Halfway Home Rescue, Inc.
"from homeless to happiness"
 PO Box 712, North Haven, CT 06473 - (203) 985-8338, halfwayhomeonline.com
Adoption Application 

Name:             


Street Address:   


City, State, ZIP: 


Email:            


Phone:
Which of our pets are you interested in?
How many adults live in your household?
What are the ages of children under 18?
How much experience have the children had with cats?
Is anyone in your household allergic to cats or dogs?
Do you own any cats or dogs? Yes No
Who will be responsible for the daily care of this cat?
Will this be an indoor, indoor/outdoor, outdoor cat?
Are you planning to declaw? Yes No
Have you discussed adopting a pet with the other adults in your household? Yes No
Why do you want to adopt a cat/kitten now?
Are you prepared to make commitment to a pet for the next 15 plus years? Yes No
Do you own or rent your home?
If you rent, are pets allowed? Yes No
May we speak to your landlord?
If yes, Landlord's phone #
Name and Phone Number of Vet you use/will use. Vet will be called.
Vet's Name
Vet's Phone
Anything else you would like to tell us?