Cat Adoption Application

Cat Adoption Application
Please fill out this form as completely and honestly as possible. Our goal is to make sure we are making the best match possible.

The Animal Adoption Center cannot guarantee the breed, composition or ages of our cats, as we usually have little to no history prior to them entering the rescue. We make every effort to ensure the cats are healthy.

Our adoption fee is $80, this fee helps us to spay/neuter, vaccinate and care for your new pet during their time spent at the Animal Adoption Center.
Which cat(s) are you interested in adopting?
Full Name *

First Name Last Name
Name of Spouse or Significant Other

First Name Last Name
Age *
Age of Spouse or Significant Other

Physical Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mailing Address *

Mailing Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone *

- Area Code Phone Number
Mobile Phone

- Area Code Phone Number
E-mail *
Your Occupation
Place(s) of Work
Hours at work/week
Where did you hear about the Animal Adoption Center?

Radio Newspaper Friends/Family Community/Adoption Event Other
If you rent, the Animal Adoption Center must receive a verbal confirmation from your landlord in order for your application to be approved.
Do you rent or your home? *

Rent Own
If you rent, please provide your landlord's contact information.

First Name Last Name
Landlord's Phone Number

- Area Code Phone Number
I/We live in a

Single Family Home Duplex/Twin Condo/Townhome Trailer Apartment
How many times have you moved in the last 5 years and what are your future housing plans? *
Would you consider moving into a home that did not allow pets? *
How many people are living in your home? *
(Number of adults and children and their ages)
Are you expecting any major life changes in the next 5 years (marriage, kids, retirement, etc.) and how will you incorporate an animal into those changes? *
Does anyone in your home have animal allergies? *
Does anyone in your home smoke? *
Tell us about your current pets, if applicable.
(species, breed, gender, age)
Are your current pets spayed/neutered?
Current veterinarian's name and phone number
Name(s) of pet seen at this Vet
What happened to your past pets?
Have you ever surrendered, returned or given a pet away? If yes, please explain your reasons. *
Will your cat be kept as an indoor cat or have the ability to go outside? *
Where will your cat be kept at night? *
Why would you like to adopt a cat? *
What qualities are you looking for in a cat? *
(ex. a friendly family member, a mouser, a companion to another cat, etc.)
Do you have experience being a primary care-giver to a cat?
Are you aware that some cats require a period of weeks/months to adjust to their new home/environment/people/other pets? Are you willing to allow for this adjustment period?
The Animal Adoption Center's stand on declawing:

Declawing is a painful and torturous procedure that removes the cat's toes at the first knuckle. Declawed cats must be kept indoors only, since the front claws are a cat’s primary means of self-defense against the many dangers and predators in our area. Declawed cats often experience chronic pain, as well as psychological effects and behavioral problems. If you are looking specifically for a declawed cat, the Animal Adoption Center may have one that is already declawed and ready for a loving forever home.
After reviewing this information, would you be willing to sign a waiver agreeing that you will never declaw your cat? *
What in your mind would justify giving up a cat? (Please check all that apply)

Moving Too time consuming Medical expenses New baby Behavioral problems (ex. scratching, inappropriate elimination Shedding Aggression (towards other animals and/or people Children lost interest Long term medication House breaking problems Special diet Allergies Divorce Not getting along with other pets
Please explain your reasons
What is your emergency back-up plan for this pet if something unavoidable were to happen to you? *
What would you do if your cat suddenly required emergency veterinary care for an illness or injury? Keep in mind that emergency vet care can cost between $250 and $1000. *
If you are unable to keep your cat for any reason will you return it to the Animal Adoption Center? *
Cats can live 20+ years. Are you willing to give this cat a home for the next 10-20 years? *
By initialing below you are agreeing to the following terms:
An Animal Adoption Center representative may visit you and your new pet in your home, by appointment. *
Initial Here
You agree to see a vet regularly for vaccinations or any time of illness or injury. You are aware that a cat can cost anywhere from $200 to upwards of $1000 annually. *
Initial Here
You agree to provide your cat food, water, exercise, shelter, grooming and all needed health care. *
Initial Here
You understand that AAC cats will be spayed or neutered, not just sterilized. *
Initial Here
Please include 2 personal references *
Name, phone number, relationship to you
I accept the animal as is and assume all risks of its ownership, including the risk of injury or damage caused by the animal (such as animal bites). On behalf of myself, my heirs, personal representatives and assigns, I hereby release, discharge, indemnify and hold harmless the Animal Adoption Center of Jackson, Wyoming and its directors, officers, employees, and agents from any and all claims, causes of action and demands of any nature, whether known or unknown, arising out of or in connection with my adoption.

By signing below I am attesting to the truthfulness of my answers. Falsification of any of the above information will be grounds for disallowying the adoption of an Animal Adoption Center animal and possible removal of an adopted animal from my home.

Applicant must be 24 years of age or older. The Animal Adoption Center reserves the right to refuse any applicant.

By signing this, I also promise to not declaw this adopted cat.

Please read the above, check this box, sign, and click Submit
I/We have read and understand all of the above
Applicants Signature *
Co-Applicants Signature
Date of Application *
After you submit this form, it will take you back to the Animal Adoption Center home page. Feel free to email us with any questions: adopt@animaladoptioncenter.org or call 307-739-1881

After reviewing your application, a staff member will call you to discuss the next step in adoption.

Thank you for choosing adoption!
Should be Empty: