Please FILL OUT ALL FIELDS in this Adoption Application and submit it. The form will be carefully reviewed by an adoption counsellor. We try to get applications reviewed as quickly as possible. If we have problems contacting your references, this will delay the process. Most disapprovals result either from a negative veterinary reference, a "no pets" policy by landlords, or a difference in philosophy regarding the treatment of animals.

Once this application is approved, you can arrange to pick up your new pet. You will receive a copy of the pets health record and a packet of information put together especially for you and your new pet by one of our volunteers.

* St. Francis Society is a privately owned, all volunteer organization. It is our responsibility to find permanent loving homes for all the animals under our care. We will be happy to work with you to choose an animal that suits your wants and lifestyle; however we DO have adoption guidelines and may deny an adoption we feel is unsuitable. Our volunteers have the right to deny any adoption based on their own judgment.

You Are Applying to Adopt...

Date of Birth: 08/29/2018
Sex: Female
Color: Orange Tiger/Tabby & White
Breed: American Shorthair
Fur: Short
  • My story: I was on the list to be put down because I had a eye injury. It was an eye ulcer and it made me feel bad so I wasn't eating. St. Frances rescued me and took me immediately to their vet and got me on the best eye medication. Dada says I was so good that all I wanted to do was sitting on his lap and purr while he gave me the eye meds. Within a day I began eating again all I wanted to do was tell my dada how appreciative I am. If you want to see how appreciative I am please see my video. I am a dada girl and I love to travel in the car. Dada has photos of me sleeping in his lap while we travel together out of state. I am a playful little girl who is gentle and somewhat talkative. After all I traveled to Michigan and I need to tell someone about my adventure. If you give me a forever home you and I can tell stories and be wonderful friends.

    Good with Cats: Yes  |   Good with Dogs: Unknown  |   Good with Children: Unknown

    Check out my video on   YouTube !!!

Adoption Application form

General Questions

Are you over 21? Yes No
Please give your reason for wanting to adopt Autum
Is Autum for you or your family? Yes No
Where will Autum be kept? Inside Outside Both
Are there other cats or dogs in the house? Yes No
Is anyone in the household allergic to cats? Yes No
Have you ever given up an animal? Yes No

Your Housing

Do you rent or own? Rent Own

Driver's License

Drivers license #
Drivers license state issued


Do you work outside the home or go to school? Yes No

If you are approved for adoption, please indicate whether you agree to the following terms:

I will take Autum to the vet when medical services are needed. Yes No
I will arrange for the care of Autum during my absences (vacation, etc.). Yes No
I understand St. Francis has the right to confiscate Autum if not being cared for properly (i.e. lack of food/water/shelter, roaming free, or any form of neglect). Yes No
A minimum donation (depending on age and breed) is required for adoption. Yes No
I agree to allow communication from St. Francis to ensure a mutually satisfactory owner/pet relationship is established. Yes No
I certify that the information provided is complete and correct. I understand if it is discovered I have given any untrue information, St. Francis Society has the right to confiscate Autum without a refund of my adoption fee.