Adoption Agreement Form Page 2

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ASAP ADOPTION CONTRACT
__________________________
Cat name(s)
The average lifespan of a cat is about 15 years. Are you prepared to make a
q Yes
q No
long-term commitment to owning a cat?
Are you prepared to assume financial responsibility for your new cat? Have you
q Yes
q No
considered the cost of food, litter, other supplies, and regular or extraordinary
veterinary care should your cat become ill?
In the event that the cat becomes ill within two weeks of adoption, you may call ASAP and request assessment by ASAP
veterinary staff. Please refer to the back of your cat’s vet record for instructions. If the cat receives any treatment at any
veterinary facility without ASAP Board approval, treatment and/or veterinary costs will not be reimbursed.
Do you understand the two-week veterinary policy period and procedures for
q Yes
q No
veterinary treatment and reimbursement following adoption?
Adopter, please initial here:
_________________________
All cats benefit from living indoor-only, but some cats must be kept indoors. Certain physical features such as light-colored
(e.g., white or pink) ears and/or noses require that the cat not have direct or prolonged sun exposure because of the danger
of cancer. A declawed cat must be kept indoors at all times.
Will your new family member be an indoor-only cat?
q Yes
q No
Volunteer, initial if this cat must be indoor only:
_________________________
Cats require time to get accustomed to their new owner, home, and surroundings. Additionally, coyotes pose a significant
danger throughout our community. The danger is especially high at night, and near sundown and sunrise.
If your cat will be indoor/outdoor, do you agree to keep it confined indoors for
q Yes
q No
a minimum of two weeks following adoption, allowing time for it to acclimate
q N/A, indoor only
to the new environment?
If your cat is to be an indoor/outdoor cat, do you agree to confine it indoors
q Yes
q No
each night before sundown and until after sunrise?
q N/A, indoor only
Adopter, please initial here:
_________________________
Kittens must be kept strictly indoors until they are a minimum of six months
q Yes
q No
old. If you have chosen a kitten, do you agree to keep it indoors until it is at
q N/A, adult cat
least six months of age?
Do you agree not to declaw this cat/these cats?
q Yes
q No
I, the a dopter, certify that the preceding information is true and accurate. Additionally, as the new owner of this cat
or cats, I understand the risks of owning this cat, freely accept them, and waive any rights to make a claim against the
County of Santa Barbara or ASAP, or to file a lawsuit against the same in the event that the cat bites, causes injury,
destroys property, or succumbs to health problems that existed before or at the time of transfer.
Signature ________________________________________________________ Date ______________________
For ASAP Lead Volunteer/Adoption Counselor Use Only
Full names of volunteers who obtained homeownership/landlord approval ________________________________________________
Homeowners: Property ownership verified
q Yes
q No
Volunteer initials _____________ Date ________
Renters:
Property ownership verified
q Yes
q No
q N/A _________________________________
Landlord approval obtained
q Yes
q No
Volunteer initials _____________ Date ________
If pet deposit required, has it been paid?
q Yes
q No
q N/A
Have all adult members of the household agreed to this adoption?
q Yes
q No
Volunteer initials ________Date ________
Methods of verification/approval _________________________________________________________________________________
q Adoption approved
Volunteer initials ____________
Date ________
q Adoption denied
Reason for denial: _____________________________________________________________________
Adoption Counseling Checklist
Full names of adoption counselors ________________________________________________________________________________
q Veterinary record q Full copy of this form to adopter q General counseling packet q Behavior counseling, if needed
q Separate room
q Food and litter samples
q Two-week vet care policy
q Introduction to resident pet(s), if needed

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