Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Date of Birth
*
MM
DD
YYYY
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Name of cat that is of primary interest?
ASTDR does not guarantee this cat will be available when you get to our final step in the process.
Name of cat that is of secondary interest?
Are you ready to adopt this cat immediately
What qualities/ characteristics are important to your family?
Do you currently have applications submitted with other rescues?
Yes
No
Employment and Title
Do you rent or own?
Own (The property is under my name or my spouses name)
Rent (Property is owned by someone else)
Property type
House(Single or multi family)
Apartment
Condo
Townhouse
Name of property owner/ Landlord
First Name
Last Name
Phone number of property owner/ landlord
(###)
###
####
How long have you lived at your current residence?
Please name all the people living in your home
Include the following: (Name, Age, Relationship)
Has anyone in your household shown allergies to dogs/cats?
Yes
No
How busy is your household on a daily basis?
Current Dog(s)
Name, Age, Breed, Gender, Spayed/Neutered, Comfortable with catss
Current Cat(s)
Name, Age, Gender, Altered, Comfortable with cats. *Please list ALL cats that are in your care.*
Other animals
Current Other Pet Types
Current Vet
**Please contact your vet’s office to authorize them to speak with ASTDR Failure to do so could delay the processing of your application.
Vet's phone number
(###)
###
####
What is the name the vet records are listed under?
First Name
Last Name
If you haven’t been with this vet for your pet’s entire life, please also provide us with your previous vet’s contact information.
Other than current pets, please list ALL pets you have owned in the last 10 years, and what happened that you no longer have ownership.
Please list the vet name and number you used for your previously owned animals
Normally, How many hours will your cat be left alone?
0-2 hours
2-4 hours
4-6 hours
6 hours +
Do you understand that for kittens under 6 months old we are only considering homes that have another young cat or that are interested in a pair to avoid Single kitten syndrome.
*
What would you do with your cat if you had to move?
What would you do if you could no longer keep your cat?
Where do you plan on keeping your cat?
Indoors only
indoor/outdoor
outdoor only
Have you/do you plan on declawing your cat?
Yes
No
Reference #1 *NO RELATIVES *
*
*NO RELATIVES OR ANYONE LIVING IN YOUR HOUSEHOLD
First Name
Last Name
Reference #1 phone number
*
(###)
###
####
Relationship
*
Reference #2 *NO RELATIVES
*
*NO RELATIVES OR ANYONE LIVING IN YOUR HOUSEHOLD
First Name
Last Name
Reference #2 phone number
*
(###)
###
####
Relationship
*
We require photos of the inside and outside of your home, by submitting your application you are aware that one of our volunteers will email you for photos before moving your application on to the interview step
This is in place of a physical home check, and will require photos of each room of your home.
Do you acknowledge that ASTDR is not a first come, first serve rescue an ASTDR reserves the right to determine what is best for our cats at all stages of the application an adoption process?
*
What would you rate your level of willingness to take the careful recommendations of the ASTDR team
*
(i.e fit of particular cat, needs of particular cat, cat needing another cat in home, etc.)
ASTDR is a volunteer & foster based rescue. Due to this we only consider those who are seriously interested in the pet they are applying for prior meeting them. Once approved and a pending adoption is placed on agreed on pet there is still a meet and greet with that pet and that pet only. ASTDR does not do multiple meet and greets. To confirm that you have read this and understand please type in the answer to this question: How did you hear about our organization? *
*
Do you understand that once approved for a pet we require a $100 non-refundable deposit on that pet that comes out of the adoption fee?
*
Additional comments or anything you feel is important for us to know?
*
