Nemasket Orphaned Animal Haven, Inc. (NOAH)

"A Private, All Volunteer, No-kill, Non-profit, Rescue/Adoption Organization"

PO Box 233, Raynham Center, MA 02768

Phone: 1-508-386-3729

noah.petfinder.com

ADOPTION APPLICATION

Adopting a pet is a lifetime commitment and responsibility. NOAH’s goal is to match pets with a loving person and/or family that shall provide a quality, permanent home compatible with their individual needs. We are happy that you are interested in giving a home to one of our animals. To assure that the cat being adopted is well suited to you, your home and lifestyle, please read and answer each question carefully. The information you provide will assist NOAH, Inc. to match you with an available cat for adoption.

To begin the adoption process, please answer all the questions in the following adoption form. Then send us your information online or mail it to us at the above address.

Contact Information

Full Name:
Last / First / M.I.
Address:
Street Address / Apartment/Unit #
City / State / ZIP Code
OwnRent / Landlord’s name and phone number
Home Phone: / () / Best Phone and time to reach you: / ()
E-mail Address:
Occupation / Employer

Pet Information

What is the name of the cat or type of cat you are looking to adopt?
Vet
Name / Phone / How many pets
List pets owned in the past 5 years, most recent first:
Name / Species / Age / Medically up to date? / Altered? / Declawed? / Lives Inside or Outside? / Where is animal now?
  1. Have you ever applied and/or adopted from an animal shelter or rescue group before?

  1. Have you ever surrendered an animal to a shelter?

  1. If yes, why

  1. Why do you wish to adopt this animal?

  1. How many adults in your household?
/
  1. How many children?
/
  1. Ages of children?

  1. Does anyone in the house have allergies? And, if yes, how will you handle the allergies?

  1. Which household member(s) will take primary responsibility for the cats care?

  1. Where will the cat spend day & night and how long will the cat be home alone?

  1. Yearly cat care averages $300. Will you take responsibility for the cat for its whole life (15+ years)?

  1. What will you do with your cat(s) if you have to move?

  1. Under what conditions would you declaw the cat?

  1. Under what conditions do your cats go outside?

  1. What do you feel is a reasonable adjustment period for your new pet to adapt to your home?

  1. How will you assure harmony between the new pet and your existing animals?

All photos taken by NOAH will become their property and may be used in newsletters, bulletin boards, etc. without prior notice.

The cat you adopt may be a NOAH, Inc. foster care animal (either abandoned, surrendered, born outsideor taken from a shelter because they have no room) and we may not know their history.

To complete the adoption process, you will be required to provide positive identification, to sign this application in front one of our Adoption Counselors and to pay the adoption fee of $125 per cat, $150 per kitten, or a special purebred adoption fee that ranges between $200 300 for adults and $250-350 for kittens. The adoption fee covers a vet check, testing for FELV/FIV, age appropriate vaccines, worming and spay/neuter of the animal. We also ask that you:

Be 18 years of age with verifiable identification (preferably a driver’s license).

Have your landlord's consent, if you rent.

Understand that we have the right to deny your application.

Signature
/ Printed Name
/ Date

By signing below, I certify that the information provided is true, and I authorize investigation of all statements in this application. I understand that any misrepresentation of the facts may result in my losing the privilege of adopting a cat from NOAH, Inc.

Interviewed by / Landlord consent / Adoption Application
Vet check / Application Approved / Denied / Adoption Contract
ID check / License Number / State and Expiration Date

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