Cat Adoption Application
Welcome to Happily Ever After’s Adoption Program. The following information is
requested so that we can assist you in the selection of a new cat. This form and a
consultation with a Happily Ever After representative are designed to help you find the
cat most compatible with your lifestyle. Please mail this form to: Happily Ever After
Animal Sanctuary, Inc., E5714 Bork Road, Marion, WI 54950.
In order to be considered as an adopter you must:
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•
•
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Be 18 years of age or older.
Have identification showing your present address.
Have the knowledge and consent of your landlord.
Be able and willing to spend the time and money necessary to provide medical
treatment and proper care for a pet.
NOTE: Completion of this application does not guarantee adoption of a Happily Ever
After cat. Please print all information. Thank you!
Name of Applicant:
Date of Birth:
Street Address:
City:
State:
Zip code:
Phone Number:
Email:
Name, Relationship, and Date of Birth for all Household Members over the age of 18:
Person 1: Name
Relationship
Date of Birth
Person 2: Name
Relationship
Date of Birth
Person 3: Name
Relationship
Date of Birth
Person 4: Name
Relationship
Date of Birth
Person 5: Name
Relationship
Date of Birth
Name and Age for all Household Members under the age of 18:
Child 1: Name
Age
Child 2: Name
Age
Child 3: Name
Age
Child 4: Name
Age
Child 5: Name
Age
Have you ever applied for an animal from HEA before? Circle one: Yes
Have you adopted from HEA before? Circle one: Yes
No
No
Describe in detail the cat you are looking for:
Would this be your first cat? Circle one: Yes
No
What age cat do you prefer? Circle the one(s) you prefer:
Kitten
Young Adult
Adult
Senior
What level of activity do you prefer the cat to have? Circle the one(s) you prefer:
Very Active
Somewhat Active
Mellow
Brushing/grooming preference? Circle the one(s) you prefer:
Once a day
Once a week
Once a Month
Professional Groomer
Cat must be good with: (Circle all that apply)
Cats
Dogs
Kids
Doesn’t matter
How often would you clean the litter box? Circle one:
Every other week
1x/week
2x/week
Every day (Scoopable)
Why do you want this cat? (Circle all that apply)
Companion
Companion for other pet
Mouser
Office cat
House Pet
Barn Cat
Other (please explain):
Where will you keep your cat? Circle one:
In the house
Outdoors with free access indoors and outdoors In the Barn
Other (please explain):
Please list current and other pets you have owned in the past five years.
Type of
Animal
Pet’s Name
M/F
Age
Heartworm
and/or
FELV/FIV
tested:
Yes/No
Spayed/
neutered:
Yes/No
Up to date
on
Vaccines:
Yes/No
Do you
still have
this pet:
Yes/No
Will you keep your new cat up to date on vaccinations? Circle one: Yes
Can we contact your veterinarian for the records of past/current pets? Circle one:
Yes
No
Who is your veterinarian/clinic?
Vet name:
Clinic name:
Veterinarian’s Phone Number:
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No
If no, Why
not?
Have you ever turned an animal in to a shelter facility? Circle one: Yes
No
If yes, please explain:
Have you had a pet euthanized? Circle one: Yes
No
If yes, please explain:
If you have pets, do you believe they will adjust to a new cat in the house? Circle one:
Yes
No
Have all members of your household been out to visit? Circle one: Yes
If not, who?
No
Does any member of your family have an allergy to cats? Circle one: Yes
No
How many hours each day will the cat be without human companionship?
Explain:
Which do you live in? Circle one:
House
Apartment
Other (please explain):
Condo
Mobile Home
Duplex
Do you own or rent your home? Circle one:
Own
Rent
If you rent, may we contact the owner to obtain permission for this animal to live in
your home? Circle one: Yes
No
Complex Name:
Owner’s name:
Phone number:
If you go away for a few days or on vacation, who will take care of the cat?
How much are you willing to spend on medical bills for your cat? Please circle one:
Up to $100
Up to $500
Up to $1,000 Up to $5,000
Whatever it takes
What would you do if the vet bill goes over this amount?
Are you willing to have a representative of Happily Ever After come see where the cat
will be living? Circle one: Yes
No
What provisions will you make for the cat should you become unable to care for it? (i.e.
death, illness, disability or finances):
Please provide the names of three references, their relationship to you, and a phone
number/email where we would be able to reach them.
Reference 1: Name:
Phone number:
Relationship to you:
Email:
Reference 2: Name:
Phone number:
Relationship to you:
Email:
Reference 3: Name:
Phone number:
Relationship to you:
Email:
Is there anything else you’d like us to know? Please use this space here to write your
comments: