Please complete the following application in its entirety, and submit it to a PAHS employee for verification.
Cat's Name*
Cat Adoption Form Download
Name*
Date of Birth*
Driver's License*
Address*
Town*
E-mail*
Phone #*
Place of Employment*
Do you rent?YesNo
Landlord/lady's name:
Landlord/lady's phone:
How long have you lived at your present address:
Do you have any children living in the household? YesNo
If so, how old are they?
How long have you lived at your present address?
If you move in the future, will you ensure the residence allows pets?YesNo
Do you currently have any pets? If so, please indicate how many:
Are they spayed or neutered?YesNo
If no, please explain?
Have your ever adopted from us before?YesNo
Are you a first time pet owner?YesNo
Have you ever surrendered an animal to an animal shelter before?YesNo
If yes, please explain?
Will your cat be:IndoorsOutdoors
Do you understand that: (check the box to indicate “yes”):The adoption fee for your cat is $150The adoption of this cat requires her/him to be spayed/neuteredThis cat can live up to, if not more than, 15 yearsYou will be responsible for the veterinary commitment that your cat will requireThe shelter will take the animal back if you can no longer keep them
Your Veterinarian:
Address:
Phone #:
Name:
Submit now
