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Cat Adoption Application
Step
1
of
8
12%
About You
Referral From:
Petsmart/Petco
Web/Facebook
Newspaper
Acquaintance
Name of cat you are interested in?
*
Date
MM slash DD slash YYYY
Name
*
First
Last
Spouses Name
First
Last
Address
*
Street addres, Including Apt #, if applicable
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
Business Phone
Email
*
Enter Email
Confirm Email
Your Home
Your residence is:
*
Own
Rent
Live with parents
Live with person who owns the home, other than parents
How long at current residence?
*
How long at previous residence?
*
Landlord Name
First
Last
Landlord Phone
If you rent, does your landlord allow pets?
Yes
No
Don't know
Amount of pet deposit required?
Please enter a number from
0
to
10000
.
Style of home:
*
House
Mobile home
Condominium
Duplex
Apartment
Number of children in the home?
Ages?
Children who visit regularly?
Ages?
Relationship
List all persons living in home who are not listed above:
Do you or any members of your household have allergies to cats?
*
Yes
No
Pet Life
This cat is for:
*
Me
My family
My children
Another person
Is this pet being given as a gift?
Yes
No
For whom?
Please provide the following information about your pets you no longer have: Add a line for each pet by clicking the "+" sign.
Name:
Type:
Age:
How long?
Why are they no longer with you? (If deceased, under what circumstances?)
Please provide the following information about the health of your pets you no longer have: Add a line for each pet by clicking the "+" sign.
Name:
Spayed/neutered?
Vaccinated?
Declawed?
Microchipped?
Type and brand of food?
Yes
No
Yes
No
Yes
No
Yes
No
Who is your veterinarian?
How long have you been taking your pet(s) there?
How many pets do you currently have?
*
0
1
2
3
4
5
6+
Please provide the following information about your pets you have now: Add a line for each pet by clicking the "+" sign.
Name:
Type:
Age:
How long?
Please provide the following information about the health of pets you have now: Add a line for each pet by clicking the "+" sign.
Name:
Spayed/neutered?
Vaccinated?
Declawed?
Microchipped?
Type and brand of food?
Yes
No
Yes
No
Yes
No
Yes
No
Have you ever had to move with pets?
*
Yes
No
If yes, what happened?
Took with
Gave to friend/family member
Took to shelter/humane society
Pet Life, Continued
Have you ever adopted from CAWS before?
*
Yes
No
Did you adopt a dog or cat?
Dog
Cat
Who did you adopt?
Do you still have the animal?
How many hours will your new cat be alone each day?
*
The average annual cost for veterinary care for a cat is between $200 and $500, including vaccines, annual check ups and possible health or emergency care. Are you financially able to assume this responsibility?
*
Do you have a preference regarding whether this cat is spayed/neutered?
*
Who will be responsible for the daily care of this animal?
*
Where will the cat stay during the day?
*
House
Yard
Access to both
Garage
Where will the cat stay at night?
*
House
Yard
Access to both
Garage
How often and how many hours a day will your new cat have access to outdoors?
*
Will your cat have access to a pet door?
*
Yes
No
In the future
Pet Life, Continued
Have you had any issues with your neighbors regarding pet ownership?
*
Yes
No
Please explain:
Are you willing to purchase a plastic cat carrier if you adopt today?
*
Yes
No
What are your views about declawing?
*
Under what circumstances would you consider declawing?
*
Where will the litter box be kept?
*
Do you have screens on your windows?
*
Yes
No
Some, not all
Pet Life, Continued
What behavioral problems are you willing and able to cope with? Please check all that apply:
*
Scratching of carpeting/furniture
Hiding
Play Biting
Shyness
Aggression/fear towards other people
Aggression/fear towards other animals
House soiling/litter box issues
Escaping from house
Why do you want to adopt a cat? Check all that apply:
*
Companion
Companion for other pet
Child's pet
Barn cat/mouser
Other
If other, please explain:
Are you aware that cats can live 15-20 years and are you willing and able to take responsibility for the life time of this animal?
*
Yes
No
Are you willing to allow a representative of CAWS to arrange a home visit?
Yes
No
Unsure
Spouse’s/partners attitude towards adopting? (Leave blank if not applicable)
Is he/she with you?
Employment
Place of employment?
*
Business Phone
*
How long
*
Spouses place of employment?
Spouses Business Phone
How long
Contact Information
Personal Reference Name:
*
Personal Reference Phone
*
Emergency Contact Name:
*
Emergency Contact Phone:
*
What is your age?
*
Under 18
18 - 20
21 or over
I, the applicant, certify that all statements and answers are true and complete. I realize that any untrue statement is deemed by CAWS reason of refusal of adoption or reclaiming any adopted pet.
Agree
*
Agree
Do not agree
By agreeing, you are aware that CAWS is not responsible for any action of an animal while in your care, custody or control.
CAWS does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, employment of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, volunteers, subcontractors, vendors, and clients.
Upcoming Adoption Events!
Step
1
of
8
12%
About You
Referral From:
Petsmart/Petco
Web/Facebook
Newspaper
Acquaintance
Name of cat you are interested in?
*
Date
MM slash DD slash YYYY
Name
*
First
Last
Spouses Name
First
Last
Address
*
Street addres, Including Apt #, if applicable
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
Business Phone
Email
*
Enter Email
Confirm Email
Your Home
Your residence is:
*
Own
Rent
Live with parents
Live with person who owns the home, other than parents
How long at current residence?
*
How long at previous residence?
*
Landlord Name
First
Last
Landlord Phone
If you rent, does your landlord allow pets?
Yes
No
Don't know
Amount of pet deposit required?
Please enter a number from
0
to
10000
.
Style of home:
*
House
Mobile home
Condominium
Duplex
Apartment
Number of children in the home?
Ages?
Children who visit regularly?
Ages?
Relationship
List all persons living in home who are not listed above:
Do you or any members of your household have allergies to cats?
*
Yes
No
Pet Life
This cat is for:
*
Me
My family
My children
Another person
Is this pet being given as a gift?
Yes
No
For whom?
Please provide the following information about your pets you no longer have: Add a line for each pet by clicking the "+" sign.
Name:
Type:
Age:
How long?
Why are they no longer with you? (If deceased, under what circumstances?)
Please provide the following information about the health of your pets you no longer have: Add a line for each pet by clicking the "+" sign.
Name:
Spayed/neutered?
Vaccinated?
Declawed?
Microchipped?
Type and brand of food?
Yes
No
Yes
No
Yes
No
Yes
No
Who is your veterinarian?
How long have you been taking your pet(s) there?
How many pets do you currently have?
*
0
1
2
3
4
5
6+
Please provide the following information about your pets you have now: Add a line for each pet by clicking the "+" sign.
Name:
Type:
Age:
How long?
Please provide the following information about the health of pets you have now: Add a line for each pet by clicking the "+" sign.
Name:
Spayed/neutered?
Vaccinated?
Declawed?
Microchipped?
Type and brand of food?
Yes
No
Yes
No
Yes
No
Yes
No
Have you ever had to move with pets?
*
Yes
No
If yes, what happened?
Took with
Gave to friend/family member
Took to shelter/humane society
Pet Life, Continued
Have you ever adopted from CAWS before?
*
Yes
No
Did you adopt a dog or cat?
Dog
Cat
Who did you adopt?
Do you still have the animal?
How many hours will your new cat be alone each day?
*
The average annual cost for veterinary care for a cat is between $200 and $500, including vaccines, annual check ups and possible health or emergency care. Are you financially able to assume this responsibility?
*
Do you have a preference regarding whether this cat is spayed/neutered?
*
Who will be responsible for the daily care of this animal?
*
Where will the cat stay during the day?
*
House
Yard
Access to both
Garage
Where will the cat stay at night?
*
House
Yard
Access to both
Garage
How often and how many hours a day will your new cat have access to outdoors?
*
Will your cat have access to a pet door?
*
Yes
No
In the future
Pet Life, Continued
Have you had any issues with your neighbors regarding pet ownership?
*
Yes
No
Please explain:
Are you willing to purchase a plastic cat carrier if you adopt today?
*
Yes
No
What are your views about declawing?
*
Under what circumstances would you consider declawing?
*
Where will the litter box be kept?
*
Do you have screens on your windows?
*
Yes
No
Some, not all
Pet Life, Continued
What behavioral problems are you willing and able to cope with? Please check all that apply:
*
Scratching of carpeting/furniture
Hiding
Play Biting
Shyness
Aggression/fear towards other people
Aggression/fear towards other animals
House soiling/litter box issues
Escaping from house
Why do you want to adopt a cat? Check all that apply:
*
Companion
Companion for other pet
Child's pet
Barn cat/mouser
Other
If other, please explain:
Are you aware that cats can live 15-20 years and are you willing and able to take responsibility for the life time of this animal?
*
Yes
No
Are you willing to allow a representative of CAWS to arrange a home visit?
Yes
No
Unsure
Spouse’s/partners attitude towards adopting? (Leave blank if not applicable)
Is he/she with you?
Employment
Place of employment?
*
Business Phone
*
How long
*
Spouses place of employment?
Spouses Business Phone
How long
Contact Information
Personal Reference Name:
*
Personal Reference Phone
*
Emergency Contact Name:
*
Emergency Contact Phone:
*
What is your age?
*
Under 18
18 - 20
21 or over
I, the applicant, certify that all statements and answers are true and complete. I realize that any untrue statement is deemed by CAWS reason of refusal of adoption or reclaiming any adopted pet.
Agree
*
Agree
Do not agree
By agreeing, you are aware that CAWS is not responsible for any action of an animal while in your care, custody or control.
CAWS does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, employment of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, volunteers, subcontractors, vendors, and clients.
Upcoming Adoption Events!
100% of profits on CAWS merchandise goes towards the rescue and care of CAWS animals.
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