Home At Last Animal Sanctuary
PO Box 144
Salvisa, Ky 40372

502-839-1974

Welcome to the Home At Last adoption program. We are happy that you are considering adopting a cat from us. The following information is requested so that we can make the best placements possible for both the cat and you.

In order to be considered as an adoptive parent you must:

• Be 21 years of age or older.
• Have identification showing your present address.
• Have the knowledge and consent of your landlord.
• Be willing to spend the time necessary to provide proper care for the cat.

Completion of this application does not guarantee adoption of a Home At Last animal.

Name of Applicant:

Email Address:   Phone:

Street Address: City:

State: Zip:

Will this be your first companion cat? Yes No

What kind(s) of companion animals have you had?

Which do you still have?

Have they been spayed or neutered? Yes No

What happened to the ones you no longer have?

Will your present animals adjust to a new cat in the house? Yes No N/A

How many adults are there in your household?
How many children?
Children's ages:

Does any household member have an allergy to cats? Yes No

How many hours will the cat be alone during the day?

Do you live in? House Apartment Mobile Home Other

Do you: Own Rent your home?

If you rent, may we contact the owner to obtain permission for this cat to live in your home?
Yes No

Owner's name and phone number:

Where in the house will the cat live? Free-roaming throughout Two Rooms

One Room

What are your feelings about cats getting on the kitchen counters and furniture?

What methods would you use to alter undesirable behavior in this cat?

Who is your veterinarian?
Veterinarian's city or town:

Please list a non-family personal reference (with phone number):

By sending this form you certify that the information provided above is true and correct.