hsbh.orghsbh.org/wordpress/wp-content/uploads/.../01/cat-ado…  · web view1. i would consider my...

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Cat Adoption Application First Name: Last Name: Date: Address: Apt #: City: State: Zip: Do you rent or own your home? Landlord Phone: Home Phone: Work Phone: Email: Are you over 18 years of age? Please complete the form below. 1 I would consider my household to be like… A library Middle of the Road A carnival 2 I want my cat to interact with guests that come to my house Little of the time Some of the time All of the time 3 My cat needs to be able to adjust to new situations quickly Not Importan t Somewhat Yes 4 I have small children in the home. Yes No If yes, please list age(s): 5 My cat needs to be able to be alone… More than 9 hours per day 4 to 8 hours per day Less than 4 hours per day 6 When I am at home, I want my cat to be by my side or in my lap Little of the time Some of the time All of the time 7 I want my cat to enjoy being held Little of the time Some of the time Most of the time 8 I want my dog to be laid back. Not at all Somewhat Very 9 My cat will be… Inside Inside Outside 1

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Page 1: hsbh.orghsbh.org/wordpress/wp-content/uploads/.../01/Cat-Ado…  · Web view1. I would consider my household to be like… A library. Middle of the Road. A carnival. 2. I want my

Cat Adoption Application

Please complete the form below.

1 I would consider my household to be like…

A library Middle of the Road

A carnival

2 I want my cat to interact with guests

that come to my house

Little of the time

Some of the time

All of the time

3 My cat needs to be able to adjust to new

situations quickly

Not Important

Somewhat Yes

4 I have small children in the home.

Yes No If yes, please list age(s):

5 My cat needs to be able to be alone…

More than 9 hours per

day

4 to 8 hours per day

Less than 4 hours per

day6 When I am at home, I

want my cat to be by my side or in my lap

Little of the time

Some of the time

All of the time

7 I want my cat to enjoy being held

Little of the time

Some of the time

Most of the time

8 I want my dog to be laid back.

Not at all Somewhat Very

9 My cat will be… Inside Inside and Outside

Outside

10 I need my cat to get along with (circle all

that apply)

Dogs Cats Birds Other:

11 I have lived with cats before

No Yes Currently

12 I prefer my cat to be talkative

Yes No It’s not important

13 I want my cat to play with toys

Little of the time

Sometimes Often

14 It’s most important to me that my cat…(fill in the blank)

15 Have you ever had to re-home an animal?

No Yes If Yes, why?

Please bring to the front desk when finished

1

First Name: Last Name: Date:Address: Apt #:City: State: Zip:Do you rent or own your home? Landlord Phone:Home Phone: Work Phone: Email:Are you over 18 years of age?