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Animal Adoption and Rescue Foundation

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302 Thurston Street | Winston-Salem, NC 27103 | (336) 768-PETS

AARF Cat Adoption Agreement/Application

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

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

County *

This address is a: *

House

Condo

Apartment

Mobile Home

Do you own or rent your home? *

Own

Rent (enter landlord's name and phone number below)

Your Email Address *

Confirm Email Address *

Phone *

(###)

###

####

Driver's License State and Number *

Are you currently employed: *

(Chose one)

Name of employer *

For whom are you adopting this cat? *

Does everyone in your household want a new cat? *

Yes

Explain

How many adults live in your household? *

How many children live in your household

Ages

Please indicate ages of all children.

Who will be responsible for this pet? *

I am interested in adopting a: *

Kitten

Cat

Male

Female

I am interesting in adopting: *

How long have you been looking for a new pet? *

What attracted you to this particular cat? *

How much do you think it will cost annually to feed, care, and vaccinate your cat? *

How do you plan on working with your new pet should he/she have accidents in the house? *

During the day this cat will be kept: *

If other, please specify:

During the night this cat will be kept: *

If other, please specify:

Do you plan to have this cat/kitten declawed? *

Yes

Maybe

If Maybe, please explain:

How much time are you willing to give to see if they adjust to their new home?

Will you have this cat spayed/neutered? *

Yes

How much time do you estimate that this cat will spend alone during a 24 hour period? *

How many consecutive hours will your cat be alone? *

Complete the following information about the pets you currently have or have had in the past five years. List most recent first.

Spayed/Neutered?

Yes

Vaccinations up-to-date?

Yes

On heartworm prevention?

Yes

Still living in your home?

Yes

Spayed/Neutered?

Yes

Vaccinations up-to-date?

Yes

On heartworm prevention?

Yes

Still living in your home?

Yes

Spayed/Neutered?

Yes

Vaccinations up-to-date?

Yes

On heartworm prevention?

Yes

Still living in your home?

Yes

If more than 3 pets have been owned in the past 5 years, please indicate the following below for each additional pet: Name, Type/Breed, Age, Spayed/Neutered, Vaccinations up-to-date, heartworm prevention, and if they are still living in your home.

Who is your veterinarian/practice name?

Under whose name are the veterinarian records?

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.

If you have not used veterinarian services in the past five years, please provide the name and phone number of two personal references (non-relatives):

Have you ever taken a pet to an animal shelter or have a pet picked up by animal control? *

Yes

If yes, please explain:

Have you ever been charged or investigated for animal abuse, cruelty, or neglect? *

Yes

If yes, please explain:

What is your plan if someone in your home develops allergies to the cat? *

When you go away who will care for your cat? *

If you move, change jobs, get married or divorced, have a baby or experience some other life style change what is your plan for your pet? *

What is your plan for your cat should they survive you? *

What would you do if your cat develops behavioral issues or does not otherwise work out in your home? Please describe. *

Have you ever applied for a pet through AARF of Winston-Salem before? *

Yes

If so, when:

How did you hear about AARF? *

Digital Signature *

First Name

Last Name

Date *

YYYY

Official use only

Do not fill out.

Adopted

No adoption

Official use only

Do not fill out.

Thank you for reaching out to AARF about adopting a cat! We will be in touch with you soon.

*Required field

302 Thurston Street
Winston-Salem, NC 27103
(336) 768-PETS (7387)

Email AARF

AARF House New Hours:
Tu/W/Th/F: 12-5 pm
Closed Sun. and Mon.

Adoption Fair hours for cats is Saturday 11 am-2 pm

Adoption Fair hours for dogs is Saturday 11 am-1 pm

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