HART Adoption Application

Adoption Application

Please answer questions thoroughly and honestly so that we can help guide you toward choosing a cat that is a match to your lifestyle. All applicants must be 18 years or older to adopt from Homeless Animal Rescue Team (HART.) False or missing information will be cause for rejection. ***We will call you after reviewing this application. Please note that we only review applications during business hours - Tuesday - Saturday, 12:00-5:00 pm. All applications MUST BE APPROVED before an adoption appointment can be made.
Name of the cat(s) you are applying for.*
Type "undecided" if not sure yet.
Today's Date*

MonthDayYear
Date
What is your age? (You will be required to show ID to verify)*
What is your Birthdate?*

MonthDayYear
Date
Contact Information
Your Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Would you like to add a 2nd adult adopter to this application?*

YesNo
2nd Adopter's Name (if applicable)

First NameLast Name
2nd Adopter's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
2nd Adopter's Email
example@example.com
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your Physical Address the same as your Mailing Address?

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About The Adopter
Are you:*

a studentemployed (work outside the home)employed (work at home)unemployedhomemakerOther
Are you: (check all that apply)*

a studentemployed (work outside the home)employed (work inside the home)unemployedhomemakerother
How did you FIRST learn about the cat/kitten you are interested in?*

FacebookInstagramNextdoorAdopt-a-PetHART WebsitePetfinderA friend/familyVisited HARTNewspaperRadioDigital News SourceOther
Have you owned or lived with a cat before?*

YesNo
What is your reason for wanting to adopt a cat? (Check all that apply)*

Companion for myselfCompanion for Child or Family MemberMy pet died recentlyFor a friendCompanion for another petEmotional support/service animalFor a Barn/Rodent controlChange in living situation that allows pets nowOther
What are you looking for? (Check all that apply)*

Single cat2 or more catsKitten(s)Young Cat (10 months - 2 years)Adult Cat (2 - 8 Years)Senior Cat (Age 8+)Barn/Rodent control catHouse Cat (Indoor Only)Indoor-Outdoor CatOutdoor Only CatOther
Preferences? (Check all that apply)*

Long-hairedShort-hairedHypoallergenicQuietChattyShyOutgoing/DominantRelaxed/MellowEnergetic/PlayfulIndependentSeeks AttentionGood with other catsGood with dogsGood with childrenDe-clawedLikes laps/being heldSpecific Breed (specify breed in "other")Other
Housing
Do you live in a*

HouseApartmentStudioCondo/DuplexMobile/Manufactured homeRural/FarmStudent HousingOther
Do you have a (check all that apply)*

Fenced YardUnfenced YardScreened WindowsCat/Doggie DoorEnclosed/Screened PatioCatio (outdoor cat enclosure)Balcony/DeckOther
The traffic on my street is:*

HeavyModerateLightOther
Have any pets been hit by cars at this address?*

YesNoOther
In regards to your living space, please check one:*

I own my homeI rent my homeI live in a friend/family member's houseOther
If you are renting, are you permitted to have a cat on the property?:*

YesNoN/AOther
May we contact your landlord to confirm that pets are allowed?*

YesNoN/AOther
Landlord Name*
Landlord Phone*
Landlord Email*
Would you consent to a homecheck of your residence by a HART representative prior to adoption?*

YesNo
If no, please explain why you would not consent to a homecheck.*
Have you ever needed to rehome a pet?*

YesNo
If yes, please explain the circumstances which caused you to need to rehome your pet.*
If you are a student, explain your plans for your cat at the end of the school year, and describe how living conditions might change for your cat. *
Home Environment
How many pets do you currently have living in your home?*
Tell us about your other pets: *
(example: Pet 1. Male Dog, Dalmation, age 13, likes cats, energetic)
How many adults reside in your home?*
How many children under 18 reside in your home?*
List the ages of children in your home:*
Do your children have experience with cats?*

YesnoOther
Choose which options most often describe your home:*

QuietBusy/NoisyPeople away most of the day.People home most of the time.
Which family member will be the primary caregiver?*
Is everyone in your household aware and comfortable with a cat entering the home?*

YesNoOther
If no, please explain. *
Is anyone living in your home allergic to cats?*

YesNoOther
If yes, please explain how the allergy will be managed:*
Care of Your New Cat
Domestic cats can live up to 20 years - or even more! Are you willing to accept the responsibility of providing all basic necessities - food, water, shelter, attention, love, security, playtime, and medical care - for this cat's ENTIRE life?*

YesNoUnsure
If no or unsure that you are unable to care for the cat's entire life, please explain:*
It can cost between $500 - $2,500 a year to care for a cat, sometimes more, depending on your cat's needs. Are you able to afford this cat's care?*

YesNoUnsure
If no or unsure that you are able to afford the cat's care, please explain:*
How long, on average, will your cat be alone during the day? *
If you are on vacation, or away from home for more than 12 hours, who will care for your cat?*

Family/Friend/NeighborPet SitterBoarding/KennelsCat will be self sufficientOther
Will your cat be:*

Indoors onlyOutdoors onlyIndoor/outdoorIn a barnOther
Where will your cat be kept during the day? (ex: Garage, barn, bedroom, outdoors, free roam inside, free roam outside, etc) *
Where will your cat be kept at night? (ex: Garage, bedroom, outdoors, barn, free roam inside, free roam outside, etc) *
All cats shed hair to some extent. How much shedding is acceptable?*

LightModerateDoesn't Matter
Are you considering declawing this cat?*

YesNoUnsure
If yes or unsure, please explain your reasons. *
Are you willing to brush your cat often to prevent hairballs, mats, and to bond with your cat?*

YesNoMaybeOther
Check all aspects of cat care that you are NOT comfortable with:*

Litterbox scoopingClaw trimmingMedicatingPetting/BrushingHoldingVet VisitsI'm comfortable with all.
It can take a cat weeks to months to fully adapt to your home, family, and other pets. Adjustment behavior might include: vocalization (especially at night), door dashing, hiding, scratching, undereating, overeating, conflicts with pets, etc.) Are you willing and able to provide the necessary time, patience, and understanding to help your cat through this time?*

YesNoOther
Do you have a "safe room" away from activity, children, and other pets that a cat can adjust in?*

YesNoOther
Which behaviors would be unacceptable and cause for you to rehome the cat?

Scratching furnitureEliminating outside of the litterboxExcessive MeowingBitingScratchingWalking on countersFighting with other petsToo much/too little energyOther
In the event that you become incapacitated (ex: inability, illness, injury, death), please explain your plan to care for this cat. *
Do you have a current veterinarian? Please write their name and location.*
Please agree to the following statements. Any statement not checked will be cause for denial of application.*

I agree to respond to a post adoption follow-up call or email from HART Staff.I agree to provide my cat(s) with basic needs - food, water, space, shelter, litterbox or elimination area, attention, playtime, veterinary care, and a fear-free environment.I agree to return my cat(s) to HART if I become unable to provide for basic needs.I agree to return my cat(s) to HART before choosing euthanasia or abandonment.I certify that all of the above information is true, and understand that any false information given will result in nullifying this adoption.
Thank you for applying.

Your Adoption Application will be reviewed by a HART staff member. HART reserves the right to deny this application per our discretion. Proof of identification is required at the time of adoption. This application becomes part of our Adoption Contract.
Should be Empty:

Adoption Application

Contact Information

About The Adopter

Housing

Home Environment

Care of Your New Cat

Thank you for applying.