First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County

Email*

Home Phone

Cell Phone

Which cat(s) are you submitting this application for?

What is your Date of Birth?*

Please click to confirm that you understand, as adoptions are a legal contract, you must be 18 years or older to submit this application:*

ID (State Issued) and ID #:*

Household Information: Please list all individuals (First and Last Names), and their Date of Birth, in your household.

Tell us a little bit about what you are looking for in a furry family member:*

Are all household members in agreement with adopting a cat at this time? *

Do all household members understand that the average life expectancy for an indoor cat is 15-20 years; therefore, adopting a cat is a significant commitment? *

Do all household members, including children, understand the importance of caring for a pet?*

Is anyone in the household allergic to cats? If so, how severe?

Housing Status (please select one):*
Choose one: Rent Own Family member's house

If Family Member Owned, what is the name/relation of owner to you and his/her phone number?

If you rent, what is your Landlords Name and his/her phone number?

Have you lived at this address for at least one (1) year?*

If not, where was your last residence?

Who would assume responsibility for your pet(s) should you move, have life changes and you are no longer able to?*

Do you have a pet door, where does it go?
Choose one: outside lanai/patio garage I don't have a pet door

Will this cat be: *

Have you had a cat de-clawed? *

If yes, would you do it again?

If yes, why would you choose this option?

Have you ever been convicted of, plead guilty, no contest or nolo contendere, to a misdemeanor or felony?*

Have you ever relinquished an animal to a shelter?*

If so, why?

How many pets have you had in the past 5 years? If "0", proceed to next section - "Consent/Agreement"*

Do your pets receive regular veterinary care? *

Are all pets current on their vaccination?

Can we contact your regular Veterinarian or Clinic? *

Veterinarian Name and Phone Number:*

Please indicate the following for each pet in your household over the past five (5) years: Name Type/Breed Age Are/Were they spayed/neutered? Are they still in your household? If not, why not? *

Please indicate that you have read, and understand, the following regarding our process: 1) All our cats are spayed/neutered, receive a general medical exam, receive all age-appropriate vaccinations and are micro-chipped prior to becoming eligible for adoption. 2) We believe in transparency, as it leads to more successful adoptions; therefore, we will make every attempt to disclose known medical/behavioral concerns as part of the adoption process. While we hope all our cats will find their forever homes, we know that there may be issues in the process. 3) We pledge to provide information and reasonable assistance in the household introduction process. Should significant issues exist, especially those potentially threatening the well-being of the cat, we will accept the return of the cat to our care. 4) By providing your email, Sheltering Hands will periodically send information about upcoming events, programs and fundraising opportunities. Your information is governed by our privacy policy, we do not share or sell your information to third parties. Email address is necessary for microchip registration.

Please indicate that you have read, and understand, the following: I'm about to sign the application, what's next? Our Adoption Team will review the application and complete a Background/Veterinarian Check. This process may take several days and we appreciate your patience. They will contact you with the outcome. If approved, they will schedule pick-up options based on the specific cat, program needs and adoption site location.

By typing my name, I, the undersigned, have read, understand and consent to all aspects included in this application including a background check and certify that all answers given by me are truthful, accurate and complete. Further, I consent to a home visit/inspection as part of the application/approval process and a post-adoption home check. *

How did you find us?