Request Adoption

Cat name:

Personal Information

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Email

Home Phone

Mobile Phone

Place of Employment

Full-Time or Part-Time?

Please list other pets that live in your home.

How many pets, other than those listed above, have you owned in the past 5 years?

What happened to them?

Living Situation

Will your new cat be kept inside or outside?

Do you plan to declaw your cat?

Where will your cat sleep?

Do you rent or own your home?

Rent

Own

Home is house/apartment/mobile home/other? Please specify:

Are you head of this household?

Yes

No

How long have you and other current occupants lived at this address?

Do you/they anticipate moving within the next 6 months?

Yes

No

If you/they move sometime in the future, what will be done with the pets in this household?

Number of adults living in home:

Number of minors living in cat's new home:

Does anyone in the household have cat allergies?

Yes

No

Who will be mainly responsible for care of the new cat?

How many hours per day will the cat be alone without human companionship/supervision?

Will you allow a HH counselor to visit your cat in its new home in the future?

Yes

No

Home Inspection: Before the adoption will be finalized a home inspection is required. All occupants must be present during the home inspection.

Please initial indicating that you understand:

References

If you have a veterinarian, please provide contact information:

Reference/Name

Phone

Reference/Name

Phone

Reference/Name

Phone

Important Information

What's Included: All adoptable cats are spayed or neutered, microchipped, feline aids/leukemia tested, fully vaccinated, dewormed and treated for fleas.

Health and behavior: At Hilltop Haven we make every effort to offer for adoption only healthy, even-tempered animals but can make no guarantees as to the health or behavior of this or any pet. It is important that you take great care in selecting your new cat so that you are completely satisfied with its temperament and health. Hilltop Haven will NOT reimburse you for any veterinary expenses under any circumstances.

Please initial indicating that you understand:

Your responsibility: We must be sure that you are aware of the financial commitment and responsibilities of owning a companion animal. This could run approximately $500 a year or more for food, vaccinations, licensing, flea control, routine veterinarian checkups, etc. and does not include the possibility of any unforeseen emergency care.

Are you willing and able to spend this much or more on your new cat?

Yes

No

Return policy:

If you are no longer able to provide care and a home for your HH cat, we will accept him or her back at HH, regardless of reason.
Your adoption fee will NOT be refunded.

Please initial indicating that you understand:

Where did you hear about Hilltop Haven?

Agreement

I agree to provide a loving home for the cat(s) named above. I understand and agree to the terms of adoption. I understand that Hilltop Haven has the right to deny any adoption application for any reason. By signing below, I certify that the information I have given is true and that any misrepresentation of facts may result in my losing the privilege of adopting a companion animal from Hilltop Haven.

Adoptee's Name Printed:

Adoptee's signature:

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Current date:

Reba

Request Adoption

Personal Information

Living Situation

References

Important Information

Agreement