CAT ADOPTION APPLICATION

Please complete the following application and an adoption counselor will be in touch if you are approved or if we need additional information. We always do our best to ensure that our dogs and their humans are a good match, and reserve the right to deny an application if the cat is not the right fit for your family.

After selecting submit at the end of this application, please scroll up to find a message confirming it was sent or if there were omissions on the application.

The Humane Society of Pulaski County (HSPC) strives to assure that the homes in which our cats are placed meet the highest standards of animal care. We reserve the right to deny any adoption request.
Name & Contact Info*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Date of Birth*
MM slash DD slash YYYY

(You must be 21 to adopt)
Email Address*
Daytime Phone*
Alternate Phone
Employer*
Length of Employment?*
What is the name of the cat you want to adopt?*
How did you learn about this cat?*
- Website
- TV
- Facebook
- Instagram
Is this cat to be a gift for someone?*
Have you ever had to give up/surrender ownership of a pet?*
If yes, why?
Would you object to a home visit before adopting?*
If yes, why?
We reserve the right for an authorized representative to make random and unannounced visits and/or follow up to assure adoptions are well. Is that acceptable to you?*
ANIMAL INFORMATION
Have you had any other animals in the past ten years?*
If so, what happened to them?
Please list dogs, cats, or other animals currently in household which the adopted cat will be living and interacting with:
Name Type (Dog, Cat, etc) Age Spayed/Neutered? (Y/N) Vaccinations current? (Y/N) Indoor or Outdoors? Temperament

Click the (+) at the end of the line to add multiple pets
Would you adopt an animal that has health issues?*
What is the veterinary clinic with your pets most recent information/records?*
Non-emergency medical care runs around $150 to $250 for a healthy cat per year. Emergency medical care can be significantly more costly. This does not include food, litter, toys, grooming, etc. Are you willing to commit these resources for the care of your new cat?*
Will you assure that this cat receives required yearly vaccinations, including rabies?*
Are you prepared to deal patiently with problems like clawing furniture or soiling the carpet?*
(Note that even previously litterbox trained cats may require acclimation to their new home. Please be sure that you want a cat badly enough to put up with any behavior issues until a solution can be found.)
HOUSEHOLD INFORMATION
Do you live in a*
Do you own or rent your home?*
Do you live with relatives or extended family members?*
If so, who?
If renting, does your landlord allow pets?*
Does your landlord require a pet deposit?*
Has the deposit already been paid?*
What is the name and telephone number of your landlord?
Do you have space to keep your new pet separated from your other animals initially?*
Will your adopted cat be:*
- Indoors
- Outdoors
- Indoor/Outdoor
Are you planning on having your cat declawed?*
FAMILY INFORMATION
Number of adults in your household?*
Please enter a number greater than or equal to 0.
Number of people home during the day?*
Please enter a number greater than or equal to 0.
Number of children in your household?*
Please enter a number greater than or equal to 0.
Ages of Children?
Who will be primarily responsible for the care of the new pet?*
Has everyone in the family agreed to adopt an animal?*
Is anyone in your household allergic to animals?*
Is there anything else you want us to know?
A LIFETIME COMMITMENT
Adopting a companion animal is a great responsibility. You will be sharing your life with a pet (for up to 15 to 20 years) who is totally dependent upon you for food, shelter, clean up, veterinary care, and lot’s of love. Are you willing and able to make this life-long commitment to an animal?*
(Please check the box to confirm acceptance)
Except for medical reasons and extraordinary circumstances, we do not provide refunds for your adoption fee. Are you willing to make the commitment to seek advice or training to resolve any behavioral or medical concerns with your animal?*
(Please check the box to confirm acceptance)
Are you willing to make arrangements that will allow you to take your animal with you should you move?*
(Please check the box to confirm acceptance)
You are responsible for checking to see if the city in which you live requires animals to have a city license. Will you assure that license requirements are followed?*
Will you keep the HSPC ID tag for immediate identification if your pet is lost or injured?*
(Please check the box to confirm acceptance)
PLEASE READ AND ACKNOWLEDGE THE FOLLOWING
Acknowledgement of Medical Care and Responsibility*
I understand the need to keep my cat current on annual vaccinations and preventative care.
Read and Accepted
Liability Waiver*
I understand that the HSPC cannot guarantee the health, temperament, or training of the animal and I hereby release the HSPC from all liability once the animal is adopted.
Read and Accepted
A Commitment to Safety*
I further understand that the HSPC does not adopt cats to be outside pets. Cats adopted from the HSPC upon a home check found outside the home will be reclaimed at that time and returned to the HSPC.
Read and Accepted
Supervision around Children*
I understand that animals should be closely supervised when they are with children.
Read and Accepted
Please Acknowledge*
The information provided in the adoption request questionnaire is true and correct and providing false information is sufficient reason for the Humane Society of Pulaski County to reclaim the animal or animals.
Read and Accepted
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After selecting submit at the end of this application, please scroll up to find a message confirming it was sent or if there were omissions on the application.

Donate Now

Or click here to see other ways to help support HSPC

Shelter and Business Office Address

Humane Society of Pulaski County
14600 Colonel Glenn Road
Little Rock, AR 72210

Hours of Operation

Wednesday - Sunday 11:00am - 5:00pm
CLOSED MONDAY and TUESDAY
Telephone: 501-227-6166

Name	Type (Dog, Cat, etc)	Age	Spayed/Neutered? (Y/N)	Vaccinations current? (Y/N)	Indoor or Outdoors?	Temperament

CAT ADOPTION APPLICATION

After selecting submit at the end of this application, please scroll up to find a message confirming it was sent or if there were omissions on the application.

ANIMAL INFORMATION

HOUSEHOLD INFORMATION

FAMILY INFORMATION

A LIFETIME COMMITMENT

PLEASE READ AND ACKNOWLEDGE THE FOLLOWING

After selecting submit at the end of this application, please scroll up to find a message confirming it was sent or if there were omissions on the application.

Or click here to see other ways to help support HSPC

Shelter and Business Office Address

Hours of Operation

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