Cat & Kitten Adoption Application

Thank you for considering the addition of a loving, 4-legged friend to your home! The following profile is designed to help you make the best possible choice in a companion animal and to ensure that your new pet will be well-suited to you, your home, and your lifestyle.

Step 1. Complete application below as completely as possible. Please provide email and/or phone number on the application where you can be reached if necessary.

Step 2. *You Must Click the Submit Button at the bottom of the page to send us your application* Allow 24 hours for processing of your adoption application. You will NOT be contacted to verify receipt of your completed profile.

Step 3. Visit our shelter for a meeting with an adoption counselor to continue the adoption process.

Contact our shelter at 327.6088
if you have any questions.
If you are having difficulties filling out this electronic form, the adoption application may be downloaded in .pdf format here.

Siamese cat adoption jpg

Adopter Information:

Name(s):

Email:

Drivers License/Photo ID #:

Street Address:

City: State:

Zip:

Home Phone #:

Work Phone #:

Mobile Phone #:

Household Information:

Rent	Own Home	Live With: Parent(s) Roommate(s)
Military Housing	House
Condo	Apartment
Mobile Home	Other:

Landlord's Name:

Contact Phone #:

Spouse / Roommate / Others living in your household (please include ages of children
who live with or visit you frequently):

Who will be this pet's primary caretaker?:

Please rate your household activity level:

Grand Central Station

Couch Potatoes

Somewhere In Between

Pet History & Experience:

What is your experience with cats?:

First-Time Owner	Have Had One or Two
Had Cat(s) As A Child	Knowledgeable & Experienced

What, and how many, animals do you currently own?:

# Cat(s)

# Dog(s)

# Other(s) | Type:

Please List Your Current Pet(s):
Name:	Age:	Sex:	Spayed / Neutered
Breed/Species:
Is This Pet Kept: Inside Outside Both

Name:	Age:	Sex:	Spayed / Neutered
Breed/Species:
Is This Pet Kept: Inside Outside Both

Name:	Age:	Sex:	Spayed / Neutered
Breed/Species:
Is This Pet Kept: Inside Outside Both

Name:	Age:	Sex:	Spayed / Neutered
Breed/Species:
Is This Pet Kept: Inside Outside Both

Who is your pet(s) veterinarian?:
What inoculations have your current pet(s) had in past year?:
What animals have you owned over the past five years?:

Hopes & Expectations:

Why are you interested in adopting a cat?:

Companion	Barn Cat / Mouser
Child's Pet	Office Cat
Gift (for whom?)
Other

Did you have a specific breed or type of cat in mind?:

What personality traits are you looking for in your new cat?:

Where will you keep your new cat during the day? (i.e., in the house, yard, work, etc.):

Where will this cat sleep at night?:

Will this cat be kept: Inside Outside Both

Is your yard:
Unfenced Fenced - Partial Fenced - Completely
Type & Height of Fence:

How would you resolve behavior problems such as scratching, biting, clawing/jumping on furniture, jumping on counters, failure to use litterbox, chasing/catching birds or other small animals?:

Is there any behavior problem you feel you would be unable to live with?:

What will you do with this cat if you should have to move unexpectedly?:

Where will this cat stay if you travel or go on vacation?:

How much time do you have to interact with your new cat?:

Minimal Interaction During The Week / Lots Of Playtime On The Weekend

The Cat Will Be My Constant Companion At Home

The Cat Will Be With Me At Home & Work

I'm Rarely Home; Cat Is On Its Own Most Of The Time

Other:

As part of our commitment to having each adoption be a success, we'll be keeping in touch with you. Do you object to a representative of the Humane Society making a visit to your home?:

Yes No

If Yes, Why?:

Additional Notes:

Please Read Carefully:

I certify that all the information in this application is true, and I understand that false information may void the application. I also understand that failure to comply with the completed Adoption Contract could result in my inability to adopt other animals from the Humane Society of Southern Arizona.

I Agree Date

**You Must Click The "Submit" Button Below To Send Us Your Application**