Sunday, September 05, 2010
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Sunday, September 05, 2010 |
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copy and paste into microsoft word and email toInfo@Pawshs.org
PAWS Humane Society
Cat Adoption Application
Notice To be considered for an adoption today, you must:
So that we may be assured the cat you wish to adopt will be best suited to you, your home, and lifestyle, and be placed in an environment most compatible with its needs, please provide us with the following information by completing this form.
___________________________________________________________________________________________________________________________ Name of animal you are interested in adopting:_____________________________________________
First Name: ____________________________________
Last Name: ___________________________________
Home Phone: ( ) _______________ Cell Phone: ( ) _________________
Address: __________________________________
City: ______________________ State: _______ Zip: ________
Are you: ___ Employed ___ A Homemaker ___
A Student ___ Retired ___ Disabled
Employer’s Name: _______________________________
Work Phone: ( ) _______________
Landlord’s Name: ________________________________
Landlord’s Phone: ( ) ____________
1. You live in a: ___ House ___ Apartment ___Condo
___Mobile home ___Dorm ___other
2. You: ___Own ___Rent ___Live with parents ___other 3. How long have you lived at this address: ___*less than two years
___2-5 years ___5+ years
*If less than 2 years, please provide previous address: ________________
4. Number of adults in this household? _____
How many children? _____ Ages? ______________
5. Does any member of your household have allergies? ____Yes ___No 6. Are you familiar with the pet responsibility laws in your area? __________________ 7. Have you ever applied for an adoption or adopted a pet from PAWS/Petco? ___Yes ___No 8. Have you ever brought an animal into a shelter? ___*Yes ___No * For what reason? __________________________________________ 9. Why are you interested in adopting this cat? (check all that apply)
___ Companion for another pet ___Gift
___To Breed ___Companionship ___As a mouser
10. Are you familiar with the needs of a cat? ___Yes ___No 11. Cats often live longer than 15 years, and you can expect to
spend several hundred dollars a year to feed, vaccinate,
license, and provide medical care for just one cat.
Are you ready to be responsible for this cat for its entire life? ___Yes ___No 12. Your new pet may take a month or longer to adjust to its new home, especially if you own other pets. Are you willing to allow for this adjustment? _____Yes _____No 13. Where will the cat be kept during the day? _______________________ 14. Where will the cat be kept during the night? ______________________ 15. Will your cat be allowed outdoor?
_____Yes _____No
If yes, please explain___________________________________________
16. If you travel frequently, who will care for your pet(s)? __________________ 17. How many cats and dogs currently live at this address? _____Cats _____Dogs 18. If you own a dog, please explain how it has interacted with cats in the past. ___________ 19. Please list any pet(s) currently living at this address or previous pets within the last five years.
20. If you no longer own the above pet(s), please explain why: _________________ 21. What is the name of your veterinarian or veterinary clinic? _________________ 22. Does your pet(s) have a current rabies vaccination and county tags?
_____Yes _____No
23. Do you believe in spaying and neutering? ___Yes ___No
If no, why? ____________________
24. If for some reason you can no longer keep this pet, do you understand that you must return it to PAWS/Petco? ___Yes ___No Explain: ______________________________________________
25. What prompted your visit to PAWS Humane Society/Petco Cat Adoption Center? _____Television _____Radio _____Newspaper _____Pet Store
_____Petfinder.com _____Pets911.com _____Pawshs.org
____Friend ______PAWS Newsletter _____Other Please specify__________
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