Cat Adoption Application - Washington Area Humane Society

Applicant Information

allergic Sex vaccines?

Applicants First Name *

Applicant Last Name *

Email *

Email

Confirm Email

This will be used to register Microchip. Type accurately.

Co-Applicant Full Name

Spouse, Boyfriend, Parent or person living with you and the cat.

Birth Date *

You must be 21 to adopt. A driver’s license or ID is required to adopt.

Cell Phone *

Address you and the cat will reside at: *

Address Line 1

Address Line 2

City

State

Zip Code

How years have you lived at the residence?

Selected Value: 0

If under 1 year choose 0

Choose One *

We verify home ownership.

If you rent are you allowed to have a cat? *

Yes
No
I am unsure

Are you any of the following?

WAHS Board Member
WAHS Staff Member
WAHS Volunteer

Household Information

Please list members of house hold and ages.

Name

Age

Name

Age

Name

Age

Name

Age

Do children under 16 visit your home regularly? *

Yes
No

Meaning do you have family or friends children that will be around the cat with regularity due to babysitting, neighbors kids, etc.

Do you have a plan if you can no longer care for cat? *

Yes
No

Have you ever adopted from the Washington area Humane Society before? *

Yes
No

Have you ever been charged with animal neglect, abuse or abandonment? *

Yes
No

Current Pet Information

List all the pets you have owned in past three years.

Are all your pets up to date on rabies vaccines? *

Yes
No
No but I will bring them in to get one.

Are all your pets spayed/neutered? *

Yes
No

If you have dogs, have they been around cats before? *

Yes
No

Vet Office 1 *

Please list the vet your pets have seen for vaccinations.

Vet Office Phone 1 *

Vet Office 2

Vet Office Phone 2

Animal Adopting Information

What are the name(s) of the cats you are interested in adopting.

Select qualities you like in a cat: *

Are you willing to adopt a cat with pre-existing medical conditions? *

Yes
No
Maybe, depends on issue

Will your cat be kept indoors? *

Yes
No

Will you declaw your cat? *

Yes
No

Are you prepared to care for the cat for its lifetime? *

Yes
No

Is there anyone in your household allergic to cats? *

Yes
No

Are you willing to litter train your cat? *

Yes
No

Are you aware cats shed and scratch items in the home? *

Yes
No

Please share anything else you would like us to know that would make you a good adoptive home.

Signature

Clear Signature

I understand that WAHS only adopts cats to live indoors in a home. We do not adopt cats out for gifting to others. We do not allow declawing of cats adopted out. I know I must provide a vet contact for my current animals. I am aware that if I rent my landlord must approve of me having a pet. I am signing below in agreement that everything I said in this application is true to the best of my knowledge and that falsifying information will lead to the cancellation of the application.