SOCIETY OF HUMANE FRIENDS
CAT ADOPTION APPLICATION

Please indicate which cat(s) you are interested in adopting:
First Name: Last Name:
Address:
City: State: Zip:
Phone Numbers: (XXX) XXX-XXXX
Home:
Work:
Cell:
County:
EMail:
Occupation:
How long have you lived at your present address? Years Months Days N/A

Which of the following applies?
House
Apartment
Mobile Home
Town House
Condo
N/A
Do you? Own Rent N/A
Are pets allowed? Yes No N/A
Is a deposit required? Yes No N/A
How many people live in your household?
Is everyone in family in favor of adopting a cat? Yes No N/A
Is anyone allergic? Yes No N/A
Are you 18 years or older? Yes No N/A
Do you live with your parents or relatives? Yes No N/A
Are there children in the household? Yes No N/A
How old are they?
Who will be the primary care giver for this cat?
Pets you now own:
Number of Dogs in household
Ages of Dogs
Breed of Dogs
Are Dogs Spay/Neutered? Yes No N/A
Number of Cats in household
Ages of Cats
Are Cats Spay/Neutered? Yes No N/A
Are cats declawed? Yes No N/A
Have you owned pets before? Yes No N/A
Where are they now?
Where will this cat stay? Inside Outside Both N/A
Will you declaw? Yes No N/A
Name of vet or veterinary clinic
Would you object to an authorized Society of Humane Friends representative inspecting the premises where the animal will be kept both before and after adoption? Yes     No
I attest that the above information is accurate.  I am also relieving the Society of Humane Friends of any and all liability during the viewing and adoption process.
I Agree to all of the aforesaid.

NOTE: Completion of this form does NOT entitle an adoption. SOHF reserves the right to refuse any and all adoptions for ANY reason. This form is for screening purposes only.