CAT'S NAME
TODAY'S DATE
ADOPTER'S NAME
ADDRESS
CITY
STATE
ZIP CODE
PHONE : HOME
CELL
WORK
EMAIL ADDRESS
DO YOU DECLAW ? EXPLAIN :
WHO WILL BE RESPONSIBLE FOR THE CAT?
ARE THERE CHILDREN IN THE HOME? IF YES, THEIR AGES ?
DO YOU OWN OR RENT YOUR HOME ? IF RENTING, PLEASE PROVIDE LANDLORD'S NAME AND PHONE NUMBER.
WHERE WILL THE CAT STAY, AND HOW MANY HOURS PER DAY WILL IT BE HOME ALONE ?
DO YOU OWN OR HAVE YOU OWNED OTHER ANIMALS IN THE PAST 10 YEARS ?
CURRENT NUMBER OF PETS AND WHAT TYPE  (CATS,DOGS,ETC)
ARE THEIR VACCINATIONS UP TO DATE?
ARE THEY SPAYED OR NEUTERED?
THEIR VETERINARIAN'S NAME AND PHONE NUMBER ?
IF PETS YOU HAVE OWNED IN THE PAST 10 YEARS ARE DECEASED, WHAT WAS THE CAUSE OF DEATH, AND WHAT WAS THE NAME OF THE VETERINARIAN YOU USED FOR THEM ?
DO YOU GIVE PERMISSION FOR KITTY HARBOR TO SUPPLY YOUR CONTACT INFORMATION TO COMPANIES (SUCH AS HILL'S SCIENCE DIET) THAT MAY PROVIDE US WITH GRANTS OR DONATIONS TO CONTINUE OUR WORK AT KITTY HARBOR?
WOULD YOU LIKE TO VOLUNTEER AT KITTY HARBOR ?
SIGNATURE
DATE
IF FOR ANY REASON THE ADOPTION DOES NOT WORK OUT, PLEASE CONTACT US AND WE WILL TAKE THE CAT BACK.

IF THE CAT OR KITTEN HAS NOT BEEN FULLY VETTED DUE TO HIS/HER AGE WHEN YOU ADOPTED, PLEASE HAVE YOUR VET FAX US THE SHOT RECORD AS WELL AS PROOF OF SPAY/NEUTER TO 860-376-0328.

KITTY HARBOR RESERVES THE RIGHT TO RETRIEVE THE CAT IF YOU DO NOT FOLLOW THROUGH WITH VET CARE, INCLUDING SHOTS AND SPAY OR NEUTER, OR IF YOU HAVE IT DECLAWED..
PLEASE PROVIDE A SAFE, SECURE, AND HEALTHY HOME TO YOUR CAT !!
PLEASE COMPLETE THE ADOPTION APPLICATION AND THEN CLICK "SUBMIT". THANKYOU.