Adoption Application

Date(required)

Cat/Kitten Applying For(required)

Applicant's Full Name(required)

Applicant's Date of Birth(required)

Co-Applicant's Full Name(s) (Please provide the names of all adults (over 18) in the home)

Co-Applicant's Date(s) of Birth

Street Address(required)

City(required)

State(required)

Zip Code(required)

County(required)

E-mail Address(required)

Driver's License #(required)

State Issued(required)

Cell Phone #(required)

Home Phone #

Property Status(required)

Own Rent

Landlord Name and Phone # (if applicable) **We will contact your landlord to verify that you are permitted to keep this cat**

Have you adopted from Heavenly Paws Animal Shelter in the past?(required)

Yes No

If yes, when?

Have you adopted from another shelter or rescue in the past?(required)

Yes No

If yes, which shelter and when?

What will you do with your cat when you are not at home?(required)

Will your cat be strictly indoors?(required)

Yes No

If no, please explain:

Do you have other pets?(required)

Yes No

If yes, please list name, age, type (cat, dog, etc...), breed:

Will your current pet(s) accept a new cat?(required)

Yes No Not Applicable

If no, please explain:

Are your pets seen yearly by a licensed veterinarian and up to date on their vaccines?(required)

Yes No Not Applicable

If no, please explain:

Are all of your pets spayed/neutered?(required)

Yes No Not Applicable

If no, please explain:

Name and Phone # of your Veterinarian (if applicable) **We will contact your veterinarian to verify this information and that your pet(s) are properly cared for**

Are there children in the home?(required)

Yes No

If yes, please list their age(s):

Do you feel your child(ren) will get along with a new cat?(required)

Yes No Not Applicable

Do you understand that adopting a cat is a lifetime commitment?(required)

Yes No

Are financially and emotionally prepared to care for this cat for it's entire remaining life? (Providing proper shelter, food/water, care, and necessary medical treatment)(required)

Yes No

In the event that you are no longer able to care for this cat, please designate a family or friend to take over it's care and provide their full name and phone number:(required)

Is there anyone in the home that suffers from pet related allergies?(required)

Yes No

In the past, did you ever have a pet that you could not keep for some reason?(required)

Yes No

If yes, please explain:

Is there any additional information that you feel may be helpful to us regarding your adoption of this cat?

Please list the name and phone # of TWO personal references (not living in the same household):(required)

By signing this form (electronically or in person), you testify that the above information is correct and true. Providing false information on this form may result in Heavenly Paws Animal Shelter, Inc. denying adoption of any animal. Providing false information will also allow Heavenly Paws Animal Shelter, Inc. to seize the animal after adoption if necessary. By signing this form (electronically or in person) you are giving permission to any entity listed (Landlord, Shelter, Rescue, Veterinarian, and personal references) to provide any information Heavenly Paws Animal Shelter, Inc. deems necessary to make a determination regarding your adoption of this animal. Heavenly Paws Animal Shelter, Inc. reserves the right to deny any application or applicant if we feel an adoption is inappropriate for any reason. Adoption fees must be paid by cash, PayPal, certified check, money order, or credit card ONLY. Personal check will not be accepted. Credit card payments will result in an additional $5 transaction fee. Signature provided below.(required)