Online Application - Cat - Chequamegon Humane Association

How many adults live in your house? *

How many children live in your house? *

Ages of children in the house *

How many children visit often *

Ages of children who visit: *

Are all household members in agreement with the adoption *

Yes No

Does anyone have asthma or allergies to cats? *

Yes No

Is anyone nervous or unsure around cats? *

Yes No

Who will be the primary caregiver for the cat? *

Describe your household activity level. *

Do you currently have pets living with you? *

Yes No

CURRENT PETS

Do your current pets get along with cats? *

Yes No

Do any of your pets have health or behavioral issues? *

Yes No

Please explain any medical/behavioral conditions. *

What veterinary Hospital do you use? *

May we contact your vet to verify your pet's medical records? *

Yes No

Do you & your family have experience owning cats? *

Yes No

Do you have experience being the primary caregiver? *

Yes No

Have you ever surrendered, given away or returned an animal? *

Yes No

Have any of your pets ever had a litter? *

Yes No

PLANS FOR YOUR NEW PET

HOW DID YOU HEAR ABOUT US?

How did you learn about the current animal you are applying for? *

IMPORTANT NOTICE:

CHA reserves the right to refuse any adoption application.
Animals are not placed on a “first come first serve” basis, it based on the best fit for the animal.
The information contained within this application is accurate and not misleading in any way.
CHA reserves the right to contact any individual on this form including veterinarian & landlord.
CHA cannot guarantee the long-term health or temperament of any animal.
CHA will not consider any incomplete applications.

Please make sure all questions are answered and ask a staff member for clarification if necessary. We also ask that you follow up with us regarding your application within five days of submitting it.

By checking the box below, you verify that you have read, understand and agree to the terms listed above. *

I read, understand and agree to the terms listed above.

ONLINE CAT ADOPTION APPLICATION

CURRENT PETS

We Would Love to Have You Visit Soon! We are located at 923 Rail Drive in Ashland, WI.

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