Full Legal Name of Applicant Applying *

Please provide middle name. Required for background check.

First Name

Last Name

Birthdate of Applicant Applying *

Must be 18+ years old. We will not respond to applications for anyone under 18 years old.

MM

DD

YYYY

Phone Number *

(###)

###

####

Full Address of Applicant *

We do need the physical address the dog will be living at. Unfortunately we cannot accept PO Box addresses.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is your landlord okay with having a non-declawed cat in the rental? *

Yes

No

Not applicable

What type of home do you live in? *

Single Family House

Apartment

Condo/Townhouse

Duplex

Are all your current pets or pets living in your home spayed or neutered? *

We do require all animals in the home to be spayed or neutered unless a medical reason is present. Please do not apply if your animal is not altered without being able to provide medical reasoning.

Yes

No

Are you prepared financially for annual and emergency care? *

Yes

No

Do you have pet insurance? *

We recommend Trupanion.

Yes

No

Are you looking for an indoor or outdoor cat? *

Indoor

Outdoor

Both-indoor and outdoor

Are you open to litter box training your cat? *

Yes

No

Are you prepared to move forward with the adoption at this time assuming the cat is a match for your family? *

Yes

No

I acknowledge CHDR evaluations cannot guarantee behaviors when introduced to new environments, dogs, cats, etc...although this information can provide experiences reported to Coco's Heart by others, including foster parents. *

Yes

No

Once this application is submitted, you will be automatically redirected to the $25.00 processing fee. If you have already paid this fee, please disregard when redirected. *

I understand

I do not understand

CHDR is located out of the Twin Cities/Hudson WI area and do not require our volunteers to travel. We ask our applicants to be able to come to our area to meet the cat to ensure the match is correct. Is this something you are able to commit to doing in a timely manner? *

We do not have a radius we allow adoptions for but do not ship or arrange transport for our cats.

Yes

No

Would you like to receive a monthly e-mail from Coco’s Heart which includes upcoming events, adoptable animals, and tips on animal safety and wellness? *

Yes

No

I understand that CHDR adoption fees are non-refundable once an adoption finalizes. This includes situations where the cat is surrendered back to CHDR. *

You will also agree to this when signing our adoption agreement.

Yes

No