(706) 865-4135

smithgallhumanesociety@windstream.net

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Smithgall Cat Adoption Application

Charles Smithgall Humane Society Cat Adoption Application

Submission of this application is the first step in our process and is not a guarantee of adoption. Thank you for allowing us to place our pets in homes that offer the best fit for their individual needs. This form must be completed by a family member 18 years of age or older.

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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

May we send you important news and event invitations? *

Yes
No

What is the name of the cat you are interested in?

What type of home do you live in? *

House
Apartment
Condo
Loft
Farm

Number of years at this residence? *

Do you rent or own your home? *

Rent
Own

What is your landlord's name and phone #? *

Please list all the people who live in your home and include ages of any children. *

Does anyone have asthma or cat allergies? Please explain. *

Will your new pet live inside or outside? *

Inside
Outside

May we inspect the living arrangements of the new pet? *

Yes
No

What pets do you have currently? *

Are you pets spayed/neutered? If no, why not? If not applicable, write n/a. *

Do your current pets live inside or outside? Please describe. If not applicable, write n/a. *

Are your pets up to date on their shots? If no, why not? If not applicable, write n/a. *

What is your veterinarian's name, business name, and phone #? If not applicable, write n/a. *

Are you willing to accept responsibility for your new pet for the next 10-16 years? *

Yes
No

Under what circumstances would you no longer be willing/able to care for your new pet? *

Who will be responsible for your pet's training? *

When you vacation, what will you do with your pet? *

If you move, what will you do with your pet? *

Do you have a regular source of income? *

Yes
No

How much are you willing to pay annually for your pet's medical costs? *

Have you ever lost a pet or turned one into an animal shelter? If so, what were the circumstances? If not applicable, write n/a. *

Do you agree to abide by the requirements of Charles Smithgall Humane Society and abide by our final decision in the adoption process? *

Yes
No

Walk-ins are not available. Visits by approved adopters only.

Our shelter is located at:
4823 Helen Highway
Sautee Nacoochee, GA 30571

Contact us:
smithgallhumanesociety@windstream.net
(706) 865-4135

Please leave a message. We do not have a live operator answering our phones.

Please mail donations to:
P.O. Box 2090
Cleveland, GA 30528

Charles Smithgall Humane Society is a 501(c)3 nonprofit organization, tax ID 58-1949193. Your donation is fully tax-deductible.

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