Cat Adoption Application Form

Thank you for your interest in our rescue program and for considering adopting one of our cats. We created the following questionnaire to assist in finding the appropriate cat for you. We ask for your understanding in that we are by no means questioning your integrity. It is our sole intent to ensure your satisfaction and our animal’s welfare. This questionnaire is the first step in our adoption process. Please review the entire Adoption Process so you will be aware of the various steps involved in adopting a rescue animal.

Please allow 24 to 48 hours for us to process your application. We appreciate your time and will contact you shortly.

Please fill out the form below to complete your adoption application:

Contact Information
What are you looking for?
Gender Preference:
Preference in Age:

Hair Length:

What are you looking for in a cat's personality?

Pet-Owning Experience:

Are your pets spayed or neutered?
If not, why?
Are your current pets up to date on:
Heartworm testing/prevention?
Flea and tick prevention?
If you administer your own vaccinations, are you able to provide proof?
How many pets have you owned in the last 10 years?
If you no longer have these pets, what happened?
Your Household
Does anyone in your home have allergies?
Do You:
Type of dwelling:

Will the cat live inside?
Will this be a barn cat?
If so, will the cat be provided with food daily and a heated place to sleep in the winter?
General Information
Have you ever adopted a pet from us?
Have you ever surrendered a pet to us?
Have you ever surrendered an animal?
If you have answered yes to any of these questions, please explain:
If necessary, due to sickness or injury, are you able to spend $500 or more on vet care?
What reasons would cause you to find a new home for your cat? (check all that apply)

Do you understand that some cats or kittens may show signs of stress when you bring them home, such as hiding, aggression or not using the litter box?
Do you have a plan for your cat should it outlive you?


  • You will return the cat to us if you are no longer able to keep it. You must not sell or give away the cat.
  • You are responsible for providing food, water, shelter, exercise, medical care and humane treatment at all times for the cat.
  • We reserve the right, in our sole discretion, to refuse any applicant for any reason.

By submitting this application, I acknowledge that all information on this application is true and correct. I understand that any misrepresentation of facts may result in refusal of adoption privileges to me. If any request for adoption is approved and it is later discovered that the above information is not true or correct, the Tuscarawas County Humane Society reserves the right to remove the adopted animal from my home.