Cat Adoption Application Cat's Name:* Adopter's Name:* First Last Co-Adopter's Name: First Last Adopter's Phone:Adopter's Email Address:* Adopter's Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Section BreakHow long have you been at this address?* Rent/Own?*Please make a selection.RentOwnName of Landlord/Manager:* First Last Landlord/Manager Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Landlord/Manager Phone Number:*Where will you keep the cat?*Please make a selection.InsideOutsideBothIf you move, will you take the cat with you?*Please make a selection.YesNoAdopter's Employer:* Other source of income: AFDC Alimony/Child Support Disability/Pension Unemployment Co-Adopter's Employer: Other source of income: AFDC Alimony/Child Support Disability/Pension Unemployment Section BreakIs this pet for you?*Please make a selection.YesNoWho is the pet for?* Have you ever had a pet?*Please make a selection.YesNoWhat kind of pet?* Do you still have the pets?*Please make a selection.YesNoWhy not?* Are your pets spayed or neutered?*Please make a selection.YesNoWhy not?* Section BreakDo you have any known allergies to cats?*Please make a selection.YesNoPlease explain:*Do you suffer from asthma?*Please make a selection.YesNoPlease explain:*Are you a frequent traveler?*Please make a selection.YesNoHow often do you travel?* Do you have children?*Please make a selection.YesNoWhat are their ages?* Children may be scratched or bitten by a pet (especially kittens). If you or a child receives a scratch or bite, will this be reason for you to return the animal to the shelter?*Please make a selection.YesNoWould normal wear and tear on household items be a reason to return this animal to the shelter?*Please make a selection.YesNoHave you ever had a pet declawed?*Please make a selection.YesNoAre you interested in having this animal declawed?*Please make a selection.YesNoVeterinarian: Phone:Section BreakAre you financially able and willing to give the cat any medical care it may need?*Please make a selection.YesNoThe life span of a cat may be up to 20 years. Are you prepared to care for this cat for its natural life?*Please make a selection.YesNoDo you have someone who will care for the cat if you are unable to for any reason?*Please make a selection.YesNoName:* First Last Phone Number:*Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Section BreakHow did you hear about us?* Valley Animal Center Website Facebook Twitter Instagram Friend/Acquaintance Vet Office Section BreakThe Adopter hereby understands and agrees that any and all fees charged for the adoption of this animal are non-refundable. The Adopter also understands and agrees that if any animal adopted from Valley Animal Center is not compatible in their household or does not work out for any reason, the animal may be returned within 30 days of the date of this contract. If the Adopter found that this animal was incompatible but would like to exchange him/her for another animal, the animal may be exchanged within 30 days of the contract, pending approval. The Adopter understands that they are only allowed to make a one-time exchange.* I have read and agree to the terms and conditions stated above.After the 30-day period has expired, the Adopter may return the animal to Valley Animal Center only upon approval from the Animal Care Manager and with the requirement of a surrender fee, which will be determined by Valley Animal Center.* I have read and agree to the terms and conditions stated above.Section BreakSubmitting a Cat Adoption Application does not guarantee the Adopter's application will be approved by a Valley Animal Center adoption counselor. After the Adopter's application has been thoroughly reviewed, an animal care associate will inform the Adopter if his/her application is approved or rejected.* I understand.CAPTCHA