AWL Cat Adoption Application
Animal you are interested in adopting
Carol (Dog - 234175)
Cassia (Dog - 234180)
Debbie (Dog - 234214)
Dottie (Dog - 224080)
Doug (Dog - 224130)
Edward (Cat - 213605)
Freddie (Dog - 234213)
George (Cat - 224156)
Greg (Dog - 234170)
Ivan (Cat - 213628)
Kobe (Dog - 234202)
Koko (Dog - 234190)
Minerva (Cat - 234208)
Nigel / Mr Murphy (Cat - 213467)
Prissy (Cat - 223788)
Scruffy (Dog - 234168)
Splash (Cat - 224109)
Vivian (Cat - 213606)
Winnie (Dog - 234200)
Zeus (Dog - 224047)
Applicant's First Name
Applicant's Last Name
Street Address
City
County
State
Zip Code
Phone Number
Alternate Phone Number
Email Address
Reason/Goal for adopting this cat
*
Please select your current residence type.
House
Apartment
Condo
Townhouse
Mobile Home
Farm
Other
If you answered "other" above, please explain here:
Do you own or rent your home?
Own
Rent
Someone else owns the Home
Someone else rents the Home
If you rent, does your landlord and lease allow pets?
Yes
No
Unsure
N/A
Do you live in someone else's home?
No
Yes
Will the cat be:
*
Indoors
Indoors/Outdoors
Outdoors
Do you have a cat/dog door that goes outside?
No
Yes
What members of your household have raised a cat or kitten?
Have any of your cats been tested for leukemia or feline AIDS?
No
Yes
If tested, were they positive for disease?
No
Yes
Does anyone in your household have allergies to dogs/cats?
Yes
No
Possibly
N/A
Please list the ages & relationship of those who live in your home, including yourself.
Which members of your household have raised a cat?
Which family member will be responsible for the cat's care?
Which family member is the cat primarily for?
When you are out of town, who will care for the cat and where will it be cared for?
What kind of pets have you had in the past?
Where are they now/ what happened to them?
Do you own other pets at the current time?
No
Yes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed or neutered?
Yes
No
N/A
Are all your pets current on their vaccinations?
Yes
No
n/a
What provisions will you make for the cat should you become unable to care for him/her?
Veterinarian's Name
Veterinarian's Address, City, State, and Zip Code
Veterinarian's Phone Number
Do you agree to return the cat to AWL if things don't work out?
No
Yes
I understand that by adopting a cat I am making a long-term commitment (possibly 15-years) to this pet and all the related expenses, including veterinary care and emergency care. I submit the above information as true and accurate to the best of my knowledge.
Yes
No