ADOPTION APPLICATION

For the

Pet(s) Named:

Further Identifying Features:

(Breed/Color/Sex):

Where was pet seen?

(eg. Pet store name and location, Petfinder.com, other)

Name of AVA member you were dealing with (if known):

Name of Applicant:

Address:

Phone:Res:

Bus:

Cell:

Email:

1) Why do you want a cat?

2) Are you interested in an indoor indoor/outdoor outdoor

3) Do you rent or own your home? rent own

If you rent will your landlord accept an animal living in your home? Yes No

4) Do you presently live in a house condo apartment

5) Answer the following questions, if you live in an apartment:

Does your apartment have a balcony? Yes No If so what floor?

Is the balcony enclosed from top to bottom? Yes No

If the balcony is enclosed only partially, are you interested in enclosing it entirely? Yes No (The cost of enclosing an average balcony is approximately $100)

6) If you have children, please answer the following questions:

a) How many children live in your home?

b) What are the ages of your children?

c) Do your children’s friends that commonly visit have pets? Yes No or allergies? Yes No

7) If children other than your own visit regularly, give their numbers and ages:

8) Do all the adults currently living in your home agree with the adoption of this pet: Yes No

9) Is an adult home during the day? Yes No

10) Do cleaning personnel or childcare workers visit regularly? Yes No

11)If you have had a pet before please answer these questions:

a. What type of pet was it?

b. How long did you have the pet?

c. What happened to the pet?

d. If your pet died, what was the cause of death?

e. How long has it been since you have had a pet?

12) If you or your roommates currently have pet(s) please describe his/hers/their personality:

13) If you have or had a cat, what cat food (brand name) did you or are you giving to your pet?

14) For what time period would your cat or kitten be left alone to rest or wait for you?

15) Do you have a friend or relative who would look after your pet/pets when you have to be away from home? Yes No

16) At what age would you spay or neuter your cat?

17) If anyone in your house suffers from cat allergies, answer the following questions:

a) How are you going to live with a cat?

b) What if the allergies get worse?

c) What would happen if anyone in your household were to develop a cat allergy?

18) Are you planning on declawing your cat(s)? Yes No

19) Do you think you will have sufficient income to meet the occasional extraordinary costs of caring for your pet? Yes No

20) Is there anything else you would like AVA to know about your home before we consider your application?

21) Provide the following information regarding your veterinarian:

Name:

Address:

Tel. No.:

Name of pet that visited above vet