Blind Date Match Making Event Application

Adoption Application - Blind Date Event
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
Please use an email you check regularly as we will use this email to communicate further steps.
Preferred method of contact:*

PhoneEmail
Date of Birth*

MonthDayYear
Date
Are you currently a citizen of the United States?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Interested in adopting:*

CatDog
Please list the human members of your household (include name, age, and relation):*
Please tell us about the pets in your household (include name, age, and breed). Also include any other pets outside of your home that your new pet will interact with regularly (e.g. family or friends that visit often).*
Current veterinarian or veterinarian you plan to use after adoption:*
Are all the pets in your household spayed or neutered?*

YesNoNot applicable
Have all the animals in your household been to the veterinarian within the last year?*

YesNoNot applicable
What pets have you had in the past and how long did you have them? Include their breeds.*
Do you rent or own your current residence?*

RentI personally own the homeI live with an individual who owns the home
What type of property do you currently rent at?*

Apartment/CondoDuplexTownhouseHouse
What company do you rent from?*
Ex. United Apartments, Peak Campus, Private landlord
Do you plan on declawing your adopted cat?*

YesNo
Your pet will mainly stay:*

IndoorsOutdoorsOther
What size dog (fully grown) are you interested in adopting?*

under 20 lbs20-50 lbs50+ lbs
What energy level would you prefer in your new pet?*

High energyModerate energyRelaxed
All pets experience an acclimation period in their new home and behavioral concerns may present themselves initially. Is there a timeframe in which your patience in this process would run out? How willing are you to seek professional help?*
What circumstances would cause you to surrender/return your new pet?*
Select your top 3 traits you are seeking in a pet:*

AdaptableAffectionateAttention SeekingCalmCuriousEnergeticIndependentOutgoingReservedPlayfulQuietVocal
Thank you for your interest in adopting during this event! Applications received after 2/1/25 will not be eligible to participate in this event.

Once you application is approved, you will receive an approval email with a link to make a $20 donation. If you find your feline/canine match during this event, the $20 donation will be applied to the adoption fee!

If you have any questions, please reach out to our Executive Director at hats.executivedirector@gmail.com

I have filled out this form with current, valid and accurate information. By submitting this application, I understand that providing false information will make me ineligible for adoption. I also understand that by submitting this application, I am not guaranteed to be selected for this event. If I am selected, I must be available for the Meet & Greet's on 2/13, 2/14, or 2/15. By signing below, I also agree to allow for photos, vidoes, and any other media on-site during this adoption event.
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Adoption Application - Blind Date Event