I am at least 21 years of age
Please indicate your living situation Choose an option Own house Own condo** Rent house* Rent apartment* Rent condo** Co-op** Mobile home Other
**Co-op/Condo – we require the by-laws stating the pet policy.
It is our policy to verify that you can have a pet before approving your application.
Are you planning to move within the next year or two?
Please provide the names and ages of all those living in your home:
Do all members of your household agree to the addition of a new pet to your home?
Have all members of your household met the cat that you would like to adopt and do they also want to adopt him/her?
It is our policy that all members of the household meet the cat for adoption before this application can proceed. Please list all current and/or previous pets in your home starting with the most recent:
For each pet, please list the following:
Indoor and/or Outdoor
If Deceased, When? Please explain what happened to your previous pets. Were any lost? Given away? Surrendered to a shelter? If they died, what was the cause of death? I have contacted my Veterinarian and he/she has agreed to speak with The Animal Haven. More Information
Are you planning to declaw your cat?
Will your cat be an indoor only cat or an indoor/outdoor cat?
Under what circumstances, if any, would you give up your pet? (Check all that apply)
Are you aware your cat could live to be 20 years old or older?
Are you prepared to make a lifelong commitment to your new pet?
It may take a few weeks, or even months, for your cat to adjust to his/her new home. Are you willing to wait out this adjustment period?
Are you willing to consult a behaviorist or trainer?
Do any of the residents in your home have allergies to any type of animal?
The Animal Haven strongly recommends that you learn as much as possible about adopting an adult cat or kitten. Before you adopt, please speak to our staff for information regarding cat and kitten care. Please list questions or concerns about which you would like more information: I hereby state that I am financially, physically and mentally able to provide adequate medical care, nutrition, exercise and affection to my new pet and will not abuse or neglect said animal in any way. I understand that The Animal Haven promotes adoption of an animal for his/her entire life. I am committing to adopting and providing a loving home to this animal for his/her entire life.
All of the aforementioned information is true, correct and complete to the best of my knowledge.
Adoption Agreement and Release from Liability
In consideration of the opportunity to adopt the animal(s) set forth in my Cat Adoption Application (which is hereby incorporated herein and made part of this agreement), I agree to the terms of this agreement and the waiver and release set forth herein.
Upon signing this Agreement, I assume full responsibility for the care and welfare of each of the animals set forth in my Cat Adoption Application (these animal(s) are hereinafter referred to as the "animal"). I agree to provide the animal with nutrition, exercise, affection, and all routine and required veterinarian services. I agree to ensure that the animal is licensed to the extent required by state law.
I agree to provide The Animal Haven, Inc. ("The Animal Haven") with access to the animal if, in The Animal Haven's sole discretion, it deems it necessary to examine or inquire about the animal. I understand that The Animal Haven may reclaim the animal if The Animal Haven determines that he or she is being neglected or abused in any way.
I agree to relinquish all rights to the animal and return the animal to The Animal Haven if prior ownership is established.
I agree that upon signing this Agreement, I shall be fully responsible for the animal and any expenses incurred, including veterinarian expenses, on his/her behalf. I also assume full responsibility for any damage done by the animal once he/she comes home with me. I understand and agree that upon my signing this agreement, The Animal Haven will not pay for or contribute toward any expenses incurred on behalf of or due to the behavior of the animal, including any veterinarian expenses. I understand that The Animal Haven does not guarantee or warrant the health, temperament, disposition, or behavior of the animal, and I agree to accept the animal with this understanding. I understand that although the animal appears healthy, he/she may have undiagnosed problems or be incubating an infectious condition or other disease. I have been informed that the animal has a diagnosed medical condition, injury, or congenital defect. I have been informed that the animal may have additional undiagnosed medical problems or be incubating an infectious condition or other disease.
I understand that after arriving home with me, the animal could show signs of sickness from a virus or other condition to which he/she may have been exposed at the shelter (or elsewhere) or from the stress of being in a new environment. I also understand that the animal may be confused, nervous and/or scared when he/she arrives at my home, that his/her habits may change in a new environment, and that I should allow at least 60 days for the animal to adjust to his/her new home.
I hereby agree that I, and my assignees, heirs, guardians, and legal representatives, will not make a claim against or sue The Animal Haven or its employees, officers, directors, agents or contractors for any damages, including personal injuries or property damage, caused by the animal and/or resulting from my adoption of the animal.
I HEREBY WAIVE ANY SUCH CLAIMS AND RELEASE AND DISCHARGE THE ANIMAL HAVEN AND ITS OFFICERS, EMPLOYEES, AGENTS, DIRECTORS AND CONTRACTORS FROM ALL ACTIONS, CLAIMS, OR DEMANDS THAT I, MY HEIRS, GUARDIANS, AND/OR LEGAL REPRESENTATIVES NOW HAVE, OR MAY HAVE IN THE FUTURE, FOR ANY PERSONAL INJURIES, PROPERTY DAMAGE AND/OR OTHER DAMAGES CAUSED BY THE ANIMAL AND/OR RESULTING FROM MY ADOPTION OF THE ANIMAL, INCLUDING ANY DAMAGES DUE, OR CLAIMED TO BE DUE, TO ANY NEGLIGENCE OF THE ANIMAL HAVEN, ITS OFFICERS, EMPLOYEES, AGENTS, DRIECTORS AND/OR CONTRACTORS. I ALSO AGREE TO INDEMNIFY THE ANIMAL HAVEN WITH RESPECT TO ANY SUCH CLAIMS BY THIRD PARTIES, AND I ASSUME THE RISK OF AND FULL RESPONSIBILITY FOR ANY SUCH INJURIES OR DAMAGES.
I agree that if, for some reason, this adoption does not work out and I do not want to keep the animal, I may return him/her to The Animal Haven, although I will not be entitled to a refund of the adoption fee paid upon the signing of this Agreement. I also understand that The Animal Haven may not be able to take the animal back, due to space limitations or other considerations. If The Animal Haven is not able to take the animal back, it will do its best to suggest alternative options. I also understand that the animal may not be sold, traded, or given away for any reason without prior notice to and the written consent of The Animal Haven.
I understand that The Animal Haven has the right to reclaim the animal if I fail to comply with the provisions of this agreement or if any of the information provided in my Cat Adoption Application is found to be untrue, incorrect, or incomplete. Please provide two references Submit Thanks for submitting!