Another Chance Animal Welfare League
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Wine & Whiskers – August 24th 2019 – 5PM to 9PM
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Cat Adoption Information
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Cat Adoption Form
Thank you for your interest in adopting a cat from Another Chance Animal Welfare League (ACAWL). ACAWL wants to make sure that every adopted animal goes to a loving home that will meet its specific needs for the rest of its life. Because of this, we ask you to submit an adoption application and agree to a home visit by one of our representatives. The application asks a number of detailed questions which are necessary for our screening process. The home visit is conducted by an ACAWL representative to ensure the future safety and well-being of the cat as well as to evaluate the health and well-being of any other animals currently living in your home. The information we gather during this process is presented to our adoption committee who in turn will choose the home they feel is the best fit for the animal to be adopted. This process is used to ensure a positive adoption experience for both you and the cat.
Step 1 of 3
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Please read the statements below and select all items you can see being an issue for keeping an adopted cat:
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This field is required
There are too many animals in the house already
Allergies to cats
You are moving and cannot take the cat with you
The cost of maintaining a healthy cat is too much
Landlord issues
House soiling issues
Having a litterbox in the house to scoop each day
Personal problems
Inadequate surroundings to raise a cat
The cat does not get along with other pets
You get divorced or separated and no longer want the cat you had together
Cat scratching furniture
N/A (Not Applicable)
Personal/Household Information
Name
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This field is required
First
Last
Your Address
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Address Line 1
Address Line 2
City
ZIP / Postal Code
Home Phone
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This field is required
Work Phone
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This field is required
Cell
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This field is required
Email
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This field is required
Who is your vet?
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Input Required. If N/A put N/A.
Vet Phone Number
Are you adopting the cat for yourself or someone else?
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This field is required
Do you own your home or rent?
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Own
Rent
Name and phone number of landlord:
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Are you willing and able to commit to providing a home for a cat the next 10-20 years?
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If you are moving and the place you are considering doesn’t allow pets, what would you do?
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For couples: If you are separated or divorced what would you have planned for your pet?
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For singles: If you enter a relationship with someone who is allergic or does not like cats, what will you do?
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Do you plan to have your cat declawed?
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Yes
No
Have you ever had a vet declaw a cat before?
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This field is required
Yes
No
Under what circumstances would you have a cat declawed?
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Who will be responsible for the new cat?
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Any children living in the home?
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This field is required
Yes
No
Ages?
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Is everyone in the household in agreement with adopting a cat?
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This field is required
Is anyone in the household allergic to cats?
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History With Pets
Have you had pets before?
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This field is required
Yes
No
Please specify:
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How long did you have the pet(s)?
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Have you ever relinquished a pet for adoption?
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This field is required
Yes
No
Why?
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This field is required
Are there pets in the home now?
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Yes
No
What happened to them?
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What kind?
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Do current pets get along with other cats?
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Are current pets spayed or neutered?
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This field is required
Yes
No
Why?
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Are your current pets up to date on vaccinations?
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This field is required
Are any of your current pets Feline Leukemia or Feline Immunodeficiency Virus positive?
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This field is required
Name of your veterinarian?
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Please describe the kind of cat you are interested in adopting:
(check all that apply)
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Companion for me and my family
Companion for my other pet(s)
Gift for someone else
Hunting/mouser
Preferred age
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Preferred sex
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Preferred hair length:
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Short
Medium
Long
Doesn't matter
Preferred Temperament
(check all that apply)
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This field is required
Outgoing-confident
Reserved-shy
Talkative
Independent
Playful/energetic
Affectionate
Lap cat
Likes other cats
Likes dogs
Cat Information
Name of cat you are interested in adopting
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This field is required
When are you ready to adopt?
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This field is required
Date Format: MM slash DD slash YYYY
What will the cat’s living situation be like?
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This field is required
Cat will live inside with family as a pet and family member
Cat will live mainly inside, but will have access to outdoors
Cat will live outdoors nearly all the time
Cat will be a mouser indoors and outdoors
Can ACAWL contact you in the future for reports on the cat that you adopt from us?
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This field is required
If this adoption does not work out, do you agree to return the cat/kitten to ACAWL?
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This field is required
Yes
No
Employment Information
Employer
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This field is required. If retired put "Retired".
Occupation
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This field is required. If retired put "Retired".
How long with this employer?
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This field is required. If retired put NA.
Employer phone
This field is required
Does your job require extensive travel?
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This field is required
Yes
No
N/A
Who will take care of your pets while you're gone?
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This field is required. If retired put NA.
The above information is true and correct and I authorize ACAWL to contact references listed above. I understand that the completion of this form is the first step in the adoption process and doesn’t necessarily guarantee adoption. I also give ACAWL permission to contact my landlord and veterinarian if applicable. I agree to pay the non-refundable adoption fee as set by ACAWL’s adoption fee schedule.
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Please type your full name This field is required
Date
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This field is required
Date Format: MM slash DD slash YYYY