CAT Adoption Application

Cat Adoption Application

Name(s) of animal(s) you wish to adopt

Tell us about you:

Applicant's full name

Age

Co-applicant's full name

Age

Applicant's Phone #

(Please do not use Autofill - it may cause issues later in the form)Format: (000) 000-0000.

Email

example@example.com

Street Address

City

State

Zip

Tell us about the living environment:

Is your name on the lease or deed?

Renting: Landlord’s name & number

How many adults (18+) reside here?

Relationship to other adult(s)

How many children (under 18) reside here?

Ages of children

Do all residents agree with the adoption?

Any residents have allergies?

House type:

HouseApartmentCondoMobile home

Describe life with your new pet:

Adopting for:

YourselfFamilyGift/SurpriseOther

Adopting for:

Looking for:

Inside OnlyOutside OnlyInside/Outside

Do you plan to have this cat declawed?

YesNo

How many hours per day will the cat be alone?

Where will the cat be when left alone?

How do you plan to discourage unwanted behavior?

Tell us about your current pet(s):

Are your pets (cats/dogs) kept current on vaccines and heartworm preventative(dogs)?

YesNoOther

How much time do your current pets spend outside?

If you have dogs, have they been around cats? Please include any other information about your current pet(s).

Tel us about your previous pets in the last 10 years:

Rows	Name	Age	Cat or Dog	Breed	How long did you have pet?	Why is pet no longer with you?
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5
Pet #6
Pet #7
Pet #8

Were previous pets kept current on vaccines(cats/dogs) and heartworm preventative (dogs)?

YesNo

Please include any other information about your previous pet(s).

Are current/previous pets listed under your name?

YesNo

If you answered No - Owner’s Name

Who is your current and/or previous primary veterinarian?

Please contact your vet clinic and give permission to release your pets information.

Clinic Name(s)

Clinic's Phone Number(s)

Format: (000) 000-0000.

Please initial to acknowledge and agree to the following:

The average cost of preventative veterinary care is $400-800 annually, and additional expenses of food, toys, grooming boarding, emergency vet care etc to consider. My household budget allows me to comfortably cover these expenses.

Initial

I understand that rescue animals may have unknown medical history and/or problems.

Initial

I understand that rescue animals may have unknown behavior issues.

Initial

Additional information you’d like to provide to WAG Animal Rescue:

The above information that I have provided to WAG Animal Rescue for the purpose of adopting an animal is accurate and complete:

Date

How did you hear about Wag Animal Rescue

Name of Pet

Cat or Dog

Breed/size of dog

Inside or outside?