Bella's Enduring Hope
Adoption Application
Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver's License or State ID number
Are you 18 years of age or older?
Yes
No
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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5
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31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Do you own your own home?
Yes
No
What is your landlord's policy on pets?:
Type of Dwelling:
Please Select
House
Apartment
Condo
Mobile Home
Are there children in your home?
Please list their ages
Are you planning on moving within the next 6 months?
Yes
No
Are you employed?
Full Time
Part Time
Currently Unemployed
Full Time Student
Employer's Name and Address
Which of our fur babies are you interested in?
What is your reason for wanting to adopt a cat?
Housepet
Mouse Patrol
Companion
Companion for pet
Gift
Other
If adopting a kitten, where would the kitten be kept when alone?
Are you planning on declawing your new cat or kitten?
Yes
No
Maybe
Are your current cats declawed?
Yes
No
N/A
Are any members of your household allergic to animals?
Yes
No
Please describe:
Over the past 5 years, how many pets have you owned? (Include current pets)
Please Select
0
1
2
3
4
5
6+
Please list breed, age, if they're still living with you? (if not, why?)
Have you ever lost or given away a pet?
Yes
No
If you currently own a dog or cat, how does he/she react to new cats?
Who is your current veterinarian?
Please contact your vet with permission to provide a reference for us
Veterinarian's contact
Please enter a valid phone number.
Are your present pets up-to-date on their annual vaccines?
Yes
No
N/A
Please explain:
Are your present pets spayed or neutered?
Yes
No
N/A
Please explain:
Were your previous pets spayed or neutered?
Yes
No
N/A
Please explain
Can/Will you provide your cat with monthly flea/tick prevention?
Yes
No
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?
Contact a Professional
Use a book
Personal Knowledge
Other
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?
Move box to new location
Try a different litter
Clean box more often
Have cat examined by vet
Use a cat door
Return Cat
None
Other
What brand of cat food do you plan on feeding your new cat?
Are you prepared to commit to a pet for 15 - 20 years (average life span)?
Yes
No
Where will your cat spend most of his/her time?
Please Select
Indoors Only
Outdoors Only
Indoors and Outdoors
Barn Cat
Basement/Garage
Confined
If you selected outdoor, would your cat be supervised?
Yes
No
Have you or anyone in your household been accused or convicted of an animal related crime such as cruelty to animals, theft or abandonment? If yes, please explain.
Is there anything else you think we should know? If so, please note it here.
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