cat desired: Sex of cat desired: Cat hair preference: Cat hair color preference: Why do you want this cat? Is this cat a gift? If yes, does this person reside in your house?YesNoPlease list all pets you currently have along with names, breed and age If you have a dog, do you have a doggie door? What other pets have you had in the past and what happened to them? Have you ever had a kitten before? If yes, where are they now? Have you ever had to turn a pet into a shelter or re-home it before? If yes, please explain If you currently have cats, have they been tested for FeLV and FIV before?YesNoUnsureAre they declawed?YesNoUnsureWhy were they declawed? Where will your cat live?Indoors onlyOutdoors onlyIndoor & OutdoorDo you have a fenced in yard?YesNoDo you have a Vet now?YesNoPlease list Vet name: Please list Vet Doctor's name: Do you intend to have your new cat declawed?YesNoUnsureAre you aware of the alternatives to declawing?YesNoIf you cat becomes seriously ill or injure and requires expensive veterinary care, how will you handle this? If you have a contingency plan, please explain: How will you discipline your cat? Are you prepared to make a lifetime commitment to your new cat?YesNoIf your cat doesn't use the litter box appropriately are you willing to take them to the vet to determine if it is a medical or behavioral problem and are you willing to try to solve the problem?YesNoIf you travel, how will you care for your cat? How did you hear about us? Please list any information you would like us to know about you:Please provide 2 personal references of people who know how you care for animals and will be willing to talk to us about that:Reference One Name: Reference One Relationship: Reference One Phone # Reference One E-mail Address: Reference Two Name: Reference Two Relationship: Reference Two Phone # Reference Two E-mail Address: Do you want to Opt-In to receive email communications from Hill’s Pet Nutrition?*YES NO By submitting this application I attest that the information I have provided is true and I understand that giving false information will result in my application being denied. The Hermitage No Kill Cat Shelter reserves the right to deny the adoption of a cat to anyone that the Hermitage feels will not provide a loving and responsible home for that animal. I understand that this application is property of The Hermitage and I authorize investigation of all statements in this application, references, landlord approval and background. Check if you understand.I understand Submit
