Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Select your age group:
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18 - 21
22 - 28
29 - 38
39 - 59
60+
Employment status:
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Working (full-time)
Working (part-time)
Student
Retired
Other
Are you a Canadian citizen or permanent resident?
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Yes
No
Other
If 'other', please explain:
Have you met this particular cat?
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Why do you want to adopt a cat?
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Why would you make a good adopter?
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Why do you think you would be a good match for this particular cat?
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Have you previously applied for a cat with Heart and Soul? (If yes, which cat?)
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Please indicate the number of adults (including yourself) in your home:
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Please indicate the number of children in your home and their ages:
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Is anyone you live with allergic to cats?
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Yes
No
Unsure
Please indicate the number of cats in your home, and list the following information for each animal below: name, age, sex, behavioural description, indoor or outdoor.
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Please indicate the number of dogs (or any other pets) in your home, and list the following information for each animal below: name, age, sex, behavioural description, indoor or outdoor.
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Are there any un-spayed or unneutered cat(s)/kitten(s) in your home?
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Yes
No
If yes, please indicate age of cat that is un-spayed or unneutered in your home:
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Have you ever had a cat before? If yes, explain:
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Did your other cat(s) die or did you rehome them? Please indicate the circumstance:
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Where will the cat spend its time?
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Indoors and Outdoors
Mostly Outdoors
Mostly Indoors
Indoors only
Please explain:
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Are there any behaviours a cat might do or not do, that would bother you?
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(eg. scratching furniture, knocking things off shelves, loud or incessant meowing, peeing outside litter box, waking you up in the middle of the night, overactivity, aggressive play, biting or scratching, not getting along with other pets, not wanting to be picked up or held, etc.)
Do you plan to declaw your cat?
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Yes
No
What brand of food do you feed your cat(s)/kitten(s) or plan to use?
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Do you feed wet food?
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How much do you expect to spend per month on cat food, litter, and other needs?
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$10 - $25
$35 - $80
$85 - $95
$100+
Where will your cat(s)/kitten(s) sleep?
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Who will care for your cat(s) kittens(s) on a daily basis?
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Me
Other
How many hours per day, on average, are you away from home?
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0-4
4-8
8-10
10+
If you go away, where will they stay? Who will take care of them?
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Please indicate your type of residence (House, Condo, Apartment, Townhouse, etc.):
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Do you own or rent?
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Own
Rent
If you rent, please provide name and phone number of landlord:
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Are you intending to move within the next year?
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If something were to happen and you can no longer take care of the cat(s)/kitten(s), and you had to give the cat(s)/kitten(s) away, which would you choose?
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Cats are a lifelong commitment. Do you agree to try and have the cat for the length of its life, and if not contact Heart and Soul Dog and Cat Rescue Society?
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Yes
No
Who is your veterinarian?
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If an unexpected medical condition or emergency came up, would you be able and willing to provide the necessary medical care needed?
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Yes
No
What amount would you be able to spend if a medical emergency were to come up?
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How often do cats need to go to the veterinarian?
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Once a year
Every 5 years
Only when a problem arises
How long do cats live?
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5 years
10 years
15-20+ years
If you are unable to keep the adopted cat, do you agree to return the cat to Heart and Soul?
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Yes
No
When would you be ready and able to welcome a cat into your home?
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Any additional information you would like to provide?
You agree that all the information on this application is true and complete and that you fully understand all of the questions. You further understand that any falsified information will terminate the adoption process. You authorize the release of any records relating to the above information. Heart and Soul Dog and Cat Rescue Society reserves the right to refuse any application they deem unsatisfactory. The completion of this form does not guarantee that you will be able to adopt a cat/kitten.
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Name
*
First Name
Last Name
Date
*
MM
DD
YYYY
Would you like to be considered to foster for Heart and Soul Dog and Cat Rescue Society?
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Yes
No
TO COMPLETE YOUR APPLICATION, PLEASE SEND PHOTOS OF YOUR HOME TO: heartandsouldogandcatrescue@gmail.com
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