High Peaks Cat Shelter Adoption Contract

Name: _____________________________________________________________________

Street: (physical address) _____________________________________________________

City/town: ____________________________________________

State: _____________________ Zip: ________________

Telephone (home): _______________________________

Telephone (work): _______________________________

Telephone (mobile): ______________________________

Occupation(s): ______________________________________________________________

Do you live in a house or apartment? ________________________________

If you reside in a rental unit, do you have permission from the landlord to have a cat?
(circle one) yes / no

If the occasion arises that you must move, does the cat move with you?
(circle one) yes / no

Why do you want a cat? _____________________________________________________

__________________________________________________________________________

__________________________________________________________________________

You agree to keep this cat as an ‘indoors only’ pet (circle one): yes / no

You agree to never have this cat de-clawed (circle one): yes / no

If you have other pets, please list them:

__________________________________________________________________________

__________________________________________________________________________

Are they spayed/neutered, and up to date on vaccines? (circle one) yes / no

Do you currently own any animals with ‘special medical needs?’ (circle one) yes / no

If ‘yes,’ please describe:

__________________________________________________________________________

__________________________________________________________________________

If, for any reason, you are unable to care for this cat, you agree to bring him/her back to High Peaks Cat Shelter (circle one): yes / no

Are there children living at your residence? (circle one) yes / no

If yes, how many, and what are their ages:

__________________________________________________________________________

__________________________________________________________________________

Who is your current vet, and what is his/her phone number:

__________________________________________________________________________

__________________________________________________________________________

You agree to receive a follow up call from High Peaks Cat Shelter to see how you and your new pet are doing (circle one): yes / no

HP Cat Shelter reserves the right to refuse any prospective adopter.

Date: _________________________________

Signature(s): ____________________________________________________________

Print your name(s): ______________________________________________________