Step 1 of 2 50% Applicant InfoFirst Name* Last Name* Age*Home Phone*Work PhoneEmail* Address* Street Address City State / Province / Region ZIP / Postal Code County* Please indicate where you live:* apartment house townhome/condo mobile home/trailer Do you* Rent Home Own Home Rent to Own Live with Parents Do you have your parents' permission?* Yes No Not Yet Do your parents* Rent Own Do you have the landlord's permission to own a cat?* Yes No Not Yet What is Apartment Complex Name?* What is Landlord's Phone Number?*How much is the pet deposit?*Employer* Occupation* How Long Worked Here?* Co-Applicant (Spouse or Significant Other) Age Name of Cat(s) interested in: How many times have you moved in the past 5 years?* What would you do with the kitty if you needed to move and the new location didn’t allow pets? - Please specify:*Do you or anyone in your household currently have any serious health problems?* Yes No If so, please describe:*Do any family members have allergies?* Yes No If so, please describe:* Have you or your immediate family ever adopted from Winging Cat Rescue before?* Yes No I don't know If so, when did you/they adopt? Number of Adults Living in Household:* Do any children live in the house?* Yes No If yes, what are their genders/ages?* Will the cat be* Indoor Only Indoor/Outdoor Outdoor Only Do you have any pets at home?* Yes No List Name(s)/Type(s) of Each Pet:* Are all current pets spayed/neutered?* Yes No Please explain why any of your pets are not spayed or neutered.*Do current cats have their claws?* Yes No Not applicable Do you plan to declaw the new kitty?* Yes No Undecided Your veterinarian's name or name of vet you will be using:* Veterinarian's address: Veterinarian's Phone Number:How many cats have you owned in the past?* If any, please describe what happened to each of them (put to sleep, died of old age, sold, given away, ran away, etc.)Have you ever given a cat up?* Yes No If so, please explain the circumstances.*Have you ever had a cat for a brief period of time and it didn't work out* Yes No If so, please explain why and what happened to it.*How do you plan to protect against fleas and ticks?* How often do you take your animals to the vet?* If you are unable to keep the cat for any reason at any time, will you return the cat to us?* Yes No How did you hear about us?* Our Website Our Facebook page Internet Search Petfinder AdoptaPet.com At an Adoption Event in Store I'm a previous adopter from a friend Other Please explain Anything else you would like us to know?Consent* I agree to the terms of the application.By signing below, I attest to the truthfulness of all my answers and that I have read, understand and agree with the following information. Falsification of any information above will be grounds for rejection of this application and possible removal of adopted pet from my home. Applicant must be 21 years of age or older. All adoptees are rescued kittens/cats and are usually from a shelter or pound. Although Winging Cat Rescue Inc. works towards socialization of all kittens/cats and would not adopt out a kitten/cat that has demonstrated aggressive or potentially harmful behaviors, in submitting this form, I understand and agree that neither Winging Cat Rescue Inc. nor any person or entity associated with, or working with, or on behalf of, or as agent of Winging Cat Rescue Inc. is liable for any injury(s), illness or damages that may result from my/our adoption of any kitten/cat. I also understand every effort has been made to insure the cat/kitten is healthy and all available medical information will be provided at adoption. Cats/kittens will be spayed or neutered and have age appropriate vaccinations prior to adoption. Winging Cat Rescue Inc. strongly encourages all adopters to take their new cat/kitten to their vet for an exam (at their expense) within 15 days of adoption. Winging Cat Rescue Inc. is not responsible for further medical needs including but not limited to routine vaccinations, internal parasites, fleas, ticks, ringworm, upper respiratory infections, or other medical problems. I understand that Surgical Removal of the adopted cat’s toes or “DE-CLAWING” is NOT permitted and I agree that the adopted cat WILL NOT be “De- clawed” after adoption. I also understand that if I can no longer keep the kitten/cat, I will contact Winging Cat Rescue Inc. immediately to discuss placement of the kitten/cat – the cat /kitten shall not be given away, sold or exchanged without the prior written permission of Winging Cat Rescue Inc. Winging Cat Rescue Inc. reserves the right to refuse any applicant.Enter Name if you agree to terms in application* First Last Driver's License Number* State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCAPTCHA
