Thanks for considering adopting a cat from Acadiana Animal Aid! Please fill in as much information as you can. We use this info to compare your desires to the needs and personality of your animal(s) of interest. Name of Feline(s) interested in:*Applicant name:* First Last Co-applicant name: First Last Age of applicant:*Please enter a value between 18 and 100.Relation of co-applicant to applicant:Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone number(s):*Please specify separate numbers. ie. Work:, Cell:, Home:. Email:* Do you rent or own?*If rent, please provide landlords NAME and NUMBER.How long have you lived at this address?*Describe your home:*Apartment, House, Mobile Home, etc. Is anyone in your home allergic to cats?*YesNoHow many adults live in your home?*How many children live in your home?Do you have a "doggie door"?*YesNoDo you agree to a home check prior to adoption?*YesNoTell us about what you are looking for in a feline companion (gender, activity level, personality, etc.).*Tell us about your current family companion animals. List ages, species, breeds, spayed/neutered, last vaccinations, and indoor or outdoor.*Current veterinarian or vet you plan on using upon adoption:*Tell us about your past pets. List name, kind of animal, and why they are no longer with you.*Are you looking for an indoor only, outdoor only, or an indoor/outdoor cat?*Do you plan to declaw any cats in the future?*If "yes" to the above question, please explain why:Reference #1:* First Last Reference #1 number:*Reference #2: First Last Reference #2 number:I/we attest that the information provided in this application is true and accurate to the best of my/our knowledge and any misrepresentation of the facts will be casue for denial of application. I/we understand that submission of this application does not quarentee adoption of a feline. By typing your initials and the completion date of this application, you agree to the above agreement.* This iframe contains the logic required to handle Ajax powered Gravity Forms.