If you are applying to adopt a CAT, this is the right questionnaire. If you are applying to adopt a DOG, go to
Dog Application. However, if you want to adopt a CAT and have adopted from Pet Harbor Rescue before, click here for an abbreviated questionnaire.
Congratulations for having the desire to adopt a homeless pet. This is our initial quesitonnaire. After we receive it, we will call you. When finished, submit the form online, mail, or fax.
NOTE!
(1) WE RESERVE THE RIGHT TO VISIT THE HOME WHERE THE CAT WILL LIVE PRIOR TO ADOPTION.
(2) WE RESERVE THE RIGHT TO APPROVE OR DENY ANY ADOPTION FOR ANY REASON AND THE RIGHT TO NOT DISCLOSE THE REASON.
(3) YOU MUST BE AT LEAST 18 TO APPLY.
(4) ALL HUMAN AND CANINE MEMBERS RESIDING IN THE HOME MUST MEET THE CAT PRIOR TO ADOPTION AND
(5) ALTHOUGH WE DO NOT DEFINE A GEOGRAPHIC TERRITORY, WE GIVE PREFERENCE TO LOCAL ADOPTERS. ALSO, ALL ADOPTERS HAVE TO COME TO US (USUALLY THE FREDERICKSBURG, VA AREA) TO MEET/ADOPT THE CAT
Do you understand and agree to the above notice?
Yes
No
Basics:
1. Has anyone in your house ever been convicted of an animal-related charge?
Yes
No
2. How soon are you ready to adopt?
3. How did you find out about us?
About You:
Your first and last name
Street address
City
State
Zip Code
If anyone in the house has an occupation that involves animals in any way, what is it?
Home phone
Cell phone
Your work phone
E-mail
Pet Ownership:
Are there cats currently living in your home?
Yes
No
Are there dogs currently living in your home?
Yes
No
If not, have you ever owned a pet?
Yes
No
What is the name of the cat in which you are the most interested?
Comments:
Please let us know any other information you wish us to consider in placing a pet with you. Here is your chance to personalize this questionnaire.
Your interest is deeply appreciated because every cat or cat we can place is one less that is homeless, hungry, abused, or killed.
By indicating yes and submitting this form, I signify that all information given in this questionnaire is true and correct, to the best of my/our knowledge. And by indicating yes and submitting this form, I hereby further grant consent to Pet Harbor and its volunteers to seek information about me from all named and unnamed sources within this questionnaire, including but not limited to veterinarian, rental agent, personal references, to assist in the adoption process.
Yes
No
PET HARBOR WOULD LIKE TO THANK YOU FOR TAKING
THE TIME TO COMPLETE THIS QUESTIONNAIRE. WE WILL CALL YOU ASAP!
Please note: If you submit a questionnaire & don't hear from us within 48 hours, please
write
webmaster@petharbor.org.
