Until There Are None Adopt One 785.625.5252

DONATE

Dogs
Cats
Adopt
Foster
Volunteer
- Volunteer With Us
- Apply to Volunteer
Help Us
- Donate Supplies!
Help For You
- Local Resources
About
- About Us
- Event Calendar
Contact

Cat Adoption Application

Adoption: Cat

1Applicant

2Family

3Home

4Care

5Preferences

Hidden
Default: Cat Adopter Status
First Name*
Last Name*
Date of Birth*

mm/dd/yyyy
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
Home Phone Number
Work Phone Number
Cell Phone Number*
- Preferred Method of Contact
Employment & Schooling
- Are You Employed?*
  - Yes
  - No
  - Retired
- Name of Employer

Residence
- Type of Residence*
- Please Describe Type of Residence*
- Do You Own or Rent?*
- Does Landlord Allow Cats?*
  - Yes
  - No
- Please Provide Landlord's Name*
- Please Provide Landlord's Phone Number*
Yard Information
Do You Have A Yard?*
- Yes
- No
Is The Yard Fenced?*
- Yes
- No
How High Is The Fence?*

Family & History
- What Type Of Household Do You Have?*
- Please Describe*
Is Any Member Of Your Household Allergic To Cats?*
- Yes
- No
Are You Willing To Take Responsibility For This Cat For The Next 15-20 Years?*
- Yes
- No
- What Provisions Will You Make For The Cat Should You Become Unable To Care For Him/Her?*
Alone Time
- Where Will The Cat Be When Alone?*
- Please Describe Where The Cat Will Be*
- What Is The Longest Time The Cat Will Be Alone (without humans)?*
Behavior & Training
Cats Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Cat Comfortable In Your Home?*
- Yes
- No
Do you understand that the animals’ behavior in the shelter may be different than the behaviors exhibited in the home?*
- Yes
- No
What Behaviors Can You Tolerate (and work on)?
Needs Social Skills*
- Yes
- No
Accidents In The House*
- Yes
- No
Inappropriate Chewing*
- Yes
- No
Excessive Scratching*
- Yes
- No
Separation Anxiety*
- Yes
- No
- Other
  - Yes
  - No
- Please Explain Other Behaviors You Cannot Tolerate*
Personal Reference
Please Provide A Personal Reference
Please Provide Reference's First Name*
Please Provide Reference's Last Name*
Please Provide Reference's Phone Number*
Relationship to Applicant*
Veterinarian Information
Have You Used A Veterinarian Before?*
- Yes
- No
Please Provide Veterinarian's Name*
Please Provide Veterinarian's Phone Number*
Hidden
Do you have a Primary Veterinarian?*
- Yes
- No
Hidden
Please Provide Veterinarian's Name*
Hidden
Please Provide Veterinarian's Phone Number*
Please Provide Which Veterinarian you plan to use*
Please Provide Which Veterinarian's Phone Number*

Reason For Adoption
Do You Have A Preferred Cat?*
Note: This does not guarantee this cat will be placed with you
What is your reason for adopting this animal?*
Is There Anything Else You Would Like to Let Us Know?
I am interested in receiving pet related services and products*
- Yes
- No
Authorization
Authorization:*
I certify that the above information is true and accurate and that falsification of information can be cause for denial of my adoption application. I understand that The Humane Society of the High Plains has the right to refuse my adoption. I understand that if my adoption application is approved that I will be signing a separate adoption contract that will be considered a legal and binding agreement. *
- I agree
Name
This field is for validation purposes and should be left unchanged.

Δ

Sign Up For Our Newsletter

Please sign up for our newsletter for animal related tips and tricks and to get updates on our animals & events!

Name
First Last
eMail Address

Δ

The Humane Society of the High Plains's Sponsor

Let's Get Social

Contribute to Our Wishlist

Amazon Wishlist

Make A Donation

The Humane Society of the High Plains © 2025. All Rights Reserved.

Powered By: Buzz

Site Map

X