Adoption Application

Animal you are interested in adopting
Are there other animals you may be interested in? Also comment if open to options or currently available cats.
Applicant's First Name *
Applicant's Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Date of Birth *
If you are over age 65, please list name/relationship/phone number of person willing to take care of your animals in the event you are permanently unable to care for them:
Drivers License -- please email a copy of your driver's license to info@noahspaws.org (just front side) for your application to be considered complete. *
Is this pet for you or someone else? *
Please list all animals/pets living in your household (regardless of owner), with name, breed and age: *
Are all of your pets spayed/neutered/fixed? *
Are your pets current on their vaccinations, including rabies/distemper? *
For cats in your home, have they been combo tested (with a negative result) for FIV and Feline Leukemia? *
Have you ever rehomed a pet in the past? *
Have you owned any pets in the past 10 years that you no longer have? *
If yes, please explain and include ages?
Veterinarian's Name (for vet reference -- current, past or planned if no pets at this time) * We do check references, so please list vet your current animals have seen most recently. If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code * Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number *
Are you willing to follow proper introductions if you have other pets in your home? *
Do you own or rent your home? *
Please select your current residence type. *
If you answered "other" above, please explain here:
How long have you lived at this address? *
If you rent, does your landlord and lease allow pets? PLEASE EMAIL COPY OF YOUR LEASE showing acceptance of pets to info@noahspaws.org to begin process of application -- your application won't be considered complete until this is received. *
If you lease or rent, how many pets are you permitted to have at a time? *
Including yourself, how many people live in your household? *
Please list the names, ages & relationship of others who live in your home. *
Is everyone in your household aware that you are planning to adopt a pet? *
Does anyone in your household have allergies to dogs/cats? *
Employment Status *
If you chose "other" above, please explain:
If you are employed, what is your current occupation? *
Will this pet be predominantly living inside, outside, or both? *
Where will the animal sleep? *
If you answered "other" above, please explain:
Will you keep the animal up-to-date on vaccinations and (if this pertains to your animals) heartworm preventative? *
What will you do with the animal when you go on vacation? *
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal? *
What would you do with your animal if you had to move? *
If you answered "other" above, please explain:
By checking yes, you understand that you may need to take your newly adopted animal to the vet in the weeks following his/her rehoming, as a change of environments adds stress and makes them more susceptible to ailments? *
A short homevisit is part of our adoption process. Do you agree to allow us to visit? *
By checking yes, I understand that I may not declaw my adopted cat for any reason. *
By checking yes, I agree that if I should become unable to care for this animal, I will return him/her to Noah's Paws. If I adopted two or more they ALL must be returned, and adoption fees are not refundable for any reason. It cannot be given away to anyone for any reason. *
Please list a personal reference that we may contact that is not in your immediate family. PLEASE MAKE SURE THEY ARE ABLE TO RESPOND IN A TIMELY MANNER (include cell phone/email): *
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. I am aware that we cannot guarantee the health and temperament of the animal. Adoption fees are not refundable. *