ACAS - Cat Adoption Application

To ensure your application is processed quickly, please provide all the required information, including your veterinarian's phone number. This helps us verify pet care history and ensures the best match for our available pets.

Animal you are interested in adopting
Applicant's First Name *
Applicant's Last Name *
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.
Street Address *
Apartment Number (if applicable)
City *
State *
Zip Code *
How long have you lived at this address? *	Less than one month 1-2 months 3-6 months 6-9 months 9-12 months 1-2 years 3-5 years 6-10 years 10 + years
Do you own or rent your home? *
If you rent, does your landlord and lease allow pets?	Yes No Unsure N/A
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home.
Does anyone in your household have allergies to dogs/cats?	Yes No Possibly N/A
Please describe in detail the pet you are looking for. *
Please check the main reason you plan to adopt a pet: *
If you have pets, will they adjust to a new pet in the house? *	Yes No Unsure N/A
If you answered "other" above, please explain here:
Do you own other pets at the current time? *
If yes, please list their names, breeds, ages, and how long you have had them. *
How many pets have you owned in the last 5-10 years?
What happened to them?
Are all of your pets spayed/neutered/fixed? *
Are your pets current on their vaccinations? *
Veterinarian's Name * If you have never owned a pet please tell us where you would go.
Veterinarian's Phone Number *
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Have you ever turned your dog or cat into a shelter? *	Yes No
If yes, please explain?
Have you ever had a pet euthanized? *
If yes, please explain:
Will this pet be predominantly living inside, outside, or both? *	Inside Outside Both
How will you handle destructive behavior? *
Will you keep the animal up-to-date on vaccinations? *
If no, please explain:
What arrangements will you make for the care of your pets in case of an emergency? *
If you answered "other" above, please explain:
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:
Are you willing to take responsibility for this animal for the next 10-20 years? *
If no, please explain:
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. You are also aware that we cannot guarantee the health and temperament of the animal.
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