NSAH-ADOPTION-APPLICATION

Nurturing Souls Animal Haven

Adoption Application
Mission: Provide care, comfort and compassion to all animals in need while engaging the community to foster kindness and empathy for all living beings.

The adoption process includes a home visit with your family. Nurturing Souls Animal Haven (NSAH): is committed to placing each animal carefully-according to his/her needs and yours. In order to be considered as an adopter, you must:
- Be 21 years of age or older
- Have the knowledge and consent of your landlord and/or all people residing with you
- Be able and willing to spend the time and money necessary to provide training, medical treatment and proper care for a pet
- Be willing for a NSAH representative to come and see where the cat/dog will be living
1. Information about Applicant (Please Print)
Name of adoptable animal you are interested in:
What type of animal are you adopting?

DogCatOther
Name of Applicant
Street Address
City
State
Zip
Phone
Best Time to Call
Email
example@example.com
Occupation
Number of adults in the household
Number of Children in the household
Ages of Children in the household
Is someone home during the day?

YesNo
Who?
How many hours a day will the cat/dog be without human companionship?
Do you

OwnRent
If you rent, please list the name and phone number of the landlord so we may contact him/her regarding approval for a cat to live in your home:
Property Manager Name
Phone Number
Do you currently have other animals in the home?

No PetsCat(s)Dog(s)Other
If you have other animals, please list name, species and age
Have your animals been spayed/neutered?

YesNoOther
Vet's Name
Phone Number
Vet's City/Town
Have you ever turned a pet into a shelter?

YesNoOther
Where will the cat/dog live?

Inside OnlyOutside OnlyBothOther
CAT ONLY Adoptions: Are you planning to declaw?

YesNoOther
If you move, will you take the cat/dog with you?

YesNoOther
Traits you prefer (energy level, affectionate, indoor only, indoor/outdoor, etc.)
Behaviors that will most concern you about your new cat/dog?
If you go away for a few days or a vacation, who will care for the cat/dog?
What provisions will you make for the cat/dog should you become unable to care for it?
Comments by Applicant
Signature of Applicant

Clear
Date

MonthDayYear
Date
Nurturing Souls Animal Haven

www.NSanimalhaven.org

810-689-9525
Should be Empty:

Nurturing Souls Animal Haven