Cat Adoption Application

Please complete the below form and we will contact you regarding your Cat Adoption Application. Thank you!

THS - Cat Adoption Application

Name of cat you are interested in:*
Date:*
Date Format: MM slash DD slash YYYY
Time:*

: HH

MM
Name:*
First Last
Primary Phone:*
Other Phone:*
Address:*
Street Address Address Line 2 City State ZIP Code
Email:*
Dwelling Type:*
- House
- Apartment
- Condo
- Mobile Home
Do you rent or own?*
- Rent
- Own
Does your residence have a cat or dog door?*
- No
- Yes
Landlord's Name:
First Last
Landlord's Phone:
How long have you resided at your dwelling?*
How many children are living at your home?*
What are their ages?
How many people other than children are living at your home?*
What are their feelings on adopting a cat?
If children are in the home, will they be left alone with the cat at times?
How will you teach children in the home to appropriately handle the cat?
Are you currently employed?*
- Yes
- No
- Student
Name of Employer:
How many hours a day will your pet typically be home alone?*
Are you at least 21 years of age or older?*
- Yes
- No
Who will the pet be for?*
- You
- Someone else
Personal Reference Name:*
First Last
Personal Reference Phone:*
Who will be responsible for the daily care of the cat?*
Does any member of your household have allergies to cats?*
- Yes
- No
Why are you interested in adopting a cat? Please check all that apply.
House pet
Mouser
Companion
Gift
Companion for another pet
What are your views on declawing? Do you plan to declaw this cat?*
Will the cat be allowed outdoors? If so, will he/she be able to roam freely?*
What would cause you to return or give up a pet? Please select all that apply
Housebreaking issues
New relationship
Aggression issues
Serious illness
Too much work
Life changes (e.g. move, new job)
Not enough time for a pet
Scratching, destructive behavior
Too much energy
Birth of a new baby
Divorce or death in the family
Added another pet to the home
What do you consider to be routine vet care?*
Are you aware that annual routine vet care can cost anywhere from $90 to $400 and that emergency care can cost anywhere from $200 to $2,000+?*
- Yes
- No
Are you willing/able to take care of such needs if the case may arise? Routine care/emergencies? Please explain:*
Have you ever had to rehome a pet? If so, please explain:*

Please tell us about your current pets:

Species	Spayed/Neutered	Age	Current vaccinations?	Where the pet came from

Please tell us about your previous pets and why they are no longer with you:
Please tell us any additional information you think would be helpful:
In the event that something may happen to you, do you have arrangements made for your pets?*
By submitting this application for review, you are certifying that you understand and agree to the following: 1. Telluride Humane Society reserves the right to refuse an adoption for any reason. 2. The information contained within this application, to the best of the applicant's knowledge, is true, accurate, and not misleading in any way. 3. Telluride Humane Society reserves the right to contact any individuals listed on this form.
Signature*
Date*
Date Format: MM slash DD slash YYYY
Time*

: HH

MM