North Beach PAWS Cat Adoption Application

Cat Adoption Application Form
General Information
Name of Applicant*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Cell Number*
Alternative Phone Number
Applicants must be at lease 18 years of age to adopt. Are you over 18?*

YESNO
Employment*
What type of cat are you interested in adopting? Check all that apply.*

Kitten(s)AdultSeniorUndecided / no age preference
Are you interested in adopting a specific cat?*

Yes - I am applying for a cat I saw on PetfinderYes - I am applying for a cat I met at the shelterNo - I am still considering all options
Which cat(s)/kitten(s) are you interested in adopting?
List the name(s) of all cats you're interested in
Cats/Kittens often do well adopted in pairs. Would you be interested in adopting more than one at this time?*
Describe the type of personality or you would like your cat to have?*
Ex: playful, friendly, lap cat, good with kids, good with other dogs, male, orange etc.
Have you applied to adopt from us previously?*

YesNo
Have you adopted a cat from us previously?*

YesNo
Home & Family
Do you own or rent your home?*

OwnI live with a parent, guardian or family memberRent or lease. Please state landlord's contact information below
If you rent or lease, do you have an agreement with the landlord to have a cat on the property? We may need to contact your landlord. Please provide the following information: Landlord's Name/Management Co. Address: Phone (including area code)*
State Landlords name and contact information above
Is your home busy or quiet?*

BusyQuietA mix of both, depending on the time & day
If you had to move, are you willing to find housing that accepts pets?*

YesNoMaybe
Current & Past Pets
Do you have any pets currently?*

YesNo. Please also state that in the below question
If you currently have other companion animals, or live with other companion animals, please provide the following information. Type of Animal. Breed. Sex (M/F) Age. Vaccines Current? Spayed or Neutered? Where are they kept?*
Each of the above questions are required .
Have you ever had a pet euthanized?*

YesNo
If yes, please explain the circumstances:
I agree to not to have my cat(s) declawed. Initial below.*
A cat/kitten is required to stay inside until he/she is at lease 6 months and vaccinated fully. Are you able to keep the cat inside for 6 months? Do you plan to let your cat out? Please explain *
What expenses are you planning for this cat over the course of the year? (Food, litter, routine veterinary care, vaccinations or emergency care etc.)*
How many hours per day would the cat be alone?*
How would you deal with behavioral issues such as excessive meowing, destructive behavior, inappropriate urination etc.?*
Does your home have space (i.e. a spare bedroom, office, or bathroom) to separate new pets from current pets during the acclimation and introduction period?*

YesNo
Are you willing to give your cat/kitten time to adjust to its new environment? (Note: this could take anywhere from several days to several months).*

YesNo
If you were no longer able to care for your pet, or had to move, what would happen to your pet?*
Have you ever had to re-home a pet or surrender it to an animal shelter, animal control etc.?*

YesNo
If you answered "Yes" to the above question, please explain the circumstances:
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo
If you answered "Yes" please provide a detailed description:
Are you willing and able to care for your cat for the full duration of its life (15-20+ years)?*

YesNo
Veterinarian

We may call your veterinarian. Please list your current / previous / planned veterinarian(s) and their phone number(s). We will contact them to verify your current pets are up to date on shots, fixed and FeLV tested; this is a requirement for new pet adoptions. Please call their office(s) to authorize release of information to us. If you are planning to utilize another vet but are not currently a client, please note that information.
Vet Clinic*
Vet Clinic Phone*
Terms & Conditions
The information I have provided on this application is true. I also recognize that any misrepresentation or omissions may result in the loss of privilege to adopt from North Beach Paws.*

AgreeDisagree
I understand that North Beach Paws has the right to deny any application for any reason*

AgreeDisagree
I understand that North Beach Paws is not able to guarantee the health or temperament of any cat, as many cats come in with unknown histories. There are traits that could change upon adoptions and I take responsibility to care for and address these issues if they do arise*

AgreeDisagree
I understand that anything could happen in life, and if I find that I am no longer able to care for my adopted cat, I agree to contact North Beach Paws by phone and/or email to discuss return/or need for help of the adopted animal*

AgreeDisagree
I understand that I am to immediately contact North Beach Paws in the event that my adopted cat is lost/missing*

AgreeDisagree
I understand that I am responsible for paying for all follow-up vaccines, wellness visits & medical procedures my pet will require in the future.*

AgreeDisagree
I hereby authorize North Beach Paws to contact my references, veterinarian(s), and landlord to verify said statements.
Applicant Name*

First NameLast Name
Signature

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Date*

MonthDayYear
Date
North Beach Paws is located

Mailing address:

PO Box 962

Ocean Shores, WA 98569

Physical address:

2222 SR 109

Hoquiam, WA 98550
Should be Empty:

Cat Adoption Application Form

General Information

Home & Family

Current & Past Pets

Veterinarian

Terms & Conditions