Caring Hearts Adoption Application
The cats and kittens available for adoption come to us in a variety of ways but they all have one thing in common; they were either abandoned, injured, neglected, homeless, or surrendered by their owners. All felines available for adoption have tested negative for both FIV and feline leukemia and their health is monitored while they are in foster care. However, due to the stressful situations under which many of these animals arrive, there is always the chance the animal is incubating a disease without showing clinical signs. We recommend a visit to your veterinarian within seven days of the adoption date. Caring Hearts believes these felines to be in good health, but does not guarantee the health of any feline or assume any financial responsibility for future veterinary costs. Please initial_____________________
In order to adopt a Caring Hearts Rescued Cat/kitten you must:
Be 21 years of age and have a valid driver’s license.
Provide your veterinarian’s name and phone number. (We may do a vet reference check)
If you rent, you must provide landlord’s name, phone number, and lease expiration date. (We may call and verify this information.)
Agree to provide kind treatment, daily care, and vet care, including vaccinations.
Agree to meet all requirements so that this pet can live a happy and healthy life for the rest of his or her life with
you.Applicant signature: ___________________________________________Date:_______________________ Driver’s license number________________________________________________
*****Caring Hearts Representative Complete: *******
Name of Foster Family: ________________________________ Cat ID, Ear tattoo, or name of cat___________________
Adoption Date:_________________________________________ Adoption Fee_____________________________ _______
Donation_____________________ Fee waived : Barn home ______ Foster mom adoption______ other________________
Cash or Check number___________________ Location of Adoption____________________________________
Signature of Caring Hearts Volunteer__________________________________________________________
Approved or Denied? (circle one) If denied, state reason for denial__________________________________
Applicant’s Name_________________________________________________________________________
Applicant’s address________________________________________________________________________
Is this a house___, apartment___, duplex____, trailer___, or farm_____ Do you own, rent, or lease? ________
Home Phone________________________ E-Mail Address__________________________________________
Cell Phone_______________________________ Work Phone______________________________
If you do not own, please provide name and phone number of landlord _________________________________
When does your lease expire ?___________ How long at this address?______________Number of adults at this address______ Number and ages of children at this address __________
Does anyone in the family have any known allergies to animals? Yes or No (circle one)
Name , Address and phone number of Employer__________________________________
_________________________________________________________________________________
How long have you been employed here ?____________Are you a student? Yes or No (circle one)
Are you adopting for yourself or for someone else?____________Will the cat or kitten live at the address above? Yes or No (circle one) Address kitten will be living_______________________________________
Do you plan on declawing this cat or kitten? Yes or No? Do you know about the safe alternatives to declawing?________________________________
How many dogs do you own?____________ What are their breeds and ages?____________________________
Are they kept inside, outside, or inside/outside? (circle one) Are they spayed or neutered? Yes or No
How many cats do you own?_________ How old are they?_________
Are your cats inside cats, or outside cats, or both? (circle one) Are they spayed or neutered? Yes or No
What is the name of the vet clinic that you use? _____________________________________________
What is the name and phone number of your vet?____________________________________________
Are all of your animals current on all of their vaccinations? Yes or No (circle one)
If you have had pets in the past but no longer have them, please tell us a little bit about how long you had them and what happened to them____________________________________________________________________
Where will this cat or kitten spend most of its time? Inside, outside, garage, inside/outside equally (circle one)
Would you object to a home visit prior to adoption completion?
Would you object to a follow-up home visit after adopting?
While it is the intent of Caring Hearts to find permanent, loving, stable, and responsible homes for all of its cats and kittens, we do reserve the right to refuse adoption.
*****Anyone who misleads or fails to provide accurate information on this application will be denied all adoption rights. ******
All of the cats and kittens available for adoption from Caring Hearts have been cared for in foster homes by dedicated volunteers who have a vested interest in finding their charges PERMANENT and LOVING homes. When you adopt a kitty from Caring Hearts, we expect you to make a lifetime commitment to the care of this feline. If, however, you ever find yourself unable to properly care for this cat, will you make every effort possible to return the cat to Caring Hearts? Yes or No? (circle one)
Caring Hearts
Versailles, KY 40383
Email:
caringheartsrescue@yahoo.com