ACT Adoption Application Form 🐱

ACT Adoption Application Form 🐱

Complete all required information below. Once reviewed and if approved, we will ont
Please read, fill out form below, then press submit button. Thank you. We look forward to hearing from you!

The cat/kitten you are adopting is spayed/neutered and up-to-date with shots. By submitting this application and contract, you agree:

You will never sell or give this cat to any research laboratory or similar facility.You will keep the cat indoors.

If you have any intention of declawing the cat, you must, instead, return it to ACT.

The home has to have all of their animals under current/active vet care and up to date with shots and vaccinations.

If you have no other pet and want a kitten, you must adopt two kittens.

If you are over 60 years old and want to adopt a kitten or young cat, you need to provide the name of someone who is willing to take the pet should anything happen to you.

If, for any reason, you cannot keep the cat/kitten, you will return it to ACT

In the event you must give this cat to a shelter, you agree that you will only give the cat to a shelter with a no-kill policy.

ACT reserves the right to reclaim the cat/kitten if it deems that this adoption is not in the best interests of the cat/kitten.

ACT makes no representation or warranty regarding the health, disposition or any other quality of the animal or animals you examine prior to adoption or of the animal or animals you adopt. You confirm that you are sufficiently familiar enough with cats and other house pets to make your own judgments regarding their examination and adoption, you hereby waive to the extent permitted by applicable law, and agree not to assert, any claim against ACT or any person acting on its behalf or associated with it, on any theory of liability whatever, including without limitation, for special, indirect, consequential or punitive damages arising out of, in connection with or as a result of your proceeding toward the adoption of or your adoption and care of any animal from or through ACT, and you agree to indemnify and hold harmless ACT and any and all persons acting on its behalf from and against any and all losses, claims, damages, liabilities and related expenses, including fees and expenses of counsel, incurred by or asserted against it or any such person by yourself or any other person, whether or not related to you, in any way arising out of, in connection with or resulting from the condition, behavior or act of any such animal.

I have read the above stipulations and by entering in my name below agree to the conditions.
Full Name*

First NameLast Name
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Employer's Name*
Employer's Phone Number*
Cat Information
Cat's name you wish to adopt*
If unknown, state unknown above
If you are looking for a cat, but haven't seen one on our website, fill out details below and we will contact you with options.
Color*
Age of Cat*
For Age, please state age range. Ex: Kitten, 1-2 years, senior, etc.
Gender of Cat*
Who is the cat/kitten for?*
Who will be primarily responsible for the cat/kitten?*
Cats can live up to 20 years. Are you willing/able to make that commitment?*

YesNo
If you would like a pet with a shorter commitment, consider a senior or older cat. They need homes and will love you just as much. Many of our older cats come from homes where the owner has passed away. They miss having companionship and would be a wonderful addition to your family.

If you are over 60 years old and want to adopt a kitten or young cat, you need to provide the name of someone who is willing to take the pet should anything happen to you. If you wish to let us know who the next caretaker is anyway, please add a name.
Emergency Caretaker's Name
Housing
Where will the cat be kept*

IndoorOutdoorIndoor/Outdoor
Do you*

RentOwnSublet
If renting, does your lease allow cats?

YesNo
What floor do you live on?*
Do your windows have screens?*

YesNo
Do you have a balcony or terrace?*
List those in your home. Please include name, age and relationship to you*
Do you agree to a home visit?*

YesNo
Is anyone in your home allergic to cats?*
Pet History
Do you (or have you) own(ed) a pet?*

Yes (currently own)Yes (past own)No (never owned)
If yes, please list them here. Please list type of pet, how long you had them, gender, if they are spayed/neutered, are shots up to date, where are they now.*
Examples:Casper, cat, 5 years, male, neutered, up to date on shots, at homeAngel, cat, 15 years, female, deceasedPlease know that vet care is important and you should find one ASAP if you have never owned a pet.
If you have cats, have they been tested for FIV and Feline Leukemia? Please tell us the test results*
Do you own a declawed cat?*

YesNo
If you own cats, are they spayed/neutered?*

YesNoI currently do not have a cat
For the pets you do own, are shots up to date?*

YesNoI currently do not have a cat
Veterinarian Information
Vet's name*
Vet's phone*
Vet's address*
Vet's city, state, zip*
Other
Have you ever relinquished a cat to an animal shelter?*

YesNo
If yes, please explain and state name of organization and date of relinquishment.
Cats/kittens can be rambunctious, what would you do if your cat scratched your furniture, rug, drapes, etc., or went to the bathroom outside of the litterbox?*
Please state your feelings about this.
Has anyone in your home been convicted for an animal-related offense?*

YesNo
If yes, please explain
If, for any reason, you cannot keep the cat, you will return it to ACT *

YesNo
References

Please Provide the names and numbers of 2 References. Please be aware that without references no adoption can take place.
First Reference
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Second Reference
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Any additional comments?
Adoption Fees:

All kittens, adults and seniors - $100
Should be Empty:

ACT Adoption Application Form 🐱

Cat Information

Housing

Pet History

Veterinarian Information

Other

References

First Reference

Second Reference

Adoption Fees: