Application Form Animal Allies Application Please answer the following questions. We want to help ensure the best possible match between adopter and pet. Remember, this is a lifetime commitment. You will be asked to sign a legal contract and, if applicable, a spay/neuter agreement, when adopting your pet. You will also be asked to pay a donation fee that covers the spaying/neutering, leukemia/FIV testing, distemper and rabies shots, provided the cat is of appropriate age. There will be an adoption fee. Primary Adoption Choice*Secondary Adoption ChoiceApplicant Name* First Last Co-Applicant Name First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred Phone*Work PhoneEmail* Number of Persons in Household*AdultsChildren/TeensToddlers/InfantsAges of Toddlers/InfantsHave you ever adopted a cat from Animal Allies?*YesNoWhen did you adopt the cat?*Do you still have the pet?*YesNoHave you had any other animals in the past five (5) years?*YesNoPlease list all companion animals you have been guardian to in the last five (5) years:*Type of animal (dog, cat, other)Name of petSexAgeSpayed/Neutered (Yes/No)How long in your careIndoor/Outdoor petWhere is the pet now? If you have a dog, have they been exposed to cats?*YesNoI don't have a dogAre your pets current on vaccinations?*YesNoWhat veterinarian sees and vaccinates your pets?*Vet NameVet Office NameVet Phone Number Have you ever been guardian to any animals that were:* Killed by moving vehicles Given Away Lost or Stolen Surrendered to Shelter or Rescue Group None of the above Please explain the circumstance for the above checked answers.* Do your own or rent your home?*OwnRentIf you rent, please give the name and telephone number of the landlor or rental agent so we may verify guardianship is permitted.*NameRental AgencyPhone Number Does anyone in your home have allergies to cat dander or saliva?*YesNoWill someone be home during the day?*YesNoPeople who will be home* How long will the cat be home alone?*Where will the cat be during*DayNightWhen You TravelWill you let the cat outside?*YesNoHow will the cat be outside?*AttendedUnattendedOn Deck OnlyOn Leash OnlyFenced In Backyard OnlyBalcony OnlyScreened Porch OnlyFree RoamingWhat are your thoughts on declawing?*We hope to place cats into caring homes for the rest of their lives which could be up to 20 years. Are you willing to make this commitment?*YesNoWhat will happen to the cat in the following situations?*If You MoveIf You Move To A Place That Doesn't Allow CatsWhat kinds of behaviors do you find unacceptable and how would you handle them?BehaviorResponse Do you believe in spaying and neutering your pets?*YesNoWhy not?*What would cause you to return this cat to Animal Allies?*Consent* I am at least 21 years of ageConsent* I agree to the privacy policy.Privacy Notice This privacy notice discloses the privacy practices for Animal Allies. This privacy notice applies solely to information collected by this website. It will notify you of the following: 1. What personally identifiable information is collected from you through the website, how it is used and with whom it may be shared. 2. What choices are available to you regarding the use of your data. 3. The security procedures in place to protect the misuse of your information. 4. How you can correct any inaccuracies in the information. Information Collection, Use, and Sharing We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone. We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g. to mail pet records to you. Your Access to and Control Over Information You may opt out of any future contacts from us at any time. You can do the following at any time by contacting us via the email address on our website: 1. See what data we have about you, if any. 2. Change/correct any data we have about you. Security We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline. Wherever we collect sensitive information (such as personally identifiable information), that information is encrypted and transmitted to us in a secure way. You can verify this by looking for a lock icon in the address bar and looking for "https" at the beginning of the address of the Web page. While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only employees who need the information to perform a specific job (for example, contacting you regarding an application) are granted access to personally identifiable information. The computers/servers in which we store personally identifiable information are kept in a secure environment. If you feel that we are not abiding by this privacy policy, you should contact us immediately via email. CAPTCHA