SAVING ANIMALS LIVES...THE HEART OF WHAT WE DO.

Help HEART place unadoptable rescue cats in safe, warm barn environments or warehouses.


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Adoption Application (Cat)

Thank you for your interest in adopting a pet from HEART. Prior to any adoption we require an adoption application. The information you provide will help us help find the best match for you and your family.

Submission of this application is not a comittment to adopt a pet from us.

We will arrange a "Meet and Greet Session" before a final adoption decision is made.

Our Adoption Application had a few bugs to work out but is now working!!
We apologize for any inconvenience.


  First NameLast Name
  Address
  CityState   Zip
  PhoneEmail
  Age   (Must be 21 years of age or older)
Have you already seen a HEART cat that you're
interested in adopting?
Yes   No
If Yes, who?Where did you see this cat?
Is the above address where the adopted cat would be living? Yes   No
Will this be your first cat? Yes   No
If Yes, do you currently have other pets in your household? Yes   No
Type
Breed
(Dogs Only)
Kept Where
Age
Spayed /
Neutered
Current on Vaccinations
Declawed
(Cats Only)
Cat
Dog
In
Out
Yes
No
Yes   NoYes
No
Cat
Dog
In
Out
Yes
No
Yes   NoYes
No
Please list any other pets here:
If you have pets, will they adjust to a new cat in the house?     Yes No Don't Know
Does anyone in your household have an allergy to cats?         Yes No
Why do you want this cat?
Companion Companion for Other Pet
House Pet Barn Cat
Mouser Other:
How many adults are in the home?
How many children?       Children's Ages?
How would you describe your household? Active   Noisy   Quiet   Average  
Where do you live? House   Apartment   Mobile Home 
Condo   Other:
Do you own or rent your home? Own   Rent
If you rent, have you thought about the possibility that if you move, another landlord may Not allow pets? Yes     No
Where will you keep the cat? In the house             Outdoors
Free access both indoors/outdoors
In the barn (please expalin):
Will you have the cat declawed? Yes   No   Maybe
Who is your veterinarian?
Are you willing to have a representative of HEART come see where the cat will be living?
Yes   No   If No, explain:
Are you willing to take responsibility for this cat for the next 10 to 20 years?
Yes   No   If No, explain:
What provisions will you make for the cat should you become unable to care for him/her?
I certify that I have read this questionnaie and that the information I have given is true and accurate, and I understand that any falsification may result in the nullification of this adoption.

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