Name(s) of cat(s) or kitten(s) you wish to adopt, or your preference for age, gender, etc.:
Your name:
Your street address:
Your city, state, and zipcode:
Your home phone number:
Alternate phone number (e.g., work or mobile):
Your email address (*one* address only, please):
Reason why you wish to adopt a cat:
Have you ever owned a cat: Yes No
If yes, for how many years:
Who is or was your veterinarian / veterinary clinic?:
Phone number for your veterinarian / veterinary clinic:
If you ever owned a cat, was it declawed: No Yes, acquired declawed Yes, declawed by me
Do you prefer a declawed cat, and will you declaw if your cat is not already declawed?: Yes No
If you ever owned a cat, was it an indoor or outdoor cat: Indoor Outdoor
Do you prefer an indoor or an outdoor cat: Indoor Outdoor
Have you ever lost a cat: Yes No
If yes, how (e.g., death, stray, accident, etc.):
How many animals does your household currently include:
What types of animals does your household currently include:
Are all animals in the household up to date with vaccinations: Yes No
Date of most recent veterinary visit:
Are you at least 21 years of age? (ID will be required): Yes No
What is your occupation?:
By whom are you employed?:
Annual cost of cat ownership, including food, litter, veterinary care, etc., is about $300. Is this acceptable?: Yes No
Does your household include children under 16 years of age: Yes No
If yes, what ages are the household's children:
Personal reference who can speak for your experience with animals:
Phone number for your first reference:
A second personal reference if available:
Phone number for your second reference:
If you do not currently have a veterinarian, who do you intended to use?:
Phone number for your intended veterinarian / veterinary clinic:
If you do not yet have a veterinarian, please provide the name or a friend or relative who has a pet and a veterinarian and who can act as your mentor:
Phone number for your mentor:
Do you own or rent your residence: Own Rent
If you rent, who is your landlord:
What is your landlord's phone number:
We will require a pet permission letter from your landlord if you rent, or proof of home ownership (e.g., mortgage bill, deed).
Please tell us any additional information that may be useful in considering your application:
The applicant promises to make every reasonable effort to provide sufficient shelter, food, water, comfort, and love to assure that the adopted cat(s) and/or kitten(s) will thrive and live happily. The applicant will provide appropriate veterinary care, including but not limited to vaccinations and preventive "well pet" health care.
If the applicant relocates, the applicant promises to bring the cat(s) and/or kitten(s) to the new residence, or place the animal(s) in a suitable new home (see above paragraph), or return the animal(s) to Whiskers of Hope, Inc.
The applicant agrees that Whiskers of Hope, Inc. may make inquiries or home visits after adoption to ensure that the cat(s) and/or kitten(s) is/are receiving satisfactory care. The applicant agrees that Whiskers of Hope, Inc. may rescind the adoption and take the animal(s) back into their custody if the care provided by the adoptive household is found to be unsatisfactory.
Electronically submitting this application signifies that the applicant has read and agrees to the terms of adoption and that all the information provided is true and accurate.
