ALAS - Cat Adoption Application

Animal you are interested in adopting
Applicant's First Name *
Applicant's Last Name *
Phone Number * Please use the following format 248-555-1212
Alternate Phone Number
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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