Cat Adoption Application

Cat Adoption Application

Application to adopt a cat or kitten
Lillian Allbon Cumberland County Animal Shelter

798 Smith Road, Upper Nappan

Amherst, NS B4H 3Y4

Phone: (902) 661-7297
Once a cat is available for adoption, we will usually receive a number of applications, we will review all applications and choose the one that is the best fit for the cat. Once the successful applicant is advised we will then email or call all other applicants (limited to the first 25 applicants) to advise of the status of the application.

Even if you are not a successful applicant for the animal of your choice, we encourage you to keep checking back and apply for another animal within our shelter!
Date*

MonthDayYear
Date
Are you applying for a cat or kitten? (select one or both)*

CatKitten
Name of animal (if application)
Your Name*

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Email
example@example.com
Primary Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
How do you prefer to be contacted?

Phone CallEmail
Spouse / Partners full name (if applicable)

First NameLast Name
How long have you been at this address*
years
If LESS than 3 years, please add your previous address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you live in a:*
Are pets allowed in your residence?*

YesNo
Landlords Name
Landlord phone number
Please enter a valid phone number.
Are you:*
If you have children living in the household full or part-time, please list their ages
Which member of the household will be responsible for the cat or kitten
Please check all of the following reasons why you are adopting:*

CompanionGiftBreedingFor a childCompany for a pet
If adopting as a gift, for who?

What pets do you own or have owned in the last 10 years?

	Cat or Dog	Breed	Pets age	Sex	Spayed / Neutered?	Still Owned?
1
2
3
4
5
6

Which Veterinarian looked after your pet?
Veterinarians phone number
Please enter a valid phone number.
Do you give permission for the L.A Animal Shelter to contact your vet for more information*
Do you vaccinate your pet(s) annually?*
If you answered No, please provide a reason why?
If you no longer own your pet(s), what became of them?
If you move, what will you do with your cat?*
What will you do with your pet when you go on vacation?*
If not done so already, do you plan to spay or neuter your pet?
If adopting a female, do you plan to let it have a litter before spaying?
Will this be an indoor or outdoor cat?*
How long will your cat be left alone each day?*
hours
What type of I.D will you use for your cat? (ex. ID collar)
Is there anyone within your household that is allergic to cats?
How do you plan to manage this?

Please list the names and contact information of 3 references (not family members)

	Full Name	Contact Information (phone number or email)	Relationship
reference 1
reference 2
reference 3

Signature

Clear
Should be Empty: