Indianapolis Animal Care ServicesAdoption ApplicationThank you for applying for the kitty you met at Nine Lives Cat Cafe! Staff Initials * Name(s) of Cat(s) * Bob Fizzy Munchkin Freddy Purrcury Soda Ru Paw Meowshaw P Johnson Name of Cat Bob Fizzy Munchkin Freddy Purrcury Soda Ru Paw Meowshaw P Johnshon Applicant Name * First Name Last Name Date of Birth * MM DD YYYY Driver's License # * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone # * (###) ### #### Name(s) of Cat(s) You Are Interested In * Cell # * (###) ### #### Work # * (###) ### #### Work Email * If IACS is unable to reach you regarding the animal, who can we contact? (Microchip purposes Only) Alt. Contact Name * First Name Last Name Alt. Contact # * (###) ### #### Housing - select one: * Rent: Own: Student Housing: If you do not own your home, do you have permission from the property owner to have this type of pet? * Yes No Property Owner Name * First Name Last Name Phone * (###) ### #### What restrictions does the property owner have on pets? * Please list all other pets in the home: * (i.e. dog/cat, name, age, male/female; if no other pets in the home, please mark "N/A") Are all of your current pets spayed or neutered? * Yes No No other animals in the home If "NO," please explain: Veterinarian's Name * (If you do not have a vet, please respond "no current veterinarian.") First Name Last Name Veterinarian's Phone * (###) ### #### Veterinarian's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Why do you want this pet? * Is this pet for you? * Yes No If "No," please explain... Have you ever owned this type of pet before? * Yes No Have you ever turned a pet into Indianapolis Animal Care Services or any other shelter or rescue group? * Yes No If "Yes," please explain: Can you commit to this pet for its entire lifetime? * Yes No If "No," please explain: Are you currently able and willing to spend the time and money necessary to provide medical care and proper treatment? * Yes No If "No," please explain: Do you agree to take your pet to your vet for routine exams, vaccinations, and if it should require specialized care or treatment for illness, injury or disease? * Yes No Have any cats in the home been tested for FIV? * Yes No Not Sure Have any cats in the home been declawed? * Yes No Not Sure Are you aware of the potential side effects of declawing a cat? * Yes No Under what circumstances would you have a cat declawed? * I certify that the information I have provided in this application for a companion animal is true and the correct to the best of my knowledge. I also acknowledge that falsification of the above can result in a denial of my application/adoption. Adoptions are sometimes approved pending a home visit by an Animal Control Officer, and often approved by current pet vaccinations and landlord pet deposits, if applicable. I understand animals adopted from Indianapolis Animal Care Services MUST be spayed or neutered BEFORE being release to their new owner. Applicant Signature * Date * Type here... MM DD YYYY Thank you for your application! A representative from Nine Lives/IndyAdopts! will be in touch with you regarding the application decision within 1-2 business days.
