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: Addison Aisling Altus Anabelle Apollo 7 Apollo 8 Aran (must be adopted with Aria II) Aria II (must be adopted with Aran) Ash 8 Baby Girl 2 Biscotti Blue 4 Bo Boom Boom Butterbread (must be adopted with Gingersnap 2) Candy O Chatty Kathy Coco 12 Coralinne Cosette Daisy Mae Dakota 2 (must be adopted with Penny Sue) Danny Z Daphne 6 Dash 4 Dirk Dotty Dusty 5 Ember 4 Eraser Flash 4 Fortune Cookie Freckles Gal Gadot Gingersnap 2 (must be adopted with Butterbread) Gluestick Grapefruit Grey Joker 2 Kiki Kyo Lallie Lavender 2 Lemon Lucky 3 Lucy Ricardo Luna Magnet Magnus Mama T. Mango 3 Mayo (must be adopted with Mustard) Miley Cyrus Milo 8 Miss Siam Missy Mustard (must be adopted with Mayo) Mystical May Nilla Wafer Olaf 3 Olivia Rose Opal 3 Parfait Penelope 7 Pez Post-it Rhiannon Ritz Cracker Robin and Rainy Roxy Sage 4 Sandy O Sapphire Scissors Sebastian 5 Sherlock III Sir Didymus Dumpling Smokey XII Snow White 3 Snowball Snowball Stripes III Thea 3 Titus Toodles Tootsie Pop Tootsie Roll
Which other cats are you interested in, if any?
Why are you interested in adopting a Siamese cat at this time?*
List the names and ages of your current pets*
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?
How many people reside in your household? List names and ages*
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*
List at least two references (who are NOT family members) with name, phone number or email (Email Preferred). *
Veterinary Clinic Name, Phone and Fax Number (If you do not have a pet or have not had a pet in the last 3 years, a third reference name is required). *
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*
