Adoption

What is Your Interest in Adopting?*

Adult
Kitten
Both

Comments

Name (Please Print)*

Street*

City*

State*

Zip*

Age*

Please note that Haven policy is all adopters must be 21 years of age or older.

Email (Please ensure email address is entered correctly)*

Home Phone

We must have at least one phone number for an application to be considered complete.

Cell Phone

We must have at least one phone number for an application to be considered complete.

Work Phone

We must have at least one phone number for an application to be considered complete.

Current Employer*

If you are retired or not currently employed please note that information in this field.

Student?

Yes
No

School

Do you rent or own?

Please be aware that if you rent, most places require a pet fee and will only allow (2) cats

How long have you been at your current residence?

Please select one

House
Condo/Townhome
Apartment
Mobile Home

Do you plan to move within the next two years?

Yes
No

Please list the number of prior address(es) for the past two years

Number of Humans in Residence*

Ages*

Will the Kitty reside with you at your current location?*

Yes
No

If not, where and with whom?

References

Reference Name #1*

Tel:*

Relationship:*

Reference Name #2*

Tel:*

Relationship:*

Veterinarian Information

Name of Vet Clinic

Please indicate the name of your current or previous vet

Vet Clinic Tel:

Current
Previous

Previous vet(s) if current vet relationship is less than two years

I hereby grant permission for any veterinary office(s) I have been involved with currently or in the past to discuss information related to my pet ownership and care with any KKHR representative. Please note - lack of approval to do a vet check may impact our ability to process your application.

Initial here for vet check approval

Financial Responsibility for New Kitty:

Responsibility for Daily Care & Feeding:

Do all household members want a cat?

Yes
No

Is anyone allergic to them?*

Yes
No

Pet Ownership History

Do you currently own a pet?

Yes
No

If Yes, please fill out information below. Additionally, please use this section to list pets that may reside with you even if not owned by you (e.g., a roommate's pet). TO ADD MORE ROWS FOR ADDITIONAL PETS please click the + sign at the end of the row/section.

For species/breed – an example would be Dog/Golden Retriever

Name	Species/Breed	Age	Gender	Spayed/Neutered?	Declawed?	Been around cats?	Owned by you?

How many cats have you had (as an adult)?

Under what circumstances have you lost a prior pet?*

I have not lost a pet
Inside/outside pet - did not return or was found deceased
Inside pet who got outside - did not return or was found deceased
Died due to illness or injury

Under what circumstances have you lost a prior pet?

Have you ever surrendered a pet?*

Yes
No

If yes, where was the pet surrendered to?

Turned into pound/shelter?

Turned over to rescue group?

Rehomed?

Have you ever had a pet with a serious behavioral problem?

Yes
No

If yes, please describe the situation and tell how you handled it?

If you adopt a cat where will the cat be kept (please select one)?*

Inside
Outside
Inside/Outside

If you indicated inside/outside or outside please describe outside living space.*

Where will the cat usually stay during the day?*

Where will the cat stay at night?*

On an average day, how long will the cat be left alone?*

When the cat is left alone, where will it be kept?*

Will the cat have access to a pet door?*

Yes
No

If so where does it lead?*

Do you currently own a declawed cat?*

Yes
No

Have you ever declawed a cat?*

Yes
No

If yes, when/how long ago?*

Do you plan to declaw the cat adopted from KKHR?*

Yes
No

Some cats require several days or even weeks to acclimate to their new environment, family, and other pets. Are you willing to allow for this adjustment period?*

Yes
NO
Unsure

Are you prepared for common behavior problems such as clawing, nibbling, or litter box accidents?*

Yes
No

What methods, if any, will you use to discipline your new pet?

If you are away for any extended period of time, please explain your care plan for Kitty.

Are there any circumstances which would cause you to give up this cat?*

By printing your name and date below, you affirm that the information on this application is true and complete to the best of my knowledge. I am aware that falsification of ANY information on this application is grounds for refusal of adoption. I further understand Kitty Kat Haven & Rescue (KKHR) reserves the right to deny any adoption for any reason.

Signature

Date

THIS SECTION FOR KKHR USE ONLY

ID Check

Reference Checks

Vet Checks

Reviewer Comments

Application Status

Approved
Declined

Reviewed By:

Reviewed Date:

Application for Adoption of a Feline

THIS SECTION FOR KKHR USE ONLY