EmailMe Form - Animal Life Savers, Inc. Cat Application

We provide this application online, so you can save time by completing it in advance. You must be over 21 to submit an Animal Life Savers cat application.

Date *

MM / DD / YYYY

Cat's name your thinking of adopting? *

CONTACT INFORMATION

Name *

First Last

Name spouse roommate etc. *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Please complete all fields in the address section.

Daytime Phone *

### - ### - ####

Evening Phone *

### - ### - ####

Home Email Address

Work Email Address

HOUSEHOLD INFORMATION

Please indicate how many of the following live in your household:

Adults: *

(over 18)

Children *

(under 18)

What are their ages?

Are all members of the household in agreement about adopting a cat? *

Yes

No

Do you own or rent your home? *

Own

Rent

If you rent please give us your landlord's name and phone number so we may verify that you are allowed to have pets:

How long have you lived in your house/apt.?

Please describe your home. Apartment, single family detached, duplex, etc.

EXPERIENCE

Please note that experience with cats is NOT a requirement for adoption unless specifically stated in the cat's description.

Have you ever lived with a cat before?

yes

no

If yes, how many and please describe your experience(s) and a brief history of what happened to the cat(s).

Has your cat ever produced kittens?

Yes

No

Have you ever given a cat up to a friend, shelter or rescue organization? *

Yes

No

Do you currently have any animal companions at home?

Yes

No

If yes please indicated type of animal and how many:

Are your cats or dogs spayed or neutered?

Yes

No

Are your cats de-clawed?

Yes

No

Do you allow your cats outdoors?

Yes

No

CARE OF THE CAT

Do all adults in the house work full time? *

yes

no

On a typical day how many hours will your cat be left alone? *

Where will your new cat be kept when he/she is alone? *

Where will your new cat sleep? *

Will you de-claw your cat? *

Yes

No

Will you allow your cat outdoors? *

Yes

No

Why do you want a cat? *

Companion, To chase mice, To resuce one....

What would you do with your cat if you can no longer keep him/her? *

REFERENCES

Please provide your veterinarian's name and phone number (if you have one). We will call them as a reference. If you do not have a veterinarian, please provide the name and number of a non-family member that we may contact.

ALMOST DONE!

All of our cats and kittens are tested for fiv/felv, spayed/neutered and receive all of their vaccines. Most of our cats come microchipped. Please be advised that there is a donation fee between $100.00 and $225.00. The donation will go directly to ALS to help defray medical bills. Additional donations are always appreciated to ALS to help feed and house them. Is this acceptable?

Yes

No

Please realize that cats need vet care throughout their lives, including yearly boosters, flea/tick preventive meds, etc. Please consider this before adopting.