ASAP ADOPTION APPLICATION
Thank you for completing this application and contract. The information that you
provide will help ensure a successful adoption.
Today’s date ______________ Adoption date (ASAP to complete) _________________
Cat #1 ________________________ KC# __________________ Intake date _________
Cat #2 ________________________ KC# __________________ Intake date _________
Name: ____________________________ Spouse or partner’s name: _____________________
Current address (incl. street/unit/city/zip): ___________________________________________________________
Students, please provide home address: _____________________________________________________________
Phone (primary): ________________ Phone (other):_______________ E-mail: _____________________________
You are: q employed full-time q employed part-time q retired q student q other: _________________
Number of hours an adult is usually at home: q all day q out part-time q away 7 or more hours per day
Driver’s license #: ___________________ State: _____ Expires (mm/dd/yy): _________ Volunteer initials: _____
When you have completed this form, please present your license to your ASAP adoption counselor.
Do you own your residence?
If you do not own your residence, please provide the full name and phone number for the owner/landlord:
Name on title of residence (if known): ______________________________________________________________
How long at current residence? ____________________ Do you plan to move in the coming year? q Yes q No
Number of adults in household: _______ Number and ages of any children in household: ____________________
Full names and phone numbers for all adult co-tenants/housemates: ______________________________________
Note: All adult co-tenants/housemates must consent to the adoption.
Do you have consent from all adult household members to adopt a cat(s) or kitten(s)? q Yes q No
Household activity is usually: q low q medium q high
Have you had a cat(s) in the past 5 years? q Yes q No
If yes, do you still have the cat(s)? q Yes q No
If no, what happened to the cat(s)? _________________________________________________________________
List cats in household (include sex, age, and if spayed/neutered): _________________________________________
List dogs in household (include breed, sex, age, and if spayed/neutered): ___________________________________
Has/have the dog(s) lived peacefully with cats?
q Yes q No
List any other pets: _____________________________________________________________________________
What type of cat are you looking for? q indoor only q indoor/outdoor q other: _______________________
Name of local veterinarian: ________________________________ Can ASAP call for reference? q Yes q No
Would you like to receive coupons or promotional material from Hills/Science Diet? q Yes
How did you hear about ASAP? ___________________________________________________________________
To ensure the safety of the cat(s), ASAP reserves the right to conduct a property inspection when applicable. A cat
or kitten is not to be given as a gift. The person completing this adoption application and the following contract is
to be the caregiver of the adopted cat(s) at the address stated above.
(complete other side with adoption counselor)