First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
County
Country*
Email*
Home Phone
Work Phone x
Cell Phone*
Alt Email
Text/Pager Email
What is Today's Date? *
What date was this form received? (ASR Staff Only)
If you have previously applied to adopt through us within 1 year of today's date, please do not complete another application. Contact ASR directly with any new information (i.e. change in reference, vet, cat/kitten name).
List pets you have owned in the past*
Provide the name, age, and species (i.e. dog, cat, etc) of all pets you currently own.*
Including yourself, how many total people live in your household? Including yourself, provide full name and age for all people who live in your home.*
Are your current pets up to date with their vaccinations?* Choose one: Yes No Not Applicable
If not spayed or neutered, why not? (must answer if pets are NOT spayed or neutered)
Do your current cats test negative for FeLV and FIV? Do your current dogs test negative for heartworm?* Choose one: Yes No Not Applicable
Will your cat be kept inside or outside?* Choose one: Inside Only Outside Only Inside and Outside
Please provide the name, phone number, and email address of your veterinarian. (If you do not have a pet or have not had a pet in the last 3 years, you will need to provide the name, email address, and phone number of a second personal reference.) *
Do you own or rent your home* Choose one: Rent Own
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Who in the household will care for your cat*
How much time will your cat spend alone during the day?*
Where will your cat be kept when you are not home*
Where will your cat be kept when you are at home*
Where will your cat sleep*
Have you ever given up a pet? If yes, please explain*
Why are you interested in adopting a Siamese cat at this time?*
Have you had any previous experience with a Siamese? (Another breed?)*
What can you offer as a foster environment (tell us if you have isolation capabilities, multiple rooms, expect all cats to be underfoot, use play pens, can offer us mother & newborn kitten care)? *
Do you have any experience with sick or injured cats? If so, how many years? What does your experience encompass?*
Do you maintain a Cat First Aid Kit? If so, what do you keep in your kit? *
Provide us with the name and contact information for one personal reference. We do not accept people who live in your household as a valid reference. Contact information is: Name, email address, and phone number. We reach out via email so this information is mandatory. Please let your reference know to respond to our email.*
What traits are you looking for in a cat
How many foster cats can you care for at one time (foster capacity)?*
If you rent, have you received the approval of your landlord to have an animal Choose one: Yes No
If you rent, please enter your landlord's name and phone number
Do you have reliable transportation for Vet appointments? *
Would you pick up or drop off/ship at closest major airport provided we do all the paperwork, pay the fees, and make all the arrangements? *
What is your closest major airport?*
Would you be willing to communicate with approved adopters we refer to you for your foster cats and provide feedback to the Board of Directors?*
I certify that the information entered on this applicant is true. I understand and acknowledge that both the veterinary and personal references listed will be contacted as part of the application process and I give Austin Siamese Rescue permission to do so. Enter your name and date*