Cat Adoption Application Pet Assistance League (PAL) of Virginia P.O. Box 1076 * Stafford, VA 2255...

Cat Adoption Application Pet Assistance League (PAL) of VirginiaP.O. Box 1076 * Stafford, VA 22555 * (540) 659-5018 A successful adoption depends on both selecting the right animal for your household and understanding that animal"s needs. We want to help find the best pet for you and the best home for the pet, so please answer the following questions completely and honestly.

Name of cat interested in:*
Date:*

MonthDayYear
Date
Name:*
Home Phone Number:*
Address:*
Alternate Phone Number:
City:*
State:*
Zip Code*
Email Address:*
Living Arrangements*

OwnRent
Residence Type*
If you rent, are pets permitted on your lease?

YesNo
Weight Limit:
Landlord Name, Address & Phone:
Where will your cat live?*
Number of adults in house:*
Children:
Ages:
In future?
List any pets you have owned in the past five years: (If more than 5, please send additional pets" information via email to adoptions@pal-va.org.)
Type:
Breed:
Sex
Spayed/Neutered

YesNo
Where is the animal now?
How long has it been with you?
Type:
Breed:
Sex
Spayed/Neutered

YesNo
Where is the animal now?
How long has it been with you?
Type:
Breed:
Sex
Spayed/Neutered

YesNo
Where is the animal now?
How long has it been with you?
Type:
Breed:
Sex
Spayed/Neutered

YesNo
Where is the animal now?
How long has it been with you?
Type:
Breed:
Sex
Spayed/Neutered

YesNo
Where is the animal now?
How long has it been with you?
Are all of your pets currently up-to-date on all vaccinations?

YesNo
If no, please explain:
Will you insure that you cat gets regular medical checkups and required vaccinations?*

YesNo
If you currently have cats, are any of them declawed?

YesNo
Do you plan on declawing this cat?*
Do you authorize a vet check by a PAL representative?*

YesNo
Name & Phone Number of Veterinarian:
Have you ever had to give up a pet for any reason?*

YesNo
If yes, what were the circumstances?
Do you currently have or plan to have a doggie door?*
How many hours will your cat be alone during the day?*
Where will your cat be kept when alone?*
Where will your cat be kept when you are home?*
Where will your cat sleep?*
Who will care for your cat when you go on vacation?*
What plans do you have for disciplining and training your cat?*
Will your cat be allowed outside at all?*

YesNo
Why do you want this cat? What about this cat appeals to you most?*
Do you agree to spay or neuter this cat (for kittens) at six months and provide proof to PAL?

YesNo
Does anyone in the household have animal allergies?*

YesNo
If yes, please explain:
Who will be the primary caretaker of this cat?*
Is everyone in the household aware of this adoption and in complete agreement with it?*

YesNo
If no, please explain:
What age appeals to you most?*
What will you do with this cat if you can no longer keep it?*
If you selected "Other" please explain:
What circumstances, in your mind, justify giving up a cat? Please check all that apply.*

MovingNew babyNot getting along with other petsDivorceToo time consumingScratching furnitureBehavioral problemsChildren lost interestAnimal gets too bigSheddingAllergiesHousebreaking problemsMedical ProblemsAggressionOther (Explain below)
If you selected "Other" please explain:
If your cat later develops a medical problems that becomes expensive, what will you do?*

Find the cat another homePay whatever it takesHave the cat put to sleepGive the cat to a rescue group or shelterOther (Explain below)
If you selected "Other" please explain:
How much do you think it will cost annually to care for this cat? (Food, vet bills, toys, etc.)*
Will you allow PAL to visit your home prior to and after the adoption?*

YesNo
If no, please explain:
Will you allow PAL to periodically inquire about the cat"s welfare and living conditions?*

YesNo
If no, please explain:
Please provide any additional information here you think might be helpful to PAL:
In order to help defray expenses and help other PAL animals, there will be an adoption fee of $135 for cats and kittens. For kittens under the age of six months, once proof that spay or neuter was performed at approximately six months of age is provided to PAL, $25 will be returned to the adopter.
MY ELECTRONIC SUBMITTAL OF THIS APPLICATION INDICATES THAT I HAVE ANSWERED THESE QUESTIONS HONESTLY, AND TO THE BEST OF MY ABILITY. i AGREE TO THE TERMS AND CONSIDERATIONS SET FORTH IN THIS ADOPTION APPLICATION. I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN THE REMOVAL OF THE ADOPTED PET FROM MY HOME BY PAL.
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