AHHA RESCUE Adoption Application

Almost Home Haven for Animals

Adopt@ahharescue.org
PO BOX 31, EAST PALATKA, FL 32131
ADOPTION APPLICATION
This questionnaire is designed to help Almost Home Haven for Animals and yourself determine if a specific pet is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. AHHA reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
Applicant Information
Name of the pet you are interested in:*
Adoption type:*

Foster to adopt (one week sleepover with serious intent of adoption).Foster onlyOutright adoption
Your Name*

First NameLast Name
Driver license number and state *
Your age:*
Street Address:*
City, State, Zip*
Cell Phone:*

Area CodePhone Number
You will be contacted via text at the cell number you provide regarding your application.*

AcceptDecline
Employer:*
Work Phone:*

Area CodePhone Number
E-mail:*
Character reference name:*
Reference’s Phone Number:*

Area CodeNumber
Household Information
Names, ages, and relationship of all members of your household including roommates.*
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeOther
Do you own or rent?*

OwnRent
If renting does your landlord allow pets?*

YesNoNot applicable
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Does anyone in your home have allergies to pets or have asthma?*

YesNo
If yes, how do you plan to handle the allergies?
If a friend or family member had to emergently move in with you and had cat allergies, how would you handle that?*
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages*
Where are these animals now?*
How many of these pets are spayed/neutered?*
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Name and phone number of current or previous veterinarian *

NamePhone number
Have you ever had a cat declawed?*

YesNoNot applicable
Will you have this cat declawed?*

YesNoNot applicable
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
How many hours each day will your new pet be home alone?*
My pet will be outside:*

All the time or most of the timeNeverSometimes
If “Sometimes” selected above, please explain
Where will your new pet sleep at night?*
Are you aware that a new environment may be stressful for your pet and they may need an adjustment period while they adapt to their new surroundings and are you willing to give them the time needed?*

YesNo
Are you willing to work through your new pet's issues, if any?*

YesNo
Do you understand that a pet can be an 18 year commitment, and can cost upwards of $1000 per year to care for?*

YesNo
If you were suddenly unable to care for your pet(s) due to illness, need for assisted living, losing your home, or any other reason do you have a plan in place for your pet(s)? Please describe below:*
How did you find out about Almost Home Haven for Animals (AHHA)?*

Petfinder.comFacebookAdoptapet.comFriend/Family MemberAhharescue.org (Our website)Other websiteOther
Cat adoption fee may vary depending on age and breed, and includes age-appropriate vaccines, spay/neuter, deworming, flea medicine, microchip.*

AcceptDecline
***IMPORTANT*** I understand there may be multiple applications for a kitten/cat and submitting an application does not guarantee I will be selected.*

AcceptDeclineDoes not apply
In lieu of a home visit during these uncertain times, we may ask for a video visit via FaceTime or Zoom so we can ensure a safe environment for your newly adopted pet.*

AcceptDecline
***IMPORTANT***

By submitting this application I understand that I assume full responsibility for the welfare of this pet from the date of adoption and that all above information is true and accurate to the best of my knowledge.

By Submitting this application you hereby agree that you will not use this animal in any sort of fighting, breeding, or cruelty. You will love and care for this animal for the rest of it's life, and you are ready to commit to that. You also agree that if for any circumstances you can longer provide a loving and safe home you will contact an admin of the rescue before taking the animal to a shelter or re-homing on your own.
Application Date*

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty:

Almost Home Haven for Animals

PO BOX 31, EAST PALATKA, FL 32131

ADOPTION APPLICATION

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information