adoption forms

Are you interested in adopting a cat or dog?*

CatDog

Date*

Full Name*

First NameLast NameSuffix

PA Driver's License #*

Home Phone Number*

Area CodePhone Number

Are you over 18?*

YesNo

Address*

Street Address

Street Address Line 2

CityState

Zip Code

E-mail Address*

Are you adopting for yourself or someone else?*

SelfSomeone else

Do you own or rent your residence?*

OwnRent

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?*

YesNo

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?*

InsideOutsideBoth

Do you plan to declaw your cat?*

YesNon/a - dog adoption

Who will be responsible while you are away?*

Have you owned a pet before?*

YesNo

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