Adoption Application Form

Adoption Application

Prospective Pet Parent *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home / Cell Number *

Area Code Phone Number

Work Number

Area Code Phone Number

Email Address *

How do you prefer to be contacted? *

What kind of cat(s) do you wish to foster/adopt (age range, color, sex, short/long hair, disposition, breed)? Name if already selected: *

Are you adopting a cat: *

for your home for someone else for workplace

Do others live with you? *

Yes No

Who?

Do all household members want to adopt a cat? *

Yes No

Is anyone allergic? *

Yes No

Briefly describe your residence: *

How long have you lived there? *

Do you own or rent your home? *

Own Rent Sublet

On what floor do you live?

Do you live in NYCHA housing? *

Yes No

Does your building allow pets? *

Yes No

Do you have a:

Terrace Balcony Deck Backyard Elevator inside living space Washer-Dryer

Are all your windows completely screened? *

Yes No

Will your cat ever go outside? *

Yes No

Do you keep household plants or cut flowers? *

Yes No

Candles? *

Yes No

Would you travel with your cats? *

Yes No

Where?

Employer: *

Occupation: *

Work schedule: *

How long have you worked there? *

Does your job require travel? *

Yes No

Does your budget allow for the cost of maintaining a pet, and can you cope with veterinary expenses? *

Yes No

Please provide appropriate references (name and phone number). One should be next of kin. We will call at least one.

Reference 1. *

Phone Number *

Area Code Phone Number

Relation *

Reference 2. *

Phone Number *

Area Code Phone Number

Relation *

Reference 3. *

Phone Number *

Area Code Phone Number

Relation *

Have you had cats or other pets in the past? *

Yes No

Please describe what kind of pets you had, where they are now, etc:

Do you have other pets now? *

Yes No

Species / Age / Breed / Sex:

Are They

Neutered Vaccinated FeLV/FIV tested (cats) Declawed (cats)

Which veterinary clinic will you use? *

What kind of food do you prefer to feed (wet, dry, brands)? *

Would you prefer to adopt a declawed cat? *

Yes No

One that could catch mice? *

Yes No

Have you ever surrendered a pet to an animal shelter? *

Yes No

Cats often live to be 18 years or older. Do you believe you will be able to keep your cat for its full life span? *

Yes No

What provision will you make for the cat's future, in the event that you can no longer care for it? *

How did you find out about our adoption program? *

Are you on Instagram? Facebook? If yes please provide you details (handle):

By clicking the submit button, I understand that the completion of this application does not guarantee an interview. Whiskers-A-Go-Go (WaGG) reserves the right to decline any adoption.
By clicking the submit button, I agree to WaGG adoption process, will undergo a homecheck, and interview at the discretion of Wagg.
By clicking the submit button, I understand WaGG will check my references.
By clicking the submit button, I understand there is a non-refundable $150 adoption donation associated with adoption of a pet from WaGG and that it is tax deductible according to IRS 501(c)3 guidelines. I understand this donation will ensure the organization is equipped to rescue another homeless pet.
By clicking the submit button, I agree to indemnify and hold harmless WaGG against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my adopted pet, once adoption has been completed.
By clicking the submit button, I understand that WaGG will disclose any of the pet's health or behavior issues known by the above named rescue group before adoption is completed.
By clicking the submit button, I understand that if I no longer want my pet, or am no longer able to care for my adopted pet, I will be directed to surrender my pet to WaGG.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent *

Date *

Today's Date

Household

Employment

References

History