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Cat/Kitten Adoption Application

Instructions: Please read this Application and fill in the blanks. It is in your best interests to answer all questions below. The information you provide in this Application and during our interview will help us find a good match for you.

We will not sell or give your personal information to third-party marketers.

Note: If you cannot provide an answer to one of the required questions below, please type "N/A."

Cat(s) of Interest (response required):
Your First and Last Name (response required):
Significant Other's First and Last Name:
Your e-mail address (response required):
Your Home Address (response required):
City (response required):
State (response required):
Zip Code (response required):
Home Phone (response required):
Cell Phone (response required):
Work Phone (response required):
Your Occupation (response required):
Your Employer (response required):
Hours You Work Per Week (response required):
 
Name of Current Veterinarian (response required):
Current Veterinarian's Phone (response required):
 
How long have you lived in Arizona (response required):
How long have you lived at your current residence? (response required):
Do you live in: (required):
A House A Condominium An Apartment A Mobile Home
Do you own or rent your home (required):
Own Rent
Landlord/Apartment Complex Name (required if you rent):
Landlord/Apartment Complex Phone Number (required if you rent):
If you rent, have you paid the pet deposit (required if you rent):
Yes No Not Applicable
If you are a renter, does your rental agency/landlord have restrictions on cats (required if you rent):
Yes No
If yes, what are the restrictions (required if applicable):
 
Are you planning to move soon (response required):
Yes No
 
Where will the cat stay during the day (response required):
Where will the cat stay at night (response required):
Does your home have a pet door to the outside (response required):
Yes No Plan to get one
Is your yard fenced (response required):
Yes No
Where else have you looked for a cat (response required):
 
Do you plan to declaw the cat(s) (response required):
Yes No Maybe
Do you have any comments regarding declawing:
 
How many children live in your home and what are their ages (response required):
How many adults live in your home (response required):
Is anyone in your home allergic to cats and/or dogs (response required):
Yes No
How often do children visit your home (response required):
Daily Weekly Monthly Never
 
Is this animal a gift (response required):
Yes No 
 
Where will the cat be while you are away (response required):
Indoors Outdoors Other 
If other, please explain where:
 
 
List the pets you CURRENTLY have. If there are more than five, that's OK with us, just use the space at the end of this questionnaire to list any additional pets (response required if applicable):
Pet AgePet Name & SpeciesPet Spayed/Neutered?Where was/is this animal kept?
Yes NoIn
Out
Both
Yes NoIn
Out
Both
Yes NoIn
Out
Both
Yes NoIn
Out
Both
Yes NoIn
Out
Both
List the pets you currently DO NOT have, but have had in the last 5 years. If there are more than three, that's OK with us, just use the space at the end of this questionnaire to list any additional pets (response required if applicable):
Pet NamePet SpeciesWhat happened to him/her:

What do you want your cat to be (response required): Indoor Outdoor Both
 
Tell us about the cat you would like to adopt (response required):
Gender (response required): Male Female No preference
Age (response required): Kitten Young Adult No preference
Breed (response required):
Fur Length: Shorthair Medium-hair Long-hair No Preference
Preferences (Check all that apply) (response required):
Cuddly Independent Lap Cat Declawed
 
What would cause you to return this pet (Check all that apply) (response required):
AllergiesMoving
Change in Marital StatusHealth Issues
New BabyDestructive Behavior
AggressivenessNot compatible with other pet
Vet BillsHousetraining
Job ChangeKids not taking care of pet
No reasons
 
Please check the reason(s) why you want to adopt a pet at this point in your life (response required):
Want a CompanionMouser
Show CatPlaymate for Current Pet
Playmate for Child 
 
How did you hear about HALO?
 
Additional Comments:
You agree to allow us to visit your home by appointment as part of our application process (response required).
All of the information I/we provided in this application is true and correct. I understand that submission of an application does not guarantee I will be selected to adopt this animal (response required).


Please click the Submit button only one time! It will take a few seconds for our system to process this form.



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