Noah's Ark Animal Rescue and Placement Pet Adoption Application

Noah's Ark Animal Rescue and Placement Pet Adoption Application The following information is requested so we can assist you in the selection of a new pet. The animal.s welfare is our foremost concern. The consultation process is designed to help us assist you in finding the animal most compatible to your lifestyle.

Please fill in all fields marked with a *
Animal Interested In	*
Applicants Name	*
Address	*
City	*
State	*
Zip Code	*
Phone Home	*
Phone Work
Drivers Licence
Email Address	*
How did you hear about Noahs Ark
Is this your first experience with a pet	Yes No *
Do you have other pets at home	Yes No *
If yes, tell us about your other pets below:

Any additional information on your pets
If you presently own a cat or kitten has it been tested for FIV and Leukemia	Yes No
Results	Positive Negative
If you dont have pets now have you had any in the past	Yes No
If yes, tell us about your past pets below:

Veterinarian's Name
Veterinarian's City, State
Veterinarian's Phone
Approximate date of your last vet visit
Have you ever had to find another home for one of your pets	Yes No *
If yes why
How did you do that
How long have you resided at your present address	*
Do you currently live in a	House Apartment * Condo Other -Please Specify:
Do you	Own Rent *
If renting does your lease allow pets	Yes No
Landlords Name
Landlords Phone
How many people live in your household
Do all the adults know you plan to adopt	Yes No *
Are there any children in your household	Yes No *
Ages
Does anyone in your household have any known allergies to animals	Yes No *
Where will this pet be kept during the day	Inside Outside *
Is anyone home all day	Yes No *
If no how many hours will the pet be left alone in a 24 hour period	*
Where will the pet be kept when alone	*
Are you financially prepared to give your new pet routine and emergency medical care such as rabies vaccinations inoculations preventative medications exams for parasites earmites etc	Yes No *
Would you object to a visit or call from a Noahs Ark representative to see how you and your new pet are doing	Yes No *

CAT/KITTEN ADOPTIONS ONLY:

Do you want the cat for a (select all that apply):	House Pet Mouser Breeder Companion for another pet	Companion Gift Other: Please Specify
Will the cat be allowed outdoors	Yes No
If yes how many hours per day
Do you plan to declaw the cat or kitten	No Yes, Front Yes, All Four
What will you do if the cat claws furniture or shows other destructive behavior
Do you need an explanation of how to introduce a new cat to your current pets	Yes No
Are you familiar with the types of litter to use and feeding recommendations for a cat or kitten	Yes No

You may use this space below to add any information that you want included and considered along with your adoption application.

If you have trouble with this application, you can download our Microsoft Word compatible version HERE