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Cat Adoption Form
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How did you hear about FOWA Rescue?
*
FOWA Rescue Website
Facebook
A Friend
Another Rescue
Pet Finder
An Adoption Event
Which cat are you interested in adopting? OR
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Gender Preference
Male
Female
Does not matter to me
Age Preference
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Primary Phone
*
Secondary Phone
*
Employer
*
Employer Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Do you work outside the home?
*
Yes
No
How many hours will your cat be alone during the day?
*
Vet Information
Current Vet Name - Please call your vet giving them permission to release the vet records to FOWA.
Vet Phone Number
Vet Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
PLEASE CONTACT YOUR VET AND GIVE YOUR PERMISSION TO SPEAK WITH US ABOUT YOUR PETS. IF THEY DO NOT HAVE YOUR PERMISSION, IT MAY DELAY THIS PROCESS.
Previous Vet Name (If you have been there within the last 5 years.
Prior Vet Phone
Other Pets Information
Do you own other cats or dogs?
*
Cats
Dogs
Cats and Dog
No Cats or Dogs
Provide name, breed, age, gender and if they are spayed/neutered.
Are your current cats Indoor, Outdoor or both
*
Indoor
Outdoor
Both
If dogs are they
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Loose in the house
Crated in the house
Outside in Yard
Garage or Basement
Doggie Daycare
Are your pets current for vaccines and licensed with township?
Yes
No
If no, please explain:
Please list any other animals in home (hamsters, ferrets, rabbits, etc.):
Please list any previous pets, noting name, species, breed and length of ownership
Have you ever re-homed a pet?
Yes
No
please explain the circumstances.
Do you plan to declaw your adopted cat?
*
Yes
No
Please explain
Are you financially prepared to give your new pet routine and emergency medical care?
Yes
No
About Your Home
Please list names and ages of all adults in home, including yourself(one per line)
Please list names and AGES of all children who live in the household at least part time One per line):
Does any family member have allergies to pets?
Yes
No
Do you Own or Rent your home:
Own
Rent
Which best describes your current home?
Single Family Home
Apartment
Townhouse
Duplex
Military Housing
Other
Please explain
Please provide us with the property owner’s name
Property Owners Phone
Property Owners Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long have you lived at your current address?
Where will your cat be kept during the day?
*
Loose in the house
Crated inside the house
Outside in the yard
Garage/basement
Will the cat be allowed outside?
*
Yes
No
Sometimes
What are your plans for your cat? (Check all that apply)
Pet/Companion
Mouser
Other
If Other, please explain
How active is your home?
Quiet/low key/few visitors
Busy/active family on the go
Lots of friends/kids in and out
Grandkids visit regularly
Regular adult visitors
Travel Frequently
How active would you like your cat to be?
Low energy/couch potato
Easy going
Active/playful/ready to romp
What issues might cause you to re-home your cat?
Who would take care of cat in case of you no longer can?
Is there anything else you would like us to know?
References
Please provide two references – No family and no one living with you. Include name, phone number, and relationship.
Reference 1 Name:
Reference 1 phone:
Reference 1 relationship:
Reference 2 phone:
Reference 2 relationship:
Reference 2 Name:
Would you object to a visit from a FOWA representative?
Yes
No
Consent
*
I agree to the Acknowledgement and Release Statement
Acknowledgement and Release Statement
I hereby release to FOWA Rescue access to all veterinary and town license records of any or all of the animals I own or have owned. I certify that all the information in this application is true and I understand that false information may void the application. All adoptions are finalized at the discretion of the review board. FOWA Rescue reserves the right to refuse any adoption and will not reveal the specific reason for adoption denial. FOWA Rescue reserves the right to contact any individuals listed on this form.
Electronic Signature (Type your name)
*
Date
*
MM slash DD slash YYYY
Please note--due to the volume of applications received, only the successful applicant will be contacted. Applications are reviewed within an average of three days.
Comments
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