WORD - Heavenly Creatures

advertisement

CAT ADOPTION APPLICATION

Heavenly Creatures, Inc. P.O. Box 882, Station C, St. John's, NL, A1C 1C4 709.739.0077

Please read through all of our adoption policies and procedures before completing this application. To submit the application, simply attach it to an e-mail and send it to us at info@heavenlycreatures.ca

To qualify for adoption, the following criteria must be met:

- All sections of the form must be completed.

- This form must be filled out by the person adopting the animal. We do not give animals out as gifts to other adults.

- The adopter must be a minimum of 21 years of age.

- All adult members of the household must agree to take part in the interview process and further agree to all term and conditions regarding adoption of this animal.

There are fees associated with adopting a pet from Heavenly Creatures. These fees help us continue to provide proper care for our animals, as well as enable us to take in more homeless animals.

Our fees are as follows:

$55 - kitten

$100 – spayed/neutered adult cat (our adult cats are fixed before being put up for adoption)

Please Note: If you feel that you can only adopt a cat or kitten you can have declawed, we can add you to the wait list for one that has already been – please note that we do not permit a cat adopted through Heavenly Creatures to be declawed. For information on why we don’t support declawing, please visit our website http://www.heavenlycreatures.ca/blog/?page_id=69

** Please be advised that we are a volunteer organization that receives numerous applications for adoption, so it may take 24 - 72 hours for a response.

Date of Application: _______________________

Is there a specific cat from our website who are you interested in meeting? (If Yes, who has caught your affection?)

___________________________________

If No, what characteristics are you looking for in a new cat:

Do you have an age requirement (e.g. no older than 5)?

_______________________________________________________

Do you have a gender preference? __________________________

Would you accept a cat that has been abused? _________________

Do you require a cat that is friendly with small children? __________

Do you require a cat that is friendly with other cats? ______________

Do you require a cat that is friendly with dogs?_____________

Do you require a cat that is declawed?____________

Would you accept a cat that has a physical handicap (e.g. partial blindeness or a leg amputation?)_________________

Would you accept an animal that requires regular medical treatment for a disorder or disease (e.g. diabetes)?

____________

Why are you looking for a new cat (check all that apply)?

_____ I want companionship for myself and my family

_____ I want companionship for an existing pet

_____ I need a cat because I have mice

_____ I need a gift for family member/friend

_____ I want a cat to teach my child responsibility

Name of Adoptive Family Applicants(s): ______________________________________

______________________________________________________________________

______________________________________________________________________

Please note how many members are in your household and what are their ages (please include the ages of any children living in the home)?

______________________________________________________________________

______________________________________________________________________

Do you have consent from all household members to adopt a pet? ____ No ____ Yes

Home Tel: ____________________ Cell Tel: ________________________________

E-mail:__________________________________

Best time to call: _______________________

Full address: ___________________________________________________________

Postal Code: _________

Driver’s License #: __________________________________ Expiry: ______________

Address on license: ______________________________________________________

How long have you lived at this address? ____________________________________

Do you own your home? ____ No ____ Yes

If renting, we will require your landlord’s permission. Contact name + Tel #: _________

_______________________________________________________________________

Second Piece of ID: _______________________________________________________

Please check all that apply:

_____ Work outside the home

_____ Work at home

_____ Attend school

_____ Retired

_____ Other

Place of Employment (if working outside the home): ________________________________

Work Tel: _________________________

If unemployed, list your source(s) of income: ___________________________________

______________________________________________________________________

Have you or any other person living in your household ever been convicted of cruelty to or neglect of animals or had an animal confiscated under an adoption contract?

____ No ____ Yes

Do you own other pets? ____ No ____ Yes

If so, describe (type, breed): _______________________________________________

Is your pet(s) spayed or neutered? ____ No ____ Yes

If no, please explain why: _______________________________________________________

Do your pets live indoors, outdoors or both? Please explain. ______________________

________________________________________________________________________

If you do not currently own any pets but have in the past, please describe your pet history:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

How many hours per day will the cat be left alone (without human companionship)? ______

If you do not have any children, do you intend to keep the cat in the event a newborn becomes part of your household? _________________________________________

For what reason(s) would you give up your cat (Please describe all that apply: for example, allergies, not getting along with other pets, divorce, not housebroken, moving, aggression, new baby, increased work hours, etc.)?

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please list the reasons for which you might choose to euthanize your cat (E.g. A broken limb, fleas, litterbox issues, moving, children, aggression toward people, aggression toward other animals, allergies, destructive behaviors such as scratching furniture, ear infections and skin conditions, etc.

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Are you prepared to allow at least one full month for your cat to become adjusted to its now home? _____ No _____ Yes

Are you aware of the cost of veterinary care? _____ No _____ Yes

How much do you expect to pay for spaying/neutering? _____________

Are you looking for a cat that can go outside (Some of our cats have never been outside and some have - we would like to make sure we make the right match for both you and the cat involved)? _____ No _____ Yes

Do you intend to breed the pet? ____ No ____ Yes

Do you intend to declaw the cat? ____ No ____ Yes

Which of the following behavioral issues, if any, are you willing to work on with your new pet?

_____ none

_____ scratching furniture

_____ litter training

_____ scratching people

_____ biting

_____ chewing plants

_____ getting on counters

_____ keeping you awake at night

_____ timid/shy behavior

Who is (or will be) your veterinarian (please include clinic)? _________________________

_________________________________________________________________________

If you have (or have had) a vet, will you grant permission for Heavenly Creatures to contact them for a reference? ____ No ____ Yes

Please provide Heavenly Creatures with the names and contact information of two references

(who are not your vet, family members and/or related to one another) who can attest to your ability to love and care for a pet.

1. ______________________________________________________

______________________________________________________

______________________________________________________

2. ______________________________________________________

______________________________________________________

______________________________________________________

Please Note: We do not have a shelter; all of our animals are housed in foster homes. If you are approved for a cat, a time will be scheduled when you can meet the cat or cats in the foster parents' home (s). In some cases, we will bring cat(s) to your home.

If this Application is satisfactory to Heavenly Creatures:

1. A volunteer will contact you to commence the interview process (which begins with a phone screening of all adults in the home).

2. If you meet a cat and all goes well, you will be permitted to take the cat then and there for a trial adoption under a foster agreement (A trial of a week or so allows all involved to try to ensure a good match is being made).

3. If you decide that you wish to adopt the cat, a volunteer will do a home visit after the trial period (and sometimes before, too), at which time – if the cat is deemed by us to appear happy and healthy-you will pay the adoption fee and sign the adoption agreement.

Heavenly Creatures attempts to match each animal to a family that most suits the needs of that animal. Many animals generate a number of inquiries and a home is chosen based on what we believe to be best for that particular animal.

If you are denied, this is not to imply that you wouldn’t provide a proper home; if you are not selected we will keep you on file in the event another, similar animal becomes available.

DECLARATION:

I certify that the information I have given is true and that any misrepresentations of facts may result in the Adopter(s) losing the privilege of adopting a pet from Heavenly Creatures Inc., the voiding of the adoption contract and entitlement of Heavenly Creatures Inc. to legal remedies, including reclaiming the animal and/or damages.

The confidentiality and privacy of your personal information found within this application form are assured. Please sign below as proof that you have read and accept the above statements.

Applicant Signature(s): ___________________________________________

___________________________________________

Date: __________________________

----------------------------------------------------------------------------------------------------------------------------- ----

FOR OFFICE USE ONLY

Application Status:

___ Approved / ___ Not Approved Date: ________ HC rep initials: ____

Download