JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cat Adoption Application
Please answer all required questions. Failure to do so will result in an automatic rejection of this application, including absence of landlord contact information. The Ocooch Mountain Humane Society reserves the right to reject any application that is submitted.
In order to become a candidate to adopt you must:
-Be at least 18 years old
-Have knowledge and consent of all adults living in your household
-Have a valid proof of address and provide landlord contact information if a renter
-Understand that OMHS reserves the right to refuse the adoption of any animal for any reason
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Cell Phone Number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Profession
*
Your answer
Have you ever been convicted of a crime?
*
Yes
No
If answered "yes" to above, please explain the circumstances
Your answer
Pet's name you are interested in adopting
Your answer
Do you
*
Own
Rent
Live with Parents
Other:
Is the dwelling a
*
Single Family Home
Apartment
Mobile Home
Duplex
Condo
Other:
Does your landlord allow you to have pets?
*
Yes
No
N/A
Name of Landlord and phone number (if renting)
Your answer
How long have you lived at your residence?
*
Your answer
If you need to move to a new home, please explain what you plan to do with your pet(s)
*
Your answer
How many people live in your household?
*
Your answer
Please list names and ages of adults in the household:
*
Your answer
What are the ages of any children? (if children are present)
Your answer
Are all people in your household aware you are adopting a pet?
*
Yes
No
Why do you want to adopt this pet?
*
Family companion
Companion for other pet
Mouser
Other:
Have you adopted a pet from OMHS before?
*
Yes
No
If yes, what happened to the pet?
Your answer
Have you ever surrendered an animal to the humane society or rehomed a pet?
*
Yes
No
If yes, please explain why.
Your answer
Do you currently have a veterinarian clinic you plan to utilize?
*
Yes
No
If yes, please list the clinic you plan to utilize and the phone number.
Your answer
Please list the animals that you have owned in the past 5 years and include the following information:
Name
Breed/Age
Spayed/Neutered?
Current on vaccinations?
Veterinary clinic(s) utilized?
What happened to your pet?
*
Your answer
Are all the animals you have now up to date on their rabies and distemper vaccination?
*
Yes
No
Other:
Are you considering declawing your new cat?
*
Yes
No
Maybe
If yes or maybe, what are your reasons?
Your answer
Approximately how much do you anticipate spending monthly on all cat supplies (food, litter, toys, etc.) and medical care?
*
Your answer
Will this cat be an indoor cat?
*
Yes
No
Will this cat be allowed outside?
*
Yes
No
Which best describes how much time you spend at home?
*
Rarely
At home when not a work
Someone is usually at home
When you are not home, the cat will be
*
Confined to a room
Have run of the house
Other:
What is the activity level of your household?
*
Quiet
Active
Very Active
What is your past experience with cats?
*
First time owner
Have had cats before
Knowledgeable and experienced
Have any present or former pets bitten another person/animal?
*
Yes
No
If yes, what action was taken?
Your answer
What type of food do you intend to feed your cat?
*
Your answer
How often will you feed your cat? (i.e. twice daily, once daily, free feed)
*
Your answer
It may take your new cat 2-3 months or longer to adjust to its new home. Are you prepared to allow this much time?
*
Yes
No
Other:
What are habits that you consider as ideal habits of a cat?
*
Your answer
What are habits that you cannot tolerate from a cat?
*
Your answer
Are there any behaviors that would cause you to return a cat after adoption?
*
Your answer
How did you hear about our adoption program?
*
Friend/Family
Newspaper
Radio
Petfinder
Website
Facebook
Other:
I recognize that by filling out this application I am not automatically approved for adoption and am not guaranteed the cat I have applied for.
*
Yes
Required
I certify that I have provided information that is accurate (to the best of my knowledge) and if information was falsified or not provided (i.e. landlord contact information) my application will not be considered.
*
Yes
Required
Is there any other information you would like to share or make us aware of?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Web Developer.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report