Online AVCC Application

Which cat are you interested in adopting?

Your name

First name Last name

E-mail

Address

Street address

Street address line 2

City State / Province

Postal / Zip code Country

Phone number

Area code Number

Date of birth

Are you employed?

Name and phone number of employer

Do you have children in the home? If so, what are there ages?

Please list the names of all adults over the age of 18 that reside in your home

Current primary residence

If renting, what is your landlord's phone number?

Area code Number

What is your primary reason for wanting to adopt a cat?

Where will this cat spend most of its time?

Will this cat be kept outside?

Will you keep this cat in a crate?

Yes No

Do you currently have any other pets?

Yes No

Please list current pets in the home, type, ages, breeds and genders

Have they been around other animals before?

Yes No n/a

Are your current pets kept outside or in the garage?

Yes Sometimes No

Are your current pets spayed and neutered

Are your current pets up to date on vaccinations

Do you plan on de-clawing this cat?

Is your current cat de-clawed

Who is your primary veterinarian?

Is everyone in the household in agreement to adopting a cat?

Yes No

When left alone, where will your cat stay?

Is anyone in the household allergic to animals?

Yes No

Who will be responsible for feeding the cat and cleaning the litter box?

Where will you keep the litter box?

How often will you clean the litter box?

If you move, what will happen to your cat?

Have you ever given away or "gotten rid" of an animal?

Yes No

Are you prepared to keep your new feline for its entire life up to 20 years?

Do you smoke cigarettes inside?

Cats are more prone to develop cancers of the mouth and lymph nodes because of secondhand smoke. When cats groom themselves, they lick up the toxic substances that have accumulated on their fur.

Other than minor traffic tickets do you participate in illegal activity that could cause you to go to jail or have any pending legal charges? If you go to jail, what will happen to the cat?

Do you agree to give the cat back to us, if for any reason at any time you are unable to keep her/him?

Provide a reference that is not a family member

First name Last name

Reference person's phone number

Area code Number

May we visit your home before and after adoption?

Yes No

I have answered all questions honestly and am ready to provide a loving, caring, warm home to my new forever cat.

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Online Adoption Application