Are you applying to adopt or foster? * Name of the animal you are interested in? * Personal Information Name of the applicant assuming primary responsibility? * Age of applicant? * Name of co-applicant Age of co-applicant Relationship to applicant Address
* Primary phone * Secondary phone Email Address * Current Living Situation From the following, please indicate if you live in a: house, apartment, condo/townhouse, mobile home * Do you own or rent your home? * If you rent does your landlord allow pets Landlords name Landlords phone number Do you have a fenced yard? * Do you have children? * Children's ages Pet History Do you have other pets living in your home? * If yes, please provide breed, name, age and temperament If you have other animals are they Spayed/Neutered If no, please explain Are all your other pets current on rabies shots? If you answered no, please explain What Vet are you presently (or previously) using Clinic Name Vet Name Address
Phone number Have you ever taken an animal you owned to a shelter or animal control? * If yes, how many? Explain Have you ever given a pet up? * If yes, explain the circumstances Who took the pet? Cat Adoptions Only
We do not allow declawing and will require a signed consent to never declaw any adopted cat.
Are you educated on how to introduce new cats to the household? References
Please provide 2 personal references (not relatives)
Name * Phone * Relation * Name * Phone * Relation *
"As a part of our adoption contract, The Hector Foundation, requests that if you decide, at any point in time, that you are no longer able to keep your pet, that you return the pet to us no questions asked. If you have a friend or relative that wishes to adopt your pet, we ask that they go through our adoption process.
I certify that the above information is true and accurate. All information will be verified. I understand that The Hector Foundation reserves the right to reject any application. I understand that the information entered hereon will only be used by The Hector Foundation and will remain confidential.
I understand that The Hector Foundation may repossess my animal if the animal I adopt through The Hector Foundation is not in compliance with the adoption requirements or does not have food, shelter, water, and/or tied out."
Signed Name * Date *
If adopting a cat from The Hector Foundation
I agree to never declaw the cat that I am adopting. If I do not follow through on this agreement The Hector Foundation may repossess the declawed cat and add me to the “Do Not Adopt” list."
Signed Name Date
"If the pet I am adopting from The Hector Foundation is not of age to be spayed or neutered at the time of the adoption I agree to pay for the spay and neuter out of my own pocket. I also, agree that the animal be spayed or neutered before it is the age of six months. I give The Hector Foundation permission to contact my vet to make sure that the spay or neuter indeed did happen. If I do not follow through on this agreement The Hector Foundation may repossess the animal I have adopted from them."
Signed Name * Date *
The Hector Foundation / PO Box 2664 / Casper, 82602/ (307)277-1609 email@example.com