By submitting this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of facts may result in House Of Tiny Toe Beans refusing adoption privileges to me/us. If my/our request for adoption is approved and later House Of Tiny Toe Beans finds the above information is not true or correct, House Of Tiny Toe Beans reserves the right to remove the adopted cat from my/our home. I/we agree that if we find that I/we can no longer provide adequate care to the adopted cat, that I/we will contact House Of Tiny Toe Beans to discuss further placement.