Cat Application The HUA adoption contribution is $75.00 per cat.This helps offset the cost of having the cat altered and vaccinated, and for any medical interventions deemed necessary. NOTE: IF YOU DO NOT RECEIVE AN EMAIL NOTIFICATION FROM AN ADOPTION COUNSELOR WITHIN 72 HOURS PLEASE CHECK YOUR SPAM FOLDER! IF YOUR SPAM FOLDER REMAINS EMPTY PLEASE EMAIL [email protected]. First Name* Last Name* Email (please furnish for faster communication) Street Address* City* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code* Home Phone Work Phone Cell Phone* Why do you want to adopt a cat?*Which HUA cat are you interested in? Or please list any preference you have in adopting a cat (age, gender, breed, personality).*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 a guardian to a pet before?* Yes No If yes, please describe those pets that are currently with you (type, age, sex, altered status):*If yes, please describe those pets that are no longer with you (type, age, sex, altered status):*If yes, 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 pet(s).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?How many people reside in your household and what is their relationship (i.e. mother, father, brother, sister, roommate)?Please list the age of each household member:Does anyone in your household have allergies?* Yes No Do you own or rent your residence?* Own Rent What type of home do you live in?* Single Family 2 Family (Duplex) Condo Apartment Farm Where will the cat stay during the day (inside, outside, both)? Please be specific. If inside the house, where inside the house?*Will anyone be home during the day?* Yes No Where will the cat stay during the night (inside, outside, both)?*How much time will the cat spend outside?** How many hours will the cat be left unattended?* Where will the cat sleep? What do you intend to feed the cat? Please be specific regarding brands of food.*How will you litter train the cat?*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?*Please provide a ReferenceFirst Name* Last Name* Address* Phone* Acceptance* I represent that the information that I have provided on this form is the truth to the best of my knowledge and belief. NOTE: IF YOU DO NOT RECEIVE AN EMAIL NOTIFICATION FROM AN ADOPTION COUNSELOR WITHIN 72 HOURS PLEASE CHECK YOUR SPAM FOLDER! IF YOUR SPAM FOLDER REMAINS EMPTY PLEASE EMAIL [email protected].