Adoption FormAPA volunteers will acknowledge your adoption application within 48 hours. If you do not receive a reply by then, please email us at [email protected] Early communications will be via email. Please be sure to check your email account.Name of Cat/Kitten*Cat or Kitten* Cat KittenCat/Kitten AgeBreedDescriptionHave ALL ADULT FAMILY MEMBERS agreed upon adopting a cat/kitten?* Yes NoApplicant InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary Phone*Alternate PhoneEmail* Date of Birth (Must be 21 to adopt)* Month Day YearAre You Presently* Employed Unemployed Retired Military StudentEmployer*Years Employed*PhoneHow Many Adults Live in Your Home?*Please List Names, Relationship to adopter, and Employer*How Many Children Live in Your Home?*What Are Their Ages?*Are Your Children Comfortable With Animals and Understand to Treat Them Kindly?* Yes No N/AHave the Children Been Prepared for a New Animal in the Home?* Yes No N/AGeneral InformationType of Residence* House Apartment Condo Mobile Home FarmDo You Own Your Home?* Rent OwnIf Rental, are pets allowed?* Yes NoIf Rental, Complex Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Manager/Landlord*Landlord Phone*How Long Have You Lived at Current Address?*Do You Plan to Move in the Near Future?* Yes NoDo You Consider a cat/kitten Part of the Family?* Yes NoHow Much Time Are You Prepared to Allow Your New Pet to Adjust to Your Home?*In the Absence of a Caregiver, Who Will Care for the Cat/Kitten?*Do You Plan to Declaw This cat/kitten?* Yes NoIf so, Have you considered alternatives?* Yes No N/APet InformationWhat types of pets are currently in your home?* Dogs Cats Other N/AHave you had any pets under your care in the LAST FIVE YEARS?* Yes NoHow Many?* One Two Three FourPet 1NameAgeType of PetYears in Your CareSpayed/Neutered Yes NoIndoors/Outdoors Indoor OutdoorWhere is the Pet Now?Current on Annual Vaccines? Yes NoCurrent on Monthly Heart Worm/ Flea and Tick? Yes NoPet 2NameAgeType of PetYears in Your CareSpayed/Neutered Yes NoIndoors/Outdoors Indoor OutdoorWhere is the Pet Now?Current on Annual Vaccines? Yes NoCurrent on Monthly Heart Worm/ Flea and Tick? Yes NoPet 3NameAgeType of PetYears in Your CareSpayed/Neutered Yes NoIndoors/Outdoors Indoor OutdoorWhere is the Pet Now?Current on Annual Vaccines? Yes NoCurrent on Monthly Heart Worm/ Flea and Tick? Yes NoPet 4NameAgeType of PetYears in Your CareSpayed/Neutered Yes NoIndoors/Outdoors Indoor OutdoorWhere is the Pet Now?Current on Annual Vaccines? Yes NoCurrent on Monthly Heart Worm/ Flea and Tick? Yes NoPersonal References (can NOT be a family member)Please provide 2 references that are not a family memberName of First Reference* First Last Relationship*Phone*Best Time to Contact?* Morning Afternoon EveningHow do you know this person?*How long?*Name of Second Reference* First Last Relationship*Phone*Best Time to Contact?* Morning Afternoon EveningHow do you know this person?*How long?*Current and Past VeterinarianName of Clinic*Phone*Name of ClinicPhoneHave you ever re-homed a pet or returned an adopted pet to a shelter or rescue?* Yes NoIf yes, Why?What is your plan for this cat/kitten should you no longer be able to care for it?*If approved, I agree to keep this cat/kitten indoor at all times.* I agree that all information is complete and correct.*Please make sure all fields are completed or form will not submit.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
