Cat Adoption Application
First and Last Name
What cat/kitten are you interested in?
Have you asked all members of the household if they are in favor of adopting a cat?
Is anyone in the family allergic to cats?
Many times a new child changes how people react with their cat. If you are considering having children, have you thought about cat hair on the floor where the baby crawls, the litter box, or a toddler getting bit or scratched?
Do you own your own home? If you do not own your home, do you have permission from your landlord to have a cat? Please list the landlord's name, phone number, and policy on pets.
Have you thought about who will care for the cat when you are on vacation, out of town, or sick in the hospital, etc.? Explain:
What is your home atmosphere like: Central Station, Some Activity, or Quiet and Peaceful?
Will the cat be inside or outside?
Where will the cat be kept during the day? What about at night? What about when left alone and for how long?
Will there be shelter for the cat outside?
Will you allow for us to do a home visit if need be?
Do you understand that this cat/kitten is not guaranteed to be litter box trained?
Are you willing to work with this cat/kitten on any troubled behaviors such as scratching, litter box issues, or cooperation with other animals?
Are you committed to provide annual vet care for your cat such as check-ups, vaccinations (state law requires all pets over 6 months of age receive rabies vaccinations yearly), and flea/tick medicines?
How much do you think you will spend yearly for the care of your cat including vet care, vaccines, flea/tick prevention, vaccines, food, toys, litter, and bedding:
Please list all pets you currently have and include their: Name, Type of pet, Age, If spayed or neutered, Whether indoor, outdoor or both, If declawed, Vet Information (Please provide vet name, vet number, and the person who the pet is under at the vet)
Please list pets you have had in the past five years, but do not currently have and include: Name, Type of pet, Vet information (please provide vet name, vet number, and the person who the pet was under at the vet What happened to the pet? How long ago?
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Please read the following and sign below: I have answered all of the questions honestly and completely, I am over 18 years of age and can provide proof of ID, and I understand that: Adopting a pet is a long-term commitment. WRHS reserves the right to refuse/reject my application at its discretion. Filling out this application does not automatically guarantee approval to adopt the animal nor does it require me to adopt the animal. I am giving permission to WRHS to contact my landlord and/or veterinarian that I have provided, and my signature allows release of any information necessary to process this application. Signing this form electronically authorizes an investigation of all information and statements on this form and certifies that all information is truthful and accurate. Please electronically sign full name and date with month, day, year, and time:
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