FELINE ADOPTION APPLICATION

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Staff Only - Landlord Approval
Approved
Denied
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Staff Only - Application Approved
Approved
Denied
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Please upload a copy of your ID.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Cat ID#Find the Cat ID# on the pet's kennel card or ask Animal care staff for assitance!
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Are you willing and able to make a LIFETIME commitment to the care of this pet (15+ years)?* This field is required.
Yes
No
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Name* This field is required.
First Name
Last Name
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Address* This field is required.
Street Address
Suite/ Apartment #
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Primary/ Cell Phone:* This field is required.
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Secondary/ Home Phone:* This field is required.
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Email Address:* This field is required.
example@example.com
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SOURCE OF INCOME* This field is required.
Employed
Retired
Other
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Name* This field is required.
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Phone:* This field is required.
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I live in a:* This field is required.
House
Apartment
Condo
Mobile Home
Other
15
I Own, Rent/Lease, or Other* This field is required.
Own
Rent/Lease*
Other
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*Landlord Name:* This field is required.
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*Landlord Phone:* This field is required.
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Do you have any children/grandchildren in your home?* This field is required.
Yes
No
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Age(s) of Children/Grandchildren:* This field is required.
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Does anyone in the household have allergies to animals? Please check all that apply* This field is required.
Dogs
Cats
Other
None
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Have you owned any pets within the last 5 years?* This field is required.
YESNO
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Pet's Name* This field is required.
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Pet's Breed* This field is required.
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Pet's age* This field is required.
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Pet's sex* This field is required.
Male
Female
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Is this pet sterilized?* This field is required.
Yes
No
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Is this pet kept indoors or outdoors?* This field is required.
Indoors
Outdoors
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How long has this pet been in your care?* This field is required.
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Is this pet licensed?* This field is required.
Yes
No
I don't know
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Do you have another pet to enter?* This field is required.
YESNO
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Pet's Name* This field is required.
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Pet's Breed* This field is required.
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Pet's age* This field is required.
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Pet's sex* This field is required.
Male
Female
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Is this pet sterilized?* This field is required.
Yes
No
36
Is this pet kept indoors or outdoors?* This field is required.
Indoors
Outdoors
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How long has this pet been in your care?* This field is required.
38
Is this pet licensed?* This field is required.
Yes
No
I don't know
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Do you have another pet to enter?
YESNO
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Pet's Name* This field is required.
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Pet's Breed* This field is required.
42
Pet's age* This field is required.
43
Pet's sex* This field is required.
Male
Female
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Is this pet sterilized?* This field is required.
Yes
No
45
Is this pet kept indoors or outdoors?* This field is required.
Indoors
Outdoors
46
How long has this pet been in your care?* This field is required.
47
Is this pet licensed?* This field is required.
Yes
No
I don't know
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Do you have another pet to enter?* This field is required.
YESNO
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Pet's Name* This field is required.
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Pet's Breed* This field is required.
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Pet's age* This field is required.
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Pet's sex* This field is required.
Male
Female
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Is this pet sterilized?* This field is required.
Yes
No
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Is this pet kept indoors or outdoors?* This field is required.
Indoors
Outdoors
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How long has this pet been in your care?* This field is required.
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Is this pet licensed?* This field is required.
Yes
No
I don't know
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Do you have more pets on property that you own?* This field is required.
YESNO
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Describe any remaining pets on property you own.
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Are there other animals on property that are not owned by you?* This field is required.
YESNO
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Owner's NamePet #1
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Pet's NamePet #1
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BreedPet #1
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AgePet #1
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SexPet #1
Please Select
Please Select
Male
Female
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Sterilized?Spay/Neutered, Pet #1
Please Select
Please Select
Yes
No
Unsure
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How long has pet been at residence?Pet #1
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Is this pet licensed?Pet #1
Please Select
Please Select
Yes
No
N/A
I don't know
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Is there another pet on property?Pet #2
YESNO
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Owner's NamePet #2
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Pet's NamePet #2
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BreedPet #2
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AgePet #2
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SexPet #2
Please Select
Please Select
Male
Female
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Sterilized?Spay/Neutered, Pet #2
Please Select
Please Select
Yes
No
Unsure
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How long has pet been at residence?Pet #2
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Is this pet licensed?Pet #2
Please Select
Please Select
Yes
No
N/A
I don't know
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Is there another pet on property?Pet #3
YESNO
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Owner's NamePet #3
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Pet's NamePet #3
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BreedPet #3
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AgePet #3
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SexPet #3
Please Select
Please Select
Male
Female
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Sterilized?Spay/Neutered, Pet #3
Please Select
Please Select
Yes
No
Unsure
84
How long has pet been at residence?Pet #3
85
Is this pet licensed?Pet #3
Please Select
Please Select
Yes
No
N/A
I don't know
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Is there another pet on property?Pet #4
YESNO
87
Owner's NamePet #4
88
Pet's NamePet #4
89
BreedPet #4
90
AgePet #4
91
SexPet #4
Please Select
Please Select
Male
Female
92
SterilizedSpay/Neutered, Pet #4
Please Select
Please Select
Yes
No
Unsure
93
How long has pet been at residence?Pet #4
94
Is this pet licensed?Pet #4
Please Select
Please Select
Yes
No
N/A
I don't know
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Are there more pets on property?Pet #4
YESNO
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Describe any remaining pets on property.
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Where will the cat be kept during the day?* This field is required.
Inside Home
Outside Home
Garage
Kennel
Yard
Other
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Where will the cat be kept during the night?* This field is required.
Inside Home
Outside Home
Garage
Kennel
Yard
Other
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Where will the cat be kept when you travel? (friend, relative, neighbor, etc)* This field is required.
100
Where will the litter box be kept?* This field is required.
Inside Home
Outside Home
Garage
Other
Not Applicable
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Will you declaw this cat?* This field is required.
Yes
No
Not Applicable
102
Do you plan on moving in the next 3 to 6 months?* This field is required.
Yes
No
103
Can you cover any illness that may occur after adoption?* This field is required.Illnesses such as Panleukopenia, URI's Worms, etc.
Yes
No
104
Do you have the time to allow the cat 3 weeks to 6 months to fully adjust to be comfortable in their new home?
Yes
No
105
Are you adopting a kitten? * This field is required.AFV considers kittens any feline one(1) year or younger of age.
YESNO
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Please ask yourself the following questions;

1) Can I afford to treat an illness?
2) How much can I spend on veterinary care?
3) If your kitten becomes ill and passes away, will the family be able to cope with the loss?
4) Do you have the right lifestyle to keep up with an energetic kitten?
5) Do you have the right tools to keep the kitten busy while away to avoid destructive behaviors?

All kittens, including purebreds, are at risk of disease. Animal Friends of the Valleys does its best to only healthy kittens for adoption.
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Please Initial* This field is required.I have read and I understand the information from the previous section.
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All dogs and cats are given their 1st set of vaccines. It is highly recommended to follow up with a booster within 30 days from the initial vaccine given. Low cost vaccinations are available at our Spay/Neuter Clinic with an appointment. An adoption counselor will provide you with a clinic flyer that includes the hours, directions, and pricing upon asking.
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APPLICANT SIGNATURE:* This field is required.By signing, I hereby release Animal Friends of the the Valleys from liability from any injury or incident incurred to myself and all members of my party. I certify the information on my application is true to the best of my knowledge.
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DATE:* This field is required.
Date
Month
Day
Year
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Animal Friends of the Valleys reserves the right to reject any application.

If you are at the shelter for you adoption, Please pull a number at the front reception and we will call you as soon as we can! See you soon!
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