Cat Adoption ApplicationCat Adoption ApplicationContact InformationFirst NameLast NameAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweEmailWhich cat are you applying for?Household InformationDo you Own RentIf renting, any pet restrictions?If renting, landlord contact informationDo you live in- Select -HouseCondo/ApartmentParent's HomeHow many people in your household? Ages of children under 18, if any?Do children regularly visit your home?Are you over 18?- Select -YesNoOccupation?Do your pets get regular vet check-ups?Are your pets current on vaccines?If not current on vaccines, why? Do you use flea and tick preventative?My Home EnvironmentActivity level in my household is Low Medium HighActivity level in my neighborhood is Quiet and rural Somewhat active/Suburban Busy/UrbanOn average, my home will be without people ____ hours a day ____ days a week?When home alone, my cat will be...In a crateConfined to a roomYard/GarageLoose in homeOutsideMy cat will sleep in _______________Reason for wanting a cat?CompanionMouserFor ChildrenGiftBreedingIf I move, my plan for my pet is:It’s most important to me that my catWhat would cause you to give up a catWhat is your plan if the cat needed unexpected vet careWill your cat be an indoor, outdoor, or indoor-outdoor cat? If Outdoor, how long after adoption will you start letting your cat go out?Have you ever declawed a cat? If your cat stops using the litter pan, you will: Do you agree to surrender your cat back to MMHRS in the event you no longer can care for them, or provide them with new owner contact and opportunity to approve new owner?ReferencesCurrent VeterinarianFirst NameLast Name*Please let the vet know to authorize us to call and discuss with your vet and ensure your pets are up to date on neuter/spay and vaccines*1st Non-relative referenceFirst NameLast NameRelationship and How long known2nd Non-relative referenceFirst NameLast NameRelationship and How long known*3rd Reference may be Kitsap Humane Society* I consent to having this website store my submitted information so they can respond to my inquiry I have read and understand the above application and have filled out this form honestly to the best of my ability and certify the above true and am in agreement with the aboveSubmit Form
