Cat Adoption Application

To adopt a cat from AAA.......

1.) MUST LIVE IN THE LOS ANGELES AREA: Unless otherwise discussed in advance, we will only consider Los Angeles area adoptions. If you do not live in the LA area please check with us before filling out an application.

2.) ADOPTION DONATION & CONTRACT: If we approve you for adoption we ask for a minimum donation of $150 and a signed adoption agreement.

3.) MUST BE 21: Applicant must be at least 21 yerars old/head of household.

Today's Date * +

Name of cat you want to adopt OR describe what you are looking for in general: *

Name (first AND last) *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

What is your age range? *

What is your occupation and and/or what company do you work for? *

Please list the name of each person living in your home. Please specify their relationship to you (spouse, parent, child, etc.) Anyone under 21 years old please specify their age. *

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Are any members of your household allergic to cats? (if Yes, please explain) *

No

Yes Yes

Will you allow a member of Animal Advocates Alliance to come to your home for a "home check"? (If no, please explain) *

Yes

No No

In what type of dwelling do you live? *

Do you own or rent? (If you rent please provide landlords name and phone number) *

Own

Rent Rent

How long have you lived at your current residence? *

Why do you want to adopt a cat? (check all that apply) *

Do you live in an area where there are coyotes? *

Yes

No

Do you live on a busy street? *

yes

No

How many hours a day will the cat be left without human companionship? (Please provide as much detail as possible about your schedule with regard to the animal being home alone)
*

Please provide a detailed explanation/description of the area where you plan to leave your cat when he/she is home alone. *

Please provide a detailed explanation/description of the area where you plan for your cat to sleep at night: *

Will your cat be allowed on the furniture (couch, bed, etc.)? (If no, please explain) *

Yes

No No

Will your cat be an indoor cat, outdoor cat or both? *

Indoor only

Outdoor only

Both indoor & outdoor

How will your cat be cared for when you go out of town? *

Petsitter stays at my house

Cat will stay at friend/family members house

Cat will stay at a kennel

Cat will stay at the veterinary hospital

Neighbor/friend will stop in to feed/check on cat

Other Other

What provisions will you make for your cat in the unfortunate event that you become unable to care for him/her? (EX: you become ill, you are in an accident, you experience finacial difficulty, etc.) *

Under what circumstances would you consider giving up/getting rid of your cat? (check all that apply) *

Please list ALL pets that you CURRENTLY own. Include the following information: breed, age, gender, length of time in your care, indicate if they are or aren't spayed/neutered: *

Please list ALL pets that ALL adult family members have PREVIOUSLY owned. Include the following information: breed, gender, indicate if they were or weren't spayed/neutered, length of time you owned them, what happened to them (if they died please indicate how, if you gave them away please indicate circumstances):

*

If you currently own a cat or cats have they been FIV/FELV tested? (If no, please explain.) *

Do not currently have any cats

Yes, tested negative

No No

Are your current pets up to date on vaccines? (If no, please explain) *

Yes

No No

Have you ever or would you ever consider having a cat declawed? (If yes, please explain) *

No

Yes Yes

Have you ever surrendered a pet to an animal shelter? (If yes, please explain) *

No

Yes Yes

Have you ever had a pet euthanized? (If yes, please explain) *

No

Yes Yes

Have you ever allowed a pet to breed (get pregnant or impregnate another dog) ? (If yes, please explain) *

No

Yes Yes

Will your cat wear a collar and ID tag? (If no, please explain) *

Yes

No No

If your cat escapes/disappears, which of the following would you do? *

How do you anticipate your current pet(s) will react to the new cat? (if you do not have any pets please write "N/A") *

Have you ever applied to adopt an animal from another rescue organization? (If yes, please state when you applied and describe the outcome) *

No

Yes Yes

Please provide the name, city & phone # of your veterinarian or animal hospital: *

Is there a limit on the amount you are willing to spend on your cat's veterinary care on a monthly, yearly or per-incident basis? (If yes, please explain) *

No

Yes Yes

Would you consider putting your pet to sleep if he/she required a surgery/treatment that is beyond what you are able/willing to spend? (If yes, please explain) *

No

Yes Yes

Are you prepared to take responsibility for this cat for the rest of his/her life, knowing that cats have a life expectancy of 15-20 years? *

Yes

No No

Is there anything else you would like us to know? Please add any additional information you want us to consider when we evaluate your application: *