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Today's Date =

Name of pet(s) applying for (List in order of preference) =

GENERAL FAMILY INFO

Your Name =

Place of employment =

Drivers License =

Spouse's name =

Spouse place of employment =

Drivers License =

Full names of all other adults in the home and relationship to you =

Name and age of children (full and part-time) =

Street Address =

City / State / Zip =

Home Phone Number =

Alternate Phone #1 (list whose) =

Email address(es) =

PET PLANS

A) Reasons for wanting a cat: mouser, companion, kids want, etc =

B) Home is: Owned by me, Leased/Rented, Owned by parents =

C) List landlord's name and phone =

D) Will the cat be outdoors? =

E) If outdoors, will the cat be boundary-trained, leashed or caged? =

F) List all reasons you would allow the cat outdoors: Allergies, Not Box Trained, Destructive, Aggressive, Likes Outside, Etc =

G) Why do you want this particular cat and why is it a good match? =

REFERENCES:

List the vet clinic (with phone#) you'll use for this pet =

If you are unable to keep your pet, we strongly suggest that you return it to CCHS. Your family and friends would have first choice to adopt if you choose, but we would like to approve them. Do you clearly understand you cannot re-home the pet yourself? =

Pets MUST be spayed / neutered within 30 days of adoption, or by 6 months of age if they are not already done. You must mail us proof from your vet. Is this agreeable? (Mark n/a if pet is altered)=

Since we love these pets like our own, do you promise to keep us updated and send photos of your new pet? =

At the adoption, we will take your photo with the newly adopted pet for our facebook "Happy Homes" page. A lot of people look forward to seeing those pictures. Is this OK with you? (If not, explain)=

CURRENT PETS

Include all cats and dogs in the format below:

Name / Breed / Age / Sex / Altered? / Yrs Owned / Where Acquired / Lives Indoors or Out

Pet 1 =

Pet 2 =

Pet 3 =

Pet 4 =

Pet 5 =

A) How are your pets with new pets: Unknown, Great with all, Ignores, Playful, Dominant, Submissive, Depends on pet, Etc =

PREVIOUS PETS IN PAST 10 YEARS

Include all cats and dogs in the format below:

Name / Breed / Age / Sex / Neutered/Spayed? / Yrs Owned / What happened to pet/ How long ago / Indoors or Out

Pet 1 =

Pet 2 =

Pet 3 =

Pet 4 =

NOTE: Add more lines if needed for Current and Previous Pets. Failure to mention any dog or cat will cost you the adoption!

MORE ABOUT YOU

Returns are hard on pets and the family, so help us prevent them. To ensure this is a great match for you and your lifestyle, please tell us what you require in this cat. Remember,there is at least a 30 day "adjustment period" for any pet.

A) Must it be good with strangers? (Not shy / Not Protective) =

B) Must it be good with dogs? =

C) Must it be good with cats? =

D) Must it be good with children? =

E) Must it be able to be loose outside? =

What are your plans if you can no longer keep this pet? =

Have you carefully read our entire Adoption Process? =

Being a No-Kill shelter, we have many pets waiting to come in. We therefore request that you be able to come within 1 week after your application is approved (during open hours of Noon to 3 PM on Mon, Wed, Fri and Sat) to adopt the pet. What specific date are you able to pick up your pet? =

Tell us anything else you can think of about the living situation, or anything you do / would do to "spoil" your pet. Feel free to attach photos to the email if you'd like too! =

List additional information you'd like us to know about you, your family, or your lifestyle that would increase your chances of being chosen for the desired pet. Also, use this space to explain anything we might have a concern about, or if you had a tragic situation previously, (ex: a pet hit by a car, poisoned, etc.) tell us how you would prevent it from happening again. =

We will email you (usually in the evening) to setup a time to meet and adopt the pet. Can you check your email at night? Let us know how to contact you otherwise. =

PLEASE READ BEFORE SENDING!

Space in our Shelter is limited and if we find a perfect home for that particular pet, we may cut off any further applications that have been started. By submitting your application, you are in no way guaranteed a pet. CCHS takes great pride in not just finding 'a home', but a great home for each of our special pets. Very rarely do we deny an applicant, so if you miss out on a pet, please do not think of yourself as being denied. With the pet's best interest in mind, as well as yours, we match people and pets together for long-term relationships. Do you understand that CCHS has the right to deny any application, for any reason, at any time. =

Thank You For Considering One of our Special Pets!!

WHAT TO BRING FOR ADOPTION

1-If you are renting, a copy of lease/landlord permission note when picking the pet up. Landlord signed permission note must include ALL things listed below (mark with N/A if no restriction)

     A - Renters name, and rental address:

     B - Number of pets allowed on property:

     C - Is declawing a cat required?:

     D - Are cats allowed inside the home?:

     E - List any other restrictions:

     F - Printed AND Signed landlord's name:

     G - Landlord's contact phone number:

2- Bring your drivers license

3- Cats must leave in a carrier. (Shop in our store--all profits go directly back to the animals!)

4- Adoption fees may be paid by cash or credit card.  Checks are not accepted.

FEES