CAT ADOPTION APPLICATION

 

***THE HUMANE LEAGUE RESERVES THE RIGHT TO DENY ANY ADOPTION***

 

Welcome to the Humane League of Lancaster of Lancaster County.  We are glad that you have come to adopt a pet from our shelter.

 

The following information is requested so that your adoption counselor can assist you in the selection of a lifetime companion.  The animal’s welfare is our foremost consideration.

 

The cats available for adoption came here from a variety of sources.   We cannot guarantee a cat’s temperament.  All animals are examined by a kennel technician upon entry.  Their health is routinely monitored while at the shelter, but there is always a chance that an animal is incubating a disease without showing any clinical signs. (Please initial) _________

 

Be prepared that a yearly vet exam can cost up to $60 a year for cats. Kittens need vaccines and worming that can cost up to $50 a month for the first four months in your care!  Additionally, declawing your cat can cost between $75 and $100.
(Please initial) ________

 

 

We consider the adoption of any pet to be a life-long commitment of time, affection, money, patience, and responsibility. 

 

1.        Have you given enough thought to this adoption? 

 

2.        Have you adopted from us before?  When?

 

3.        Why do you want a pet?

 

4.        Is this your first pet?

 

5.        Who will care for this pet? _____________________________

 

 

IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY, YOU MUST:

·         Be at least 18 years of age

·         Have a picture ID showing your present address

·         Have the knowledge and consent of your landlord

·         Understand that we have the right to verify any information on this application, including a property check

·         Have the knowledge and consent of all adults living in your household

 

 

Name_____________________________________________  County in which you live ______________________

 

Street address_________________________________________________________________________________

 

City/Town __________________________________________ State ___________  Zip code __________________

 

Telephone_________________________________________  Township or Boro_____________________________

 

Driver’s license_____________________________________  Are you 55 or older?_________

 

Employer____________                                 _   Telephone_____________________________

 

 

Text Box: For office use only
Person code entered______________
 

 

 

Housing

Do you live in a:  ___ House   ___ Apartment   _____Trailer   ___ Townhouse  

 

Do you _____ Own  home   _____ Rent   or    _______ Live with parents  

 

___ I am in the process of moving.

 

Landlord’s name and phone number _____________________________________________________________________________



 

Household Information

 

Spouse/Partner/Roommate’s name______________________________________

 

Please list the ages of all children living with you.______________________________________________

    

What pets do you currently have in your household?

 

Name/Breed

Type

Spayed/Neutered

Kept where

Age

 

Cat     Dog

Yes     No

In     Out

 

 

Cat     Dog

Yes     No

In     Out

 

 

Cat     Dog

Yes     No

In     Out

 

 

Cat     Dog

Yes     No

In     Out

 

 

Cat     Dog

Yes     No

In     Out

 

 

Cat     Dog

Yes     No

In     Out

 

 

Cat     Dog

Yes     No

In     Out

 

 

Are your other pets current on all vaccinations? Yes               No                            Don’t know

 

Does your dog(s) get along with cats? Yes               No                          Don’t know

 

Does your cat(s) get along with other cats? Yes               No                   Don’t know

 

Do you own any other small animals? Yes               No                           If yes, please describe: ___________________________

 

How would you describe your household?             Active                       Noisy                       Quiet                        Average

 

Where will this cat be kept during the day?___________________________  night?_________________

 

How many hours will it spend alone without human companionship?_____________________________

 

Where will it be kept when alone?_________________________________________________________

 

If you rent, have you thought about the possibility that if you move, another landlord may not allow pets?   

 

What do you plan to do with the animal if this happens?______________________________________

 

Do you want the cat for a:  (circle all that apply)

 

House pet       Mouser       Breeder         Companion         Gift          Other_________________________

 

 

 

Will this cat be allowed outdoors?           Yes               No

 

If yes, under what conditions?____________________________________________________________

 

Have you ever had a pet that: _____was hit by a car    _____ran away   _____was stolen   _____ died in your care

 

Who is your veterinarian?________________________________________

 

 

 

I certify that I have read this questionnaire and that the information I have given is true and accurate, and I understand that any falsification may result in the nullification of this adoption.

 

 

_________________________________________________________                      _____________________

                                             Signature                                                                                               Date               

 

Please remember:  We receive NO county, state or federal funding.  We operate SOLELY on donations.

 

 

 

Note: You must be present at shelter to be approved for adoption!

We do not accept applications by email!