Cat Adoption Application

Please be aware that cat applications can take a few days to process. Someone from the shelter will contact you with any questions or once the application has been processed.

Application is currently NOT working on some mobile devices!

Cat Adoption Application:
The Darlington County Humane Society has the right to refuse adoption to anyone.
 
  Cat Information (if you have a specific cat in mind)
  Cat Name/Description:
 
  Your Information
  Are you over 18?
  YesNo
  Name (required):
  Street Address (required):
  City (required):
  State (required):
  Zip (required):
  Home Phone (required):
  Cell Phone:
  Work Phone:
  E-Mail:
 
  Description of Residence
  Do you Rent or Own?
  RentOwn
  If you rent, is your landlord aware that you are adopting a cat/kitten?
  YesNoN/A
  # of Adults in house:
  # of Children in house:
  Your cat experience?
  First time cat ownerI've had 1 or 2 catsExperienced/knowledgeable
  What pets do you currently have in your household? (Describe species, spayed/neutered, where kept, time owned, and age) ***Include names (required for vet check)
 
  What pets have you previously had? (Describe species, spayed/neutered, where kept, time owned, and what happened to the pet) ***Include names (required for vet check)
 
 
  Veterinarian Reference
***All fields required; put N/A if it does not apply.***

  What is the name of your veterinarian?
  Veterinarian's Phone Number:
  Important! Is the vet reference under another name? If so, name and reason:
 
  Important! Does this vet do everything for your pet or do you use other resources such as CARA-VAN? If yes, explain:
 
  Additional Notes/Comments:
 
 
  Record Release:
  Please type your full name in the box below as your electronic signature, indicating that you consent to the release
of your records from the veterinarian(s) listed above, for the purpose of conducting a veterinarian reference check
as part of the evaluation of this application. (Most veterinarian require a release)
  Electronic Signature:
 
 
I certify the above is true and that false information may result in nullifying this adoption. I understand that Darlington County Humane Society will verify my references provided above and it may take up to 96 hours for verifications to be completed and for me to be notified of the decision. I also understand that Darlington County Humane Society has the right to refuse adoption to anyone. I understand that no animal can be held for me. I also understand that if for ANY reason, I can’t keep the animal adopted from the Darlington County Humane Society, I will return it to the shelter. I understand that I am prohibited from re-homing the animal to anyone and I must return the animal to the shelter if I can’t continue to keep and care for the animal.