I understand that all of my answers in this adoption application will be verified, and if found to be not truthful, my application will automatically be denied. *
Personal Questions
Name of Applicant (The person who will be adopting the cat) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Address (where the cat will live) *
Your answer
City *
Your answer
Province *
Your answer
Postal Code *
Your answer
Telephone Number *
Your answer
What type of telephone number is this? *
What is the best time of day to contact you? *
Required
What is your preferred way to be contacted? *
Required
My chosen cat
Name or description of the cat I have chosen *
Your answer
Why have you chosen this cat? *
Your answer
The Questions
I understand that I must be at least 21 years old in order to adopt a cat from Heidi's Kitty Haven. *
I understand that adopters are NOT chosen in the order the applications are received; homes are chosen based on the best match and suitability for the individual cat. *
If you do NOT agree with the above statements, please explain.
Your answer
I understand that kittens under 6 months of age require a playmate. If I do not have a suitable cat (similar in age or personality) in the home, the kittens must be adopted in pairs. *
If you do NOT agree with the above statement, please explain.
Your answer
Do you agree to present a piece of photo ID to the representative of Heidi's Kitty Haven for address and age verification purposes? *
If you do NOT agree, please explain.
Your answer
Do you agree with the following statements?
A cat is a member of your family, and must be treated with dignity and respect. *
A cat needs love and attention just as much as food, water and warmth *
If my cat becomes ill, I must take it to see a veterinarian, just as a human family member sees a doctor. *
Do you intend on letting your cat outdoors? *
Do you intend on declawing your new cat? *
Please add any comments pertaining to the above questions
Your answer
Do you agree to an in home visitation? *
If you did NOT answer yes to an in home visitation, please indicate why not?
Your answer
Do you rent your home? *
If you rent your home, are pets allowed? *
Does your home have any openings that a cat may have access to, such as open floors, walls or ceilings? *
In your municipality, what is the limits on cats owned? *
References
Name, address and telephone number of your most current Veterinarian (if you do not have one, please indicate n/a) *
Your answer
May we contact your veterinarian? *
If you if will NOT allow us to contact your veterinarian, please indicate why not?
Your answer
Personal References. Please include 2 references. Please include email address AND/OR telephone number *
Your answer
May we contact your personal references? *
If you do NOT want us to contact your personal references, please indicate why not?
Your answer
Name and telephone number of owner or landlord (if you own you own home, please indicate N/A) *
Your answer
May we contact your landlord? *
If you do NOT want us to contact your lant your landlord, please indicate why not?
Your answer
Residents in your home
Do all members of your home agree to adopting a new cat? *
How many adults live in your home? *
How many children aged 12-17 live in your home? *
How many children aged 6-11 live in your home? *
How many children under 5 live in your home? *
Has your child (children) ever lived with cats? *
Do you have anybody renting a room or space in your home? *
Are there any residents of your home (including tenants) who are allergic to cats? *
If somebody living in your home develops an allergy to cats, how are you prepared to deal with the situation? *
Your answer
Personal Opinions
How much do you believe it costs to have the following services done by your personal veterinarian? Base vaccine, booster vaccine, rabies vaccine, spay/neuter, Revolution treatment (ear mites and fleas), deworming and microchipping *
Your answer
How does this cost compare to paying an adoption fee which includes the same services? *
Your answer
Where does an animal rescue get its funding? *
Your answer
What is your opinion on declawing procedures? *
Your answer
Should cats be allowed to roam outdoors freely? *
Your answer
Where do cats originate? *
Your answer
How do you believe a stray cat survives outdoors in our temperate climate? *
Your answer
How do you plan to introduce your potential new cat to other animals living in your home? *
Your answer
Have any of your pets (past or present) had babies? *
If you've had a pet that has had babies, what were the circumstances surrounding the pregnancy?
Your answer
Have you ever surrendered a family pet to a shelter, rescue or humane society? *
Have you ever given away a family pet? *
If you have surrendered or given away a family pet, what were the circumstances surrounding this decision?
Your answer
Do you currently own any cats? *
Have you ever subjected any of your cats past or present, to declawing procedures? *
If you HAVE subjected any of your cats to declawing procedures, please indicate the reason(s) why this decision was made.
Your answer
Do you currently own any other pets? *
If you own pets, how old are they?
Your answer
How long have you had your current pets and/or how long did you have past pets?
Your answer
Where did you get your current pets
Your answer
Have you ever lost any cat past or present, due to any of the following reasons? *
Required
Please add additional information pertaining to losing a cat.
Your answer
Are all your pets spayed or neutered? *
If your pets are not spayed or neutered, please indicate why not?
Your answer
Are all of your pets up to date with vaccinations? *
If your current pets vaccinations are not up to date, please indicate why not.
Your answer
Signature
Typing your name here indicates that you have fully and truthfully completed the adoption application.
Please type your name *
Your answer
Submit
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