Tuba City Humane Society Online Cat/Kitten Adoption Application Cat/Kitten Adoption Application So you want to adopt a kitten or a cat? Great! This cat adoption form is the first step of our adoption process, which also includes a home visit, the signing of an adoption contract, and payment of our adoption fee. If you haven’t already checked out our adoption policies and fees, please do so now. The information you submit on this form helps us to start a conversation with you about a possible adoption. We require this form to be filled out before arranging for a meet and greet with the cat or kitten. Date* The Cat or Kitten You Are Interested InName of the cat or kitten you are interested in adoptingAbout YouApplicant Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Alternate PhoneEmail To be considered for adoption, you need to: Be at least 18 years old Have knowledge and consent of all adults living in your household Have a valid government issued photo ID Own your own home or have a landlord's consent to bring an animal onto the property Understand that Tuba City Humane Society has the right to refuse the adoption of any animal About Your HouseholdName and relationship of other adults in your householdAre there children living in your household?YesNoAgesWho will be responsible for the cat's care (the primary caretaker)?*Feeding, cleaning the litter box, taking the cat to the vet, etc.What is the age of this primary caretaker?Does anyone in the household have animal allergies?YesNoIf so, how do you plan to manage this issue?Why do you want to adopt this cat or kitten?About Your HomeWhat is your housing situation?*OwnRentLandlord's name, title, and phone number(If renting, you must have permission to have pets.)Type of Housing* House Condo/Town Home Mobile Home Apartment Ranch/Farm How long have you lived at this address?Are you planning to move in the near future?YesNoIf yes, what will you do with your cat or kitten?Do you have any of the following? (Check all that apply) Patio Balcony Pet Door Unscreened Windows Unscreened Doors Backyard In what areas of your home will your cat be allowed?Where will you keep the litter box?Cat Care and Other PetsHow many hours a day will your cat be left alone?Where will your new cat be when left alone?Will your new cat be an indoor or outdoor pet?IndoorOutdoorBothHow will your new cat be cared for when you go out of town?Is this your first pet?YesNoDo you currently have any other pets?YesNoPlease list any cats you already have in your household, including name, age, sex, breed, whether spayed or neuteredPlease list any dogs you already have in your household, including name, age, sex, breed, whether spayed or neuteredPlease list any other animals you already have in your household, including type of animal, name, age, sex, breed, whether spayed or neuteredDo you plan to declaw your new cat?YesNoUnsureDepends on behaviorCan you afford veterinary care, grooming, emergency expenses, supplies and food for the lifetime of this pet?YesNo(These expenses can often add up to hundreds of dollars each year.)Name of Veterinarian and contact infoHave you ever adopted a pet from Tuba City Humane Society before?YesNoIf yes, who did you adopt and when?Where is this pet now?Is there a cat behavior that would not be acceptable to you?Information regarding the full history, health and behavior of animals available for adoption may not be available or accurate.Were you ever in a situation where you were not able to keep a pet? If so, please explain.I AgreeI certify that all of the above information is accurate and complete. I understand that if I adopt a pet from Tuba City Humane Society, this online form will become part of the adoption record.Electronic Signature*My electronic signature certifies that the information I have given is accurate and complete.NameThis field is for validation purposes and should be left unchanged.