Create Adoption Application

First Name *

Last Name *

Contact Information

Address *

City *

State *

Zip *

Years at Current Address *

Home Phone *

Cell Phone

Work Phone

Email *

Employment

Employed *

Full-Time

Part-Time

Retired

Unemployed

Other

Employer's name *

Employer's address *

Employer's phone *

Years with current employer *

If not employed, source of income *

Household

Check all that apply *

Own

Rent

Live with parents

Student

Live with roommates

Live in *

House

Townhouse

Apartment

Mobile Home

Dormitory

List the AGES of children under 21 living at your residence

First and last names of other adults living at your residence *

Does everyone in your household consent to adopting a cat? *

Are there any pet allergies in your household? *

Are there any restrictions to owning a pet? *

If you were to move from your current residence, what would happen to your pets? *

If renting, name on lease *

If renting, have you verified with your landlord that you are allowed to keep pets? *

Name of apartment complex or first and last name of landlord *

Landlord's Phone *

The Cat

Cat's name or a description of cat/kitten you wish to adopt *

Why do you want to adopt a cat? *

Who will be the primary caregiver of this pet? *

What type of personality are you looking for in a cat? *

Your cat will be *

indoor only

outdoor only

both indoor and outdoor

Which would you prefer (check all that apply) *

Adult

Kitten

Male

Female

Siblings

Senior

Special Needs

Declawed

No Preference

Are you planning to declaw your cat? *

Yes

Maybe

Where will your cat live? *

Where will your cat sleep? *

Will your cat be alone during the day? *

If so, for how long?

Will your cat be allowed outdoors? *

If so, under what circumstances?

What restrictions will your cat have? *

Are you willing to be responsible for this cat for 15 years or more? *

Do you have a cat carrier, cat food & litter pan? *

Have you thought about or made provisions for your cats in the event you are no longer able to care for them? *

Are there any circumstances which would force you to give up your cats? (please check all that apply)

Scratches carpet/drapes/furniture

Spouse/child allergic

Behavior problems

Conflicts with other pets

Sprays or litter box problems

Pregnancy/baby

Job change or loss

Expensive vet bills

Needs special diet

Moving

Divorce/separation

Needs too much attention

Requires daily treatment

Cat becomes disabled

Other

Current Pets

Do you already have cats? *

Yes

If so, how many? *

Names and Ages *

How do they get along with other cats? *

Loves other cats

Likes most

Tolerates some

Not at all

Are their vaccines up to date? *

Yes

Don't know

Have they been spayed/neutered? *

Have they been tested for FIV/FeLV? *

Were any of them declawed? *

Yes

Do they go outside? *

Yes

Occasionally

Where did you get your cats? *

Do you currently have dogs? *

Yes

If so, how many? *

Breeds *

Have they lived with cats before? *

Yes

Don't know

Do they get along with cats? *

Where did you get your dogs? *

Have your dogs been spayed/neutered? *

Are their vaccines up to date? *

Yes

Don't know

Do you have a dog door? *

Yes

Where do your dogs stay during the day? *

Other pets

Pet History

If you had pets in the past, please tell us their names and what happened to them *

If pets are deceased, please tell us their names and the circumstances *

Have you ever given up an animal to a shelter or rescue group? *

Yes

If so, please explain the circumstances

Have any of your past cats caused any of the following problems?

Scratching furniture/carpet/drapes

Fighting with other pets

Running away

Scratching people

Excessive shedding

Spraying

Litter box problems

Causing problems for neighbors

Veterinary Care

Can you afford veterinary care? *

Do you have a veterinarian? *

Yes

Pet's last visit

Date

Veterinarian name and phone number *

If you do not currently have a veterinarian, please give us the name of your last veterinarian.
If you have had more than one vet in the past 5 years, please list all.

May we contact your veterinarian? *

Yes

Whiskers Animal Benevolent League

How did you hear about us? *

Website

PetSmart

Facebook

PetFinder

Instagram

Adoption Event

Newspaper

Friend

I am a volunteer

I know a volunteer

Other

If other or if adoption event, please specify *

Volunteer name

Have you adopted from us before? *

Yes

If so, who and when?

Would you like to be on our mailing list? *

Yes

No Thanks

I certify that I am at least 21 years of age. I understand that a cat can live as long as 20 years. I am ready to make a commitment to feed, protect, shelter and care for my pet for the rest of his/her life. I verify that the information I have provided in this application is true and accurate. Whiskers Animal Benevolent League reserves the right to refuse adoption for any reason. Adoptions are not made on a first come, first served basis.

Certification *

I agree

I disagree

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