First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
Text/Pager Email
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).
I have previously adopted from ASR.
If yes, identify year.
Which animal are you interested in, if any? (Only 1 application is needed for all the cats or kittens you are expressing interested in). Choose an animal: Acorn Addison Aladdin 3 Alcova Anabelle Aramis III Asia Athos III Baklava Benjamin Franklin Big Frankie Binx 3 Bruce 2 Butterbread Calista Calico Candy O Chatty Kathy Coralinne Cosette Daisy Mae Dakota 2 (must be adopted with Penny Sue) Dirk Dobby Dominic 2 Eddy 2 Emilie Ernie 2 Esmerelda Exie Flash 4 Freckles 6 Gingersnap 2 Harley III Hickory Dickory Humpty Dumpty Kai Flame Knick Knack Kyo Lagertha Lallie Lucky 3 Lucy Ricardo Lynne Mama T. Mango 3 Marsha 2 Mattie Mew Mickey 8 (must be adopted with Minnie 7) Milk Dud (must be adopted with SweeTart) Milo 8 Minnie 7 (must be adopted with Mickey 8) Miss Siam Missy Montrose Mystical May Olive 4 Paddy Whack Peanut II (must be adopted with Chocolate Drop and Chocolate Drop) Pez Pipkey Popcorn 3 Porthos III Poser Praline Query Rhiannon Roxy Sage 4 Sagwa 3 Sapphire Sebastian 5 Sisu Snickerdoodle Snowball 7 Spring Stripes III SweeTart (must be adopted with Milk Dud) Thea 3 Tinkerbell 2 Toodles Tori 2 Torvi Tsuki Yoshi 3 Yoshiya
Which other cats are you interested in, if any?
Why are you interested in adopting a Siamese cat at this time?*
Provide the name, age, and species (i.e. dog, cat, etc) of all pets you currently own.*
List pets you have owned in the past*
What happened to the pets you have owned in the past?*
Are your current pets up to date with their vaccinations?* Choose one: Yes No Not Applicable
Do your current cats test negative for FeLV and FIV? Do your current dogs test negative for heartworm?* Choose one: Yes No Not Applicable
Are your current pets spayed or neutered* Choose one: Yes No Not Applicable
If not spayed or neutered, why not? (must answer if pets are NOT spayed or neutered)
What traits are you looking for in a cat
Will your cat be kept inside or outside?* Choose one: Inside Only Outside Only Inside and Outside
Are you planning to de-claw?
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.*
Who in the household will care for your cat*
How much time will your cat spend alone during the day?*
Where will your cat sleep*
Where will your cat be kept when you are at home*
Where will your cat be kept when you are not home*
Have you ever given up a pet? If yes, please explain*
Provide the name and email address of two people who do not live with you and are not related to you. We will contact these people via email to obtain a reference. Please let your references know to respond to our email. *
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 and email address of a third reference.) *
In what type of home do you live* Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Do you own or rent your home* Choose one: Rent Own
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
How did you hear about us*
Have you applied with any other rescue
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*
