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Home
Bark Parks
About
Adoptable Animals
Donate-Membership
Donations
In Honor Of
In Memorial Of
Membership
Other Ways To Give
Volunteer
Thrift Shop
Events & Fundraisers
Community Outreach
Articles & Newsletters
Behavior Issues
Lost & Found
Pet Medical Help
Spay/Neuter
Surrender
Cat Adoption Form
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Indicates required field
Cat Adoption: Name
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First
Last
Phone No.
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Email
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Mailing Address
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Line 1
Line 2
City
State
Zip Code
Country
Mailing address
Street/Physical Address
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Line 1
Line 2
City
State
Zip Code
Country
Do you own or rent?
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Own
Rent
If you rent, provide landlord's contact info, including phone number and/or Email address.
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Why do you want to adopt a cat from us:
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Have you ever adopted from a humane society before, and if so, please explain.
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How many pets have you owned as an adult?
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Have you ever had to give up a pet? If so, why and what happened to it?
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If you must move in the future, what will you do with your pets?
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Do you agree to contact NHS if you are no longer able to keep your adopted cat?
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Yes
No
How long at this address?
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Adopter Occupation
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Work Phone #
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Please list the names of all adults living in the household.
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Please list number of children living in the home and their ages.
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Do any of the above people have allergies?
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Yes
No
If yes, allergies to what?
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Pets you have owned in the last 5 years.
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Include name, species, sex, spay/neuter, breed, where kept, how long owned, and if you still own the pet(s).
Are you wiling to allow a NHS representative to visit your home by appointment to approve your application prior to adoption? If no, please explain why.
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If you don't have the above listed pets anymore, please explain what happened to them.
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If you currently own animals, please list your veterinary reference where vaccination records can be found, veterinarian phone number, and the name they are under. Please contact your veterinarian and give them permission to release your records so that we may finish your pre-adoption form. Then let us know when we can call them.
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Do you agree to take your pet to the veterinarian annually for full vaccinations and exam? If no, please explain why.
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Rescued cats need time to adjust to a new home. Are you willing to give your new pet time to ensure proper adjustment (at least three weeks or more in many cases)?
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Yes
No
If no, how much time will you give your cat to adjust?
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What would be unacceptable behavior in your home for you to want to give up the cat?
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Cats can live 18 years or more. Are you prepared to take responsibility for your new cats entire life?
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Yes
NO
Who will have primary responsibility for your cats care?
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How experienced do you feel you are as a cat owner?
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Where will your cat be kept in the daytime?
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In home
Basement
Outside
Out building
Other
Where will your cat be kept at night?
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In home
Baement
Outside
Out building
Other
If cat will be an outside cat, what type of shelter will it have?
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Do you plan to let your cat exercise outdoors? Please explain.
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How will you transport your cat?
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How much do you estimate it will cost to care for your cat for one year (food, vet bills, etc.)
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What do you plan to feed your cat (brand, dry/moist)?
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If you have no veterinary references, please list 3 personal references.
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Include name and phone #s
Anything else you would like us to know?
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The undersigned applicant hereby grants the Northwoods Humane Society to confirm any information provided in this application with any appropriate third party source, including landlord, veterinarian, etc. The information obtained will be held in confidence and used only by the NHS for purposes of this adoption.
I certify that all of the information is true ad complete, and I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected. I also understand that this adoption application is the sole property of the Northwoods Humane Society. It is specifically understood that NHS reserve the right to deny any application at its own discretion.
Signature
*
type name in box below
Submit
