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311 Harvey Street | Winston-Salem, NC 27103 | (336) 768-PETS

 

AARF Cat Adoption Agreement/Application


Please fill out the following application (last name N-Z):

Name *
Name
Address *
Address
This address is a: *
Do you own or rent your home? *
Phone *
Phone
(Chose one)
Does everyone in your household want a new cat? *
Please indicate ages of all children.
I am interested in adopting a: *
If other, please specify:
If other, please specify:
Do you plan to have this cat/kitten declawed? *
Will you have this cat spayed/neutered? *
Spayed/Neutered?
Vaccinations up-to-date?
On heartworm prevention? *
Still living in your home?
Spayed/Neutered?
Vaccinations up-to-date?
On heartworm prevention? *
Still living in your home?
Spayed/Neutered?
Vaccinations up-to-date?
On heartworm prevention? *
Still living in your home?
Note: The veterinary reference check is a requirement of our application process. If your pets were listed at the vet under a different name than that of the person completing this application (e.g. spouse), please ensure that we have both names.
Have you ever taken a pet to an animal shelter or have a pet picked up by animal control? *
Have you ever been charged or investigated for animal abuse, cruelty, or neglect? *
Have you ever applied for a pet through AARF of Winston-Salem before? *
Digital Signature *
Digital Signature
Date *
Date
Official use only
Do not fill out.
Do not fill out.

*Required field