Feline Adoption Application Form

Feline Adoption Application
Thank you for your interest in adopting from BCHS!

We sincerely hope we can be of service to you. We ask that you fill out your application completely and truthfully. This application is designed to help us determine if the adoption is in the best interest of the animal and to assist the potential adopter in finding an animal most compatible with his/her lifestyle. We hope you will agree that the animal’s welfare must be our foremost consideration.
Full Name *

First Name Last Name
E-mail *
Date of Birth *
Phone Number - Home/Cell *

Area Code Phone Number
Phone Number - Work

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Occupation and place of employment *

Occupation Employer
Do you live in a: *
Do you: *

Own Rent Live with Parents
If renting: Do you have your landlord's permission to adopt the type of animal you are interested in?

Yes No
If renting: Please indicate landlord contact information
How long have you lived at your current address? *
Do you anticipate moving soon? *

Yes No
If you move in the future, what will you do with your pet(s)? *
Please list all people living in the household.(Include name, relationship, and age) *
Who will have the main care responsibilities for the animal? *
Does any member of your household have allergies to cats? *

Yes No
Does anyone in your household smoke inside? *

Yes No
If you are interested in a kitten, what method of housebreaking will you use?
Name and description of cat desired
Why are you interested in adopting this particular cat?
Have you ever adopted from us, any other humane society, animal shelter, or rescue before? *

Yes No
If you answered yes to the question above, please list the organization(s).
Where will the cat stay during the day? *
Where will the cat be kept during the night? *
Where will the cat stay when no one is home? *
What will happen to the cat when you go on vacation or in the case of an emergency? *
Have you ever had a cat before? *

Yes No
If so, what breed and for how long?
If you no longer have that pet, what happened to it/them?
Do you currently have other pets living in your home? *

Yes No
Please list all pets currently living in your home. (Include name, species, breed, sex, spay/neuter status, age)
What will you do if the cat doesn’t get along with your present pet(s)?
Have you ever been charged or convicted of any form of animal cruelty or neglect? *

Yes No
How much time will you allow your new animal to adjust to your household? *
Please list your current vet and their phone number.

Vet Name Vet Phone Number
Are you aware of the annual vaccinations needed for your pet(s)? *

Yes No
If your pet gets lost, what will you do to try to find it? (Please remember that your cat’s microchip is not a GPS device) *
How do you feel about your cat(s) wearing a collar? *
Would you object to a follow-up visit by a BCHS representative in the future? *

Yes No
If yes, why?
Are you aware of the financial burden and commitment of owning a pet? (It costs approximately $800 a year just for food.) *

Yes No
What brand and type of food do you plan on feeding your new cat? *
How often will you groom and bathe your new pet? *
Do you realize cats often live longer than 15 years? *

Yes No
Are you willing to assume responsibility for this animal for that long? *

Yes No
Approximately how many hours will this cat be left alone each day? *
If your cat begins to scratch furniture, what will you do? *
Do you know of any ways to deter this behavior? *
How do you feel about declawing your cat(s)? *
Please include any additional comments or questions here:
By submitting this application electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the nullification of adoption from Bartholomew County Humane Society.

I certify that the above information is correct, and I understand that the information will be verified.
Today's date *

Month Day Year
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Feline Adoption Application

Thank you for your interest in adopting from BCHS!