CAWS - Adoption Application

** PLEASE NOTE: ALL FIELDS ARE REQUIRED **

Which animal are you interested in adopting?

Contact Information

Name:				Referred By: If other, please specify:
Address:

Phone(s):
Email:
Is the pet for: You Your Family Another Person
Are you over 21 years of age? Yes No

Residence

Own Years House Condo Trailer Home			Rent Years OK with landlord? Yes No Landlord's Name: Landlord's Phone:
Does your residence have a "doggie door"? Yes No
Your Employer:		Name:		Phone:
Describe the nature of your work:					Years:
Spouse's or Partner's Employer:		Name:		Phone:
Describe the nature of their work:					Years:
Spouse's or Partner's attitudes about adopting a pet:
Children:	Number:		Ages:
Please list all persons living in the home who are not your spouse/partner or child as listed above:
Nearest Relative:		Name:		Phone(s):
Personal Reference:		Name:		Phone(s):

ALLERGIES:	Do you or any members of your household have allergies to cats or dogs? Yes No
Why are you interested in adopting a pet?
Who will be responsible for the daily care of the pet?
CAT:	How often will you let the cat go outside?
	What are your views about declawing?
DOG:	Is your yard fenced? What is it made of? What outdoor protection do you have prepared for a dog?
	When would the dog be allowed indoors - how often, and in what parts of the home?

Is a home visit, arranged with a CAWS volunteer, OK? Yes No
Please provide history of prior pets, including: type, how long you had them, why they are no longer with you:
Please provide following information about current pets you have:
Type: Age: Spayed/Neutered: Yes No Where you got the pet from: How long have you had this pet? Shots: Dental Care: Yes No Declawed (cat)? Yes No Type/Brand of food: Does pet have license? Yes No Is pet Microchipped? Yes No	Type: Age: Spayed/Neutered: Yes No Where you got the pet from: How long have you had this pet? Shots: Dental Care: Yes No Declawed (cat)? Yes No Type/Brand of food: Does pet have license? Yes No Is pet Microchipped? Yes No	Type: Age: Spayed/Neutered: Yes No Where you got the pet from: How long have you had this pet? Shots: Dental Care: Yes No Declawed (cat)? Yes No Type/Brand of food: Does pet have license? Yes No Is pet Microchipped? Yes No
Who is your veterinarian?

Please Note: CAWS (Community Animal Welfare Society) reserves the right to refuse an adoption for any reason.

Would you like us to send you a copy of the email we receive? Yes No

CAWS - Community Animal Welfare Society
P.O. BOX 160554 • CLEARFIELD, UT 84016 • 801.328.4731 • www.CAWS.org • cawsdotorg@aol.com • Privacy