Faith - Female Tortishell
 

cat Adoption Application

Please enter your name:

Address:

City:

State:

Home Phone:

Work Phone:

Cell Phone:

Please enter your email address:

What cat are you applying for?:

Do you have time for a pet?

 Yes No

Are you prepared for the cost of pet ownership?

 Yes No

Is this pet right for you and your family's lifestyle?

 Yes No

Can you make a long-term commitment to the pet?

 Yes No

How did you hear about MEHS?:

Your Pet History

Have you surrendered a pet to us before?

 Yes No

If yes,what kind of pet and why was it surrendered?:

Have you adopted a pet from MEHS before?

 Yes No

If yes, what type:

Do you still have the pet?

 Yes No

If no, explain why?:

Is the cat you are applying for today for your household?

 Yes No

If no, for whom are you adopting?:

Do you have pets now?

 Yes No

If so, how many?:

First Pet Species/Name:

Spayed/Neutered?

 Yes No

Second Pet Species/Name:

Spayed/Neutered?

 Yes No

Third Pet Species/Name:

Spayed/Neutered?

 Yes No

What is the name of your current veterinarian or clinic?:

If you don't have pets now,have you had any in the last 5 years?

 Yes No

Most recent pet species?:

What happened to this pet(if she/he died, briefly explain the circumstances)?:

I live in a:

 House Apartment Mobile Home Townhome
Other

Do you rent?

 Yes No

If yes,Landlord's name:


Landlord's Phone Number:

This residence is:

 Permanent Temporary

Number of children living in house?:

Age of children?:

Number of adults living in house?:

Are all adults aware that you are adopting a cat?

 Yes No

How long will the cat be left home alone throughout the day?

Will this cat be kept inside,outside, or both?

 inside outside both

Most shelter animals have uncertain health and vaccination histories. MEHS offers a "Healthy Pet Warranty" which includes a free physical exam, and should your pet become ill* within 14 days of adoption, your pet can be treated at no charge to you at Horseshow Lake Animal Hospital. This warranty is only valid if you schedule your initial exam at Horseshoe Lake Animal Hospital within 72 hours or 3 business days of adoption.Are you prepared todo so?

 Yes No

If no, why?

If you relinquish custody of the cat, do you agree to bring him/her back to MEHS?

 Yes No

By typing your name, you certify that all information given is true to the best of your knowledge.

Date