Secondary Phone Number
Which HUA animal are you interested in? Or please list any preference you have in adopting a cat (age, sex, breed, personality).
Why do you want to adopt a cat?
What do you think are the most important responsibilities of being a pet owner?
For whom are you adopting the cat?
Have you ever been owned a pet before?
Please describe those pets that are currently with you (type, age, sex, altered status).
Please describe those pets that are no longer with you (type, age, sex, altered status).
What happened to the pets who are no longer with you? Please be specific.
Under what circumstances would you consider relinquishing a pet?
Please provide the name and phone number of the veterinarian for your pets.
How many people reside in your household and what is their relationship (i.e. mother, father, brother, sister, roommate)?
How much are you prepared to spend per year for cat care including food and veterinary care? Are you financially prepared for injury, accident or illness of a pet?
Does anyone in your household have allergies?
Who will be responsible for feeding and cleaning?
Where will the cat stay during the day and night (inside, outside, both)?
What do you intend to feed the cat? Please be specific regarding brands of food.
Please provide the company name, address and phone number for the place of employment for each adult in the household.
How frequently will the adults be gone away from home on business/ vacation/ trips? And where will the cat stay when you are gone?
How did you hear about Hearts United for Animals?
Do you represent that the information that you have provided on this form is the truth to the best of your knowledge and belief?