WAYWARD WHISKERS APPLICATION

WAYWARD WHISKERS ADOPTION APPLICATION

Please complete the adoption application in its entirety. Enter 'NA' for any questions not applicable. Please allow 3-5 business days for your application to be processed. A volunteer will reach out to you only if your application is approved. Thank you!
APPLICANT NAME*
AGE*
ADDRESS*

ADDRESS

Street Address Line 2

CITYSTATE

ZIP
TELEPHONE*
EMAIL*
example@example.com
DRIVERS LICENSE #*
COUNTY*
EMPLOYER
OCCUPATION
Animal(s) interested in adopting:
PLEASE ANSWER THE FOLLOWING QUESTIONS:
Why do you want to adopt this animal?*
For whom are you adopting this animal?*

SelfSomeone else (gift)
If for someone else, for what reason and why?*
What do you think the responsibilities are in owning an animal?*
How many people currently reside in your household? *
Any children in the household?*

YesNo
If YES, list ages
Does any member of the family have any allergies to animals?*

YesNo
If YES, explain
Do you OWN or RENT your residence?*

OwnRentOther
FAILURE TO PROVIDE CORRECT INFORMATION RESULTS IN IMMEDIATE REFUSAL OF ADOPTION
IF YOU RENT, what is name of landlord and phone number?
IF YOU RENT, are pets allowed?

YesNoUnsure
How long have you lived at the current address?*
Where will this animal be kept?*

INSIDEOUTSIDEBOTH (INSIDE/OUTSIDE)
If you move, what will you do with the animal?*
Are you planning on declawing this animal?*

YesNoUnsure
Are you financially willing and able to provide ANY medical or emergency care necessary for animal?*

YesNo
16. Are you willing to put the time and effort into introducing a new animal into your household?*

YesNo
How much do you think its costs per year to care for an animal? *
Will this animal have access to the outdoors?*

YesNo
If YES, under what circumstances?*
Please list each animal currently living with you. INCLUDE NAME, SPECIES, BREED, AGE*
Are your current pets spayed/neutered?*

YesNo
If NOT, why?
Are your currents cat declawed?*

YesNo
If YES, why?
Are your pets current on their vaccinations?*

YesNo
If NOT, why?
Please provide name of your veterinarian/veterinary hospital:*
Please list any vaccination shot clinics you may have taken your animal to:*
Do we have permission to contact your veterinarian?*

YesNo
Please list the name of the veterinary hospital that cared for your previous animals:*
Describe pets you no longer care for (in the last 5 years): INCLUDE NAME, SPECIES, BREED, REASON FOR DEATH*
Please list the name of the veterinary hospital that cared for your previous animals: *
Is this person aware of this possible scenario and are they a willing to sign our adoption contract?*

YesNo
In the event something should happen to you (i.e.illness, death, etc.) who would be responsible for the care of thisanimal? *

First NameLast Name
Phone Number*
Please enter a valid phone number.
Have you ever surrendered (gave up) an animal to a shelter/rescue/animal control agency?*

YesNo
If YES, why?
Are you willing to sign legal pet adoption papers and pay in full adoption donation amount?*

YesNo
Do you permit Wayward Whiskers to visit your home by appointment if requested?*

YesNo
Name of Personal Reference (not related):*
Personal Reference Telephone:*
By signing this form, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Wayward Whiskers refusing adoption privileges to me/us. If my/our request for adoption is approved and later Wayward Whiskers discovers the above information is not true or correct, Wayward Whiskers reserves the right to remove the adopted animal from my care.

WAYWARD WHISKERS RESERVES THE RIGHT TO DENY ANY APPLICATION FOR ADOPTION FOR ANY REASON.

CATTFEINATED CAFÉ and its employees and agents have no association with the adoption process.
Signature*

Clear
Date*

MonthDayYear
Date
Please allow 3-5 business days for your application to be reviewed and processed. You will be contacted if you are APPROVED.