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 AM PM Name:* First Last Primary Phone:*Other Phone:*Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email:* Dwelling Type:*HouseApartmentCondoMobile HomeDo 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?*YesNoStudentName of Employer:How many hours a day will your pet typically be home alone?*Are you at least 21 years of age or older?*YesNoWho will the pet be for?*YouSomeone elsePersonal 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?*YesNoWhy are you interested in adopting a cat? Please check all that apply. House pet Mouser Companion Gift Companion for another petWhat 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 homeWhat 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+?*YesNoAre 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:SpeciesSpayed/NeuteredAgeCurrent 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 AM PM