Cat/Kitten Questionnaire

Name of Furry Friend(required)

Name of Applicant(required)

Applicant's Date of Birth (You Must Be 21+ Years of Age to Adopt from Heavenly Paws)(required)

Full Address (House#, Street, City, State, Zip Code)(required)

Contact Information (Home, Cell, Work phone numbers)(required)

Email(required)

Your occupation, employment, or means of financial income:

How many adults live in your home?(required)

How many children live in your home? What are their ages?(required)

Information regarding the pets you have had within the last 5 years: (Pet Names, Owner's Name on Vet Records, Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, currently living with you):(required)

Do you own or rent your home?(required)

Own Rent

If you rent, will you send a copy of your lease/pet addendum to rescue@heavenlypawsmi.com within 24 hours, for further consideration?(required)

Yes I Do Not Rent

Where will the cat/kitten live (indoors, outdoors, both)?(required)

Indoors Outdoors Both

Where will the cat/kitten sleep?(required)

What will you do with the cat when you go on vacation?(required)

Are you willing and able to accept full responsibility for expenses required to manage the cat/kitten’s medical care, supplies, and overall well-being for the life of the animal?(required)

Yes No

Please provide the name, address and phone number of your current veterinarian, as well as the names and contact information for other vets your animals have seen for medical care.(required)

What is your opinion on spaying and neutering? (required)

What is your opinion on declawing?(required)

How would you handle behavioral challenges?(required)

Why have you chosen to adopt a pet from a rescue?(required)

Please list at least 2 personal references that we may contact (include name, relation to you, phone number and email). This information will be kept private):(required)

Have you or any member of your household ever had an allergic reaction to pets? If yes, how do you plan to address this condition?(required)

How many smokers live in your household?(required)

1-3 None

My signature verifies that all statements given here are complete and accurate. I also provide my consent for a Heavenly Paws of MI representative to conduct a forever home visit prior to, or following an adoption, if requested. If for any reason I decide to surrender the animal in the future, I agree to return the animal back to Heavenly Paws of MI.

Heavenly Paws

Cat/Kitten Questionnaire

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Cat/Kitten Questionnaire

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