Thank you for visiting Willamette Humane Society We are a

Thank you for visiting Willamette Humane Society. We are a private, nonprofit organization that relies on support from the public to provide valuable services to the animals in our community. Anyone who wishes to visit with our animals must complete the entire application. You must be 18 years of age to visit with or adopt an animal from our shelter. 503-585-5900 • Adoptions ext. 327 • 503-585-7906 fax • info@WillametteHumane.org Name: ____________________________________________________________ CAT ADOPTION APPLICATION Name Physical Address City Today’s Date State Zip Home Phone Work or Cell Phone Date of Birth Moving soon? If yes, when? ( ) Yes No ( ) Y Type of residence Have you adopted from WHS? Do you? Email address- N Farm Other: Own Rent Live w/ Parents House Apartment Ages of those under 18: Number of people in the household: RENTALS ONLY (LANDLORD APPROVAL REQUIRED PRIOR TO ADOPTION INTERVIEW) Phone Number: Is/was your pet current on vaccinations? Landlord’s Name: Please list all pets you currently own or have owned in the last 5 years: Type of animal: Gender: Spayed/ Neutered? Age: Live indoors (I), outdoors (O), or both (B)? Still own? If not, why? M F Yes No M F Yes No M F Yes No M F Yes No Do you plan to have the cat you adopt spayed or neutered? I O B Yes No I O B Yes No I O B Yes No I O B Yes No Do you plan on breeding this cat? Yes Yes Yes Yes No No No No Yes No Yes No What made you decide to adopt a cat? Bad cat habits that I just can’t tolerate are: How will you resolve behavior problems such as scratching, biting, clawing, jumping on furniture or counters, failure to use the litter box, etc.? I am interested in a cat with “special needs” (medical or behavioral). Yes No Not Sure Date: ______________________ My cat will be: Indoor Only Yes No Indoor/Outdoor Not Sure Outdoor Only Do you plan on declawing the cats you adopt? Where will the litter box be placed? Please check the topics you would like to discuss today: Indoor vs. Outdoor Declawing Litterbox training Appropriate toys Cats with children Vaccines Other: Scratching furniture Flea control Introducing a new cat to other pets I certify the information I have provided is true and understand that any false information will nullify the adoption. I agree to a pre-/post-adoption home inspection by an employee of the Willamette Humane Society if requested. I understand WHS reserves the right to refuse any adoption. I understand that I may place a hold on an animal for 1 business day for a non-refundable, non-transferable $10 fee. Signed: Date: PLEASE COMPLETE BOTH SIDES 1 I would consider my household to be like A Library Middle of the road A Carnival 2 I am comfortable with a cat that likes to play “chase my ankles” and similar games No Somewhat Yes 3 I want my cat to interact with guests that come to my house Little of the time Love them but rather not to live with them Not important It’s not important whether my cat loves being with children Some of the time Depends on the situation Somewhat All the time 4 How do you feel about a boisterous cat that gets into everything? Fine by me 5 My cat needs to be able to adjust to new situations quickly Yes 6 I want my cat to love being with children in my home Some of the time Most of the time Children do not often come to my house 7 My cat needs to be able to be alone More than 9 hours per day Little of the time 4 to 8 hours per day Some of the time Some of the time Less than 4 hours per day All of the time 8 When I am at home, I want my cat to be by my side or in my lap 9 I want my cat to enjoy being held Little of the time Most of the time 10 I need my cat to get along with (circle all that apply) Inside and Outside Dogs Birds Inside No No Little of the time Not very active at all Sometimes Somewhat Outside Yes Date __________ Yes Often Yes, very Currently Cats Other 11 12 13 My cat will be I have lived with cats before I prefer my cat to be talkative I want my cat to play with toys I want my cat to be active It’s not important if my cat is talkative 14 15 It is most important to me that my cat 16 __________________________________________________________________________________________________ (fill in the blank) FOR OFFICE USE ONLY: RECOMMENDED COLOR MATCH: RECOMMENDED FELINE-ALITY™(IES) PURPLE ORANGE GREEN ________________________________ FOR OFFICE USE ONLY HO confirmed: Landlord approval received: ID checked: DL # NOTES: