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?*

YesNo
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?*

YesNoN/A
If you are away for an extended period, are you prepared to arrange cat care while absent?*

YesNo
If you move will you bring your cat with you?*

YesNoMaybeN/A
Will this be an indoor or outdoor cat?*

IndoorOutdoorBoth
Pets are like children and can sometimes require emergency medical treatment. Are you able to afford the expense of an emergency vet visit for your cat?*

YesNo
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?*

YesNo
Over the life of a cat it can cost $7,000 or more to care for it. Are you prepared for that financial commitment?*

YesNo
Have you ever surrendered a cat?*

YesNoN/A
If yes, please describe:
Existing or past pets:
Do you currently own pets?*

YesNo
If yes, please provide their name and type (i.e. cat, dog)
If yes, are all pets current in their vaccinations and spayed or neutered?

YesNo
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:

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Date:

MonthDayYear
Date
Should be Empty:

Applicant info:

New cat information:

Existing or past pets:

Agreement and signature: