Which cat are you applying to adopt?

We decide forever homes on a best-fit basis, and there may be multiple applications for each cat. We kindly request that you add multiple choices of cats to visit if any others interest you.

Your Name

First Name

Last Name

Do other adults live in the home with you?

Yes

If you answered 'yes' that other adults live in the home, list their full name (including middle initial) and date of birth.

For multiple adults, press 'enter' to list each person and their DOB on a new line.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Make sure the email address you enter is one you check frequently.

Phone Number

(###)

###

####

Is this phone number a cell or landline?

Cell phone

Landline

Preferred method(s) of contact regarding your application:

Text

Call

Your Date of Birth (used only for a basic background check)

Please type your full name below to authorize the Winona Area Humane Society to run a background check.

Have you previously adopted a pet from the Winona Area Humane Society?

Yes

Type of Residence

Do you:

Rent

Own

Live with the homeowner

Name of Landlord/Homeowner

Enter your name if you are the homeowner.

First Name

Last Name

Phone Number of Landlord/Homeowner

Enter your information if you are the homeowner.

(###)

###

####

What is the name of your employer?

Enter "self-employed," "retired," or "unemployed," if applicable.

How long have you been employed at your current job?

If you're self-employed, retired, or unemployed, enter "N/A" below.

What is the phone number of your employer?

(###)

###

####

If necessary, do we have your permission to call your employer?

Yes

When you are not home, where will your new animal be kept?

How many adults live in your home?

Do children live in your home?

Yes

If children live in your home, please list their age(s).

Do any members of your household have allergies or asthma?

Yes

If household members have allergies or asthma, is there an action plan in place should a negative allergic reaction occur?

Yes

N/A

Adoption Policies

Please check each item to acknowledge.

I agree to (do my best to) have all members of the household meet the animal prior to adoption.

I certify & understand that it is a REQUIREMENT that my current animals have an up-to-date rabies vaccination.

ADOPTION ASSESSMENT

Please answer the following questions. It's our goal to make sure you're matched with a loving, lifelong companion!

What qualities are you looking for in a new cat?

How experienced do you feel in caring for a cat?

No experience, but I'm excited to learn.

Some experience - I've had a cat before.

Lots of experience - friends and family consider me an expert.

Other - please explain below.

If you answered "Other" to the previous question, please briefly explain below.

How experienced do you feel in securing veterinary care for a cat?

No experience - but I'm eager to learn.

Some experience - I know how to find a veterinarian for an animal.

I have a vet that I use and love!

Other - please explain below.

If you answered "Other" to the previous question, please briefly explain below.

How would you describe your household?

Very quiet - only a few residents and not too many guests.

Average - not too quiet, but not party animals.

Very active - lots of people coming in and out.

Other - please explain below.

If you answered "Other" to the previous question, please briefly explain below.

My cat needs to be good with:

Dogs

Other cats

Children under 8 years of age

Children over 8 years of age

Older adults

Other - please explain below

If you answered "Other" to the previous question, please briefly explain below.

Important Adoption Reminders

Please check the boxes below to acknowledge your understanding of the following statements:

I understand that the lifespan of a cat can be 15-20 years.

I understand that by agreeing to adopt a cat, I am making the decision to care for him/her for his/her lifetime.

CURRENT PET INFORMATION

Have you owned pets in the past five years?

Yes

If you have any current pets, or have owned pets in the past five years, please list them below.

Enter a line of text for each animal. Please indicate the following: type of animal, pet's name, pet's age, male or female, if spayed/neutered, kept where (inside or outside), if you still have the pet. If you no longer have the pet, please briefly indicate why (passed away, surrendered, lost, etc.)

If a pet is not spayed or neutered, please briefly explain.

Are all of your current animals up-to-date on rabies and distemper vaccinations?

Yes

Unsure

I do not currently own any pets

Have you ever given away an animal or surrendered an animal to a shelter?

Yes

If you've ever given away/surrendered an animal, please describe the circumstances:

VETERINARY INFORMATION

Please provide the name and phone number of any veterinary clinic that you've used in the past five years.

Name of Veterinary Clinic:

Veterinary Clinic Phone Number:

(###)

###

####

Animal owner name(s) listed on account at Veterinary Clinic:

WAHS POLICY ON DECLAWING

The Winona Area Humane Society is opposed to the amputation of a cat's toes (also called declawing) at any time. It can cause a wide range of behavioral, emotional, and physical problems. We follow the policy enacted by the Humane Society of the United States. There are alternatives to declawing; please ask a member of the office staff for information. If you prefer a declawed cat, ask us about already declawed cats that may be available for adoption.

Do you agree to honor our policy on declawing?

Yes

WAHS POLICY ON PET HEALTH

It is understood that at the time of adoption, the adopter will assume responsibility for the medical care of the adopted kitten(s) and/or cat(s). WAHS will make an effort to identify any medical issue(s) at the time of adoption, and work to resolve them, but it is possible a medical issue may not be identified. If a medical issue arises WITHIN 14 days of the adoption date, the adopter is asked to please contact WAHS. If the issue requires medical attention WAHS may be able to assist, but in a limited manner. If medical issues arise AFTER 14 days past the adoption date, the adopter will be solely responsible for the medical care of the kitten(s) and/or cat(s). Please know that if a kitten and/or cat is returned to WAHS for medical reasons not addressed by the adopter, the kitten(s) and/or cat(s) will no longer be available for adoption to the returning adopter. If the adopter is not able to provide for the necessary medical care, the adopter can return the kitten(s) and/or cat(s) to WAHS. If the adopter desires to adopt another kitten and/or cat, depending on the length of time since the original adoption date the adopter may do so with an approved application.

Have you read the medical care policy?

Yes

Do you agree to the medical care policy?

Yes

If you have read the medical care policy and agree to the policy, please initial below to acknowledge your agreement.

ADOPTION APPLICATION SUBMISSION

By typing your name below, you certify that the above information is accurate. You understand that to misrepresent any information grants the Winona Area Humane Society the authority to refuse adoption or to reclaim an adopted pet. You authorize investigation into all previous statements.

Please type your name below to sign this adoption application

Today's Date

YYYY

Cat Adoption application

Location

Hours

Contact

winona area humane society