Cat Adoption Application Step 1 of 8 12% About YouReferral 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneBusiness PhoneEmail* Enter Email Confirm Email Your HomeYour 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 PhoneIf 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?RelationshipList 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 LifeThis 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? YesNoYesNoYesNoYesNo Who is your veterinarian?How long have you been taking your pet(s) there?How many pets do you currently have?*0123456+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? YesNoYesNoYesNoYesNo 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, ContinuedHave 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, ContinuedHave 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, ContinuedWhat 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? EmploymentPlace of employment?*Business Phone*How long*Spouses place of employment?Spouses Business PhoneHow long Contact InformationPersonal 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.EmailThis field is for validation purposes and should be left unchanged. Adoption Events
