Pippin (A45456897)

Thank you for considering the adoption of a cat from the Homes for Pets/Schertz Humane Society! Your complete and accurate answers to the following questions will help us to find a cat that best matches your requirements and your lifestyle.

Our adoption fee includes: vet health check, spay/neuter surgery, age-appropriate routine vaccinations, de-worming medication, and FIV/Feline Leukemia testing.

In order to be considered as an adopter you must (check all that apply)

Be 21 years of age or older (a valid ID may be required)Have the knowledge and consent of all adults living in your householdIf renting, have the landlord's consent to bring an animal onto the propertyUnderstand that Homes for Pets/Schertz Humane Society has the right to deny your application

Part 1 - Animal Information

What is the name of the cat, or type of cat, you are interested in adopting?

I am adopting this cat for: (check all that apply)
MyselfMy FamilyFriend/Relative

Temporary foster homes are always desperately needed by Homes for Pets/Schertz Humane Society. Are you interested in providing a temporary home for an animal in need through our fostering program?
—Please choose an option—YesNo

If yes, what type of animal?
—Please choose an option—Dog/PuppyCat/KittenBottlefeeder

May a Homes for Pets/Schertz Humane Society volunteer contact you about our foster program?
—Please choose an option—YesNo

Part 2 - Personal Information

Name:*

Age:*

Date:*

Address:*

City, State, Zip:*

Home Phone:*

Alternate Phone:

Email Address:*

Part 3 - Household Information

Where do you live?

Home:
—Please choose an option—OwnRentRented ApartmentLive with Parents

Condo:
—Please choose an option—OwnRentLive with RoommatesOth

If renting, please provide the name and phone number of your landlord or property manager. We may need to contact them to confirm they have granted permission for a pet to live on the premises.

Landlord/Property Manager name:

Phone Number:

If you rent, do you know the amount of your pet deposit?
—Please choose an option—YesNo

Amount:

If you rent, do you know of any restrictions for pets living on the premises?
—Please choose an option—YesNo

If yes, describe:

List the name, relationship, and age of all people living at your current address:

Name:

Age:

Relationship:

Name:

Age:

Relationship:

Name:

Age:

Relationship:

Do you, or does anyone living in your household, have any known allergies to animals?
—Please choose an option—YesNo

If yes, to what animals and how severe is the allergy?

Do you travel a great deal?
—Please choose an option—YesNo

If so, how will you provide for the cat while you are gone?

Part 4 - Pet Care Information/Pet Experience

Why do you want a cat? (Check all that apply)
CompanionBarn Cat/MouserBreedingChild's PetFamily PetCompanion for other animalOther

Where will the cat be kept during the day?

At night?

When left alone?

Are you planning to declaw your cat?
—Please choose an option—YesNoMaybe

Are other cats in the household declawed?
—Please choose an option—YesNoN/A

Will you allow your new cat outdoors?
—Please choose an option—YesNo

If yes, under what circumstances?

Do you have a doggy door in your home?
—Please choose an option—YesNo

How long have you lived at this address?

Are you (or your Spouse) Active Duty, Military?
—Please choose an option—YesNo

If you had to move to a place where pets were not allowed, briefly describe how you would handle the situation:

Have you ever taken an animal to a rescue group, pound or animal shelter?
—Please choose an option—YesNo

Under what circumstances?

Have you adopted from the Homes for Pets/Schertz Humane Society before?
—Please choose an option—YesNo

If so, when?

Do you have any other animals?
—Please choose an option—YesNo

If you do, list them here:

Animal’s Name:

Type:

Current Age:

Spayed/Neutered?

Indoor, Outdoor or Both:
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #:

Animal’s Name:

Type:

Current Age:

Spayed/Neutered?

Indoor, Outdoor or Both:
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #:

Animal’s Name:

Type:

Current Age:

Spayed/Neutered?

Indoor, Outdoor or Both:
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #:

Animal’s Name:

Type:

Current Age:

Spayed/Neutered?

Indoor, Outdoor or Both:
—Please choose an option—IndoorOutdoorBoth

Declawed?

Vet Name and Phone #:

Are your current animals up-to-date on? (check all that apply):
VaccinationsHeartworm PreventionSpay or neuter

Have you ever had a pet die at an early age?
—Please choose an option—YesNo

If yes, please explain:

If the adopted cat was not working out in your household, briefly describe what you would do:

Part 5 - Veterinarian Information

If you do not currently have a local veterinarian would you like us to recommend one?
—Please choose an option—YesNo

Name of current veterinary clinic:

Clinic address:

Phone number:

Name of Current Veterinarian:

Name your records are under:

Part 6 - Considerations

Have you considered that the financial commitment to a pet could exceed several hundred dollars per year?
—Please choose an option—YesNo

Are you aware that the adoption of an animal is a commitment for life of the animal? That could be 15-20 years for a cat.
—Please choose an option—YesNo

Where did you learn about Homes for Pets/Schertz Humane Society and our animals for adoption?

Do you understand that many Homes for Pets animals, having been abandoned by their previous owners, may come with “baggage” and may need to re-learn how to live in a home environment and to bond with your family and other pets?
—Please choose an option—YesNo

Would you be willing to have an in-home visit by a Homes for Pets/Schertz Humane Society representative?
—Please choose an option—YesNo

I hereby affirm that I have answered the above questions truthfully and to the best of my knowledge. I give my permission for Homes for Pets/Schertz Humane Society to contact the landlord, and veterinarian I have provided for references, and I give my permission for the release of any information they deem relevant to the adoption of an animal from the Homes for Pets/Schertz Humane Society.

In the event that I am no longer able to care for this animal, I agree to contact Homes for Pets/SHS in the first instance. However, I understand that Homes for Pets/Schertz Humane Society cannot guarantee immediate placement.

By checking this box, I have agreed to share my information with Homes for Pets and have read the above statement.

Cats require a lot of your time, love and attention. The cost of caring for a cat includes food, vaccinations, deworming, testing, boarding, and veterinary care during emergencies. Please consider these requirements when adopting a cat and be sure you are willing to commit to a new family member who could be with you for the next 15-20 years. Thank you for your time!

Please use this space to provide any further information you feel is relevant