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) :
Do you own or rent your home (required) :
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) :
If you are a renter, does your rental agency/landlord have restrictions on cats (required if you rent) :
If yes, what are the restrictions (required if applicable) :
Are you planning to move soon (response required) :
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) :
Is your yard fenced (response required) :
Where else have you looked for a cat (response required) :
Do you plan to declaw the cat(s) (response required) : 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) :
How often do children visit your home (response required) :
Is this animal a gift (response required) : Where will the cat be while you are away (response required) :
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) :
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) :
What do you want your cat to be (response required) : Tell us about the cat you would like to adopt (response required) :
Gender (response required) :
Age (response required) : Breed (response required) :
Fur Length:
Preferences (Check all that apply ) (response required) :
How did you hear about HALO? Additional Comments:
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Please click the Submit button only one time! It will take a few seconds for our system to process this form.
