CWA Adoption Form

Applicant info:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Best phone number:

Area CodePhone Number
Best email address:
Do you own your own home?
If no, please provide landlord's name and phone number for confirmation [confirmation failure may delay or deny adoption]:
New cat information:
Are any members of your household allergic to animals?
If you are away for an extended period, are you prepared to arrange cat care while absent?
If you move will you bring your cat with you?
Will this be an indoor or outdoor cat?
Do you intend to declaw your cat?
Pets are like children and can require emergency medical treatment. Are you able to afford the expense of an emergency vet visit for your cat?
What is the longest amount of time your pet will be alone each day?
Do all members of your household agree that they would like a new cat?
If children live in the home, please list their ages.
Over the life of a cat its care can cost $7,000 or more. Are you prepared for that financial commitment?
Have you ever surrendered a cat?
If yes, please describe:
Existing or past pets:
Do you currently own pets?
If yes, please list their name and type (i.e. cat, dog)
If yes, are all pets current in their vaccinations and spayed/neutered?
If yes, please list the name of your vet:

First nameLast name
If yes, please list the vet's phone number:

Area CodePhone Number
Agreement and signature:
By signing below you are stating that all information provided on this application is true to the best of your knowledge and that
you give Cat Welfare Association permission to contact your landlord and veterinarian, if applicable.
Name:

First NameLast Name
Signature:
Date:

MonthDayYear
Date
Should be Empty:

Applicant info:

New cat information:

Existing or past pets:

Agreement and signature: