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 veterinarian now?*YesNoPlease list veterinarian'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 veterinarian now?*YesNoPlease list veterinarian'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
