JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
A3P Cat Adoption Application
Advocates for Abused and Abandoned Pets (A3P) - CAT ADOPTION APPLICATION
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What pet are you interested in?
Your answer
Applicant Information
Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Driver's License Number
*
Your answer
Full Address
*
Your answer
Years at this Address
*
Your answer
Select your current housing situation
*
Own home
Rent home
Military housing
Other:
Required
Employer & Job Title
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Questionnaire
Does anyone in your household suffer from allergies (pet or otherwise)?
*
Your answer
Is everyone in your household aware of and agreed upon adopting a cat?
*
Your answer
Do you own or rent your home?
*
Own
Rent
Other:
If you rent, do you have your landlord’s written permission to keep a pet(s) in your residence? How many? Please give the name and phone number of the landlord / copy of the lease.
Your answer
Do you have a dog or cat that lives outside?
*
Yes
No
What is the activity level in your home?
*
Low activity
Medium activity
High activity
Required
How many adults live in your household?
*
Your answer
How many children live in your household? What are their ages?
*
Your answer
Current number of pet(s) in the household?
*
Your answer
What are you looking for in a cat?
Have you ever adopted animals from any shelter or humane group? If yes, what did you adopt and from whom?
*
Your answer
Gender
*
Male
Female
No Preference
Required
Age
*
Kitten
Adult
Senior
No Preference
Required
Coat Length
*
Short
Medium
No Preference
Required
Housing
*
Indoor Only
Outdoor Only
Indoor/Outdoor
Required
Other Preferences
*
Note: A3P will not declaw felines
Declaw
Special Needs
N/A
Required
Adoption Interest
What are you interested in Adopting? Check all that apply.
*
Bottle baby kittens
Weaned kittens/puppies 4-5 weeks old
Mom with kittens/puppies
Pregnant mom
Kittens/puppies 5 months to a year
Adults
Special Needs – Medical
Special needs – timid/needs socialization
Other:
Required
Feeding, Medicating and Housing
For how many hours per day will your cat(s) be left alone?
*
Your answer
What will you do with the pet when you’re at work or traveling?
*
Your answer
Who will care for your cat while you are traveling?
*
Your answer
Where will your cat live?
*
Free house access
Outdoors
Free access to outdoors
In the barn
Other:
Required
Do you have a separate room or space where the cat can escape / de-stress, if needed?
*
Yes
No
Do you plan to kennel the pet?
*
Yes
No
What will you do if the cat doesn't get along with your current pet(s)?
*
Your answer
Do you know that the average cat can live to be 15+ years old?
*
Yes
No
Are you able to incur the expense of a cat to include annual shots, emergency care and food?
*
Yes
No
What behaviors would cause you to give up the cat?
*
Illness
Scratching / destructiveness
Hides for the first week
Biting
Litter box problems / spaying
Too active
Growling
Incompatibility with other pets
N/A
Other:
Required
What changes in your home would cause you to give up the cat?
*
Allergies
Illness
Loss of job
Relocation
Pregnancy / new baby
Family member becomes ill
N/A
Other:
Required
Prior / Current Animal History
Please list the animals that have shared your home in the last five years including the following information: Name, Breed, Sex/Age, In/Outdoor, Declawed, Still Own/If not, why?
*
Your answer
Veterinary contact for animals listed above: Name/Phone:
*
Your answer
Do we have your permission to contact your vet for a reference?
*
Yes
No
Have you ever surrendered an animal to a shelter or rescue group?
*
Yes
No
If so, why?
Your answer
References
Please provide the name, relationship, email and phone number for at least 2 references, not including relatives.
Reference #1
*
Your answer
Reference #2
*
Your answer
Reference #3
Your answer
Disclosure
Have you ever been cited or convicted of a crime relating to animal cruelty, or do you have a charge pending? If yes, you will not be able to adopt for this organization.
*
Yes
No
Advocates for Abused and Abandoned Pets is a non-profit organization serving multiple counties with in-home adoptable pets. When you adopt, you must keep your pet safe, healthy and socialized. Adopting implies you will keep your cat for its lifetime. If you are unable to do so, you must contact A3P immediately to return him/her. There are no refunds for returned pets. Please sign and date below.
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report