adoption forms

Are you interested in adopting a cat or dog?

Date

Full Name

First NameLast NameSuffix

PA Driver's License #

Home Phone Number

Area CodePhone Number

Are you over 18?

Address

Street Address

Street Address Line 2

CityState

Zip Code

E-mail Address

Are you adopting for yourself or someone else?

Do you own or rent your residence?

If you rent, please provide the name and phone number of your landlord (enter n/a if not applicable)

How many people reside in your household?

Does anyone have allergies to pets?

If there are children, what are their ages (enter n/a if not applicable)?

Who will be responsible for the care of the cat/dog?

Where will your cat/dog be kept?

Do you plan to declaw your cat?

Who will be responsible while you are away?

Have you owned a pet before?

Describe those pets and their current health (enter n/a if not applicable)

Breed of cat/dog you're interested in (enter n/a if not applicable)

Name of cat/dog you're interested in (enter n/a if not applicable)

Vet reference and phone number (enter n/a if you do not have a pet)

Please contact your veterinarian to authorize the release of reference information on your current pet(s) to The CatWorks.

Name of non-family member personal reference

Phone Number of reference

Area CodePhone Number

I understand that all of the above fields are mandatory. By submitting this form I represent that the information I have provided is the truth to the best of my knowledge and belief.

*Required