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Working Cat® Adoption Application
Personal Information
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Virgin Islands, U.S.
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Western Sahara
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Country
Street Address (if different)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Primary Phone
*
Secondary Phone
Email
*
Would you like to receive our newsletter?
Yes
No
Occupation
*
Employer
*
Work Phone
Household Information
Living Accommodations (check all that apply)
*
House
Condo
Manufactured
Apartment
Own
Rent
Other
Other
Landlord/Apt Manager's Name
Landlord/Apt Manager's Phone
Does your lease allow pets?
Yes
No
Do you live here full time?
*
Yes
No
What is the size and description of your property?
*
Describe the location where the cats will live (must be covered, semi-enclosed, and have access to the property).
*
How far from the road/traffic is the area where the cat(s) will be located?
*
Volume of traffic in area:
Light
Medium
Heavy
What is the speed limit of the nearest/busiest road?
*
Animal Care Information
Why do you want a working cat®?
*
The working cat needs to be confined for 3-4 weeks initially. Are you prepared to allow for this much time?
*
Yes
No
What experience have you had in caring for sick or orphaned animals?
*
Who will be responsible for the cats' care?
*
Who will care for your working cats® if you are away?
*
Have you had working/feral cats on your property before?
*
Yes
No
What happened with working/feral cats before?
Do you have pets of your own at this time?
*
Yes
No
Please list the pets you current have: (Species, breed, sex, age, spayed/neutered)
If you have a dog, is it permitted to run loose?
*
Yes
No
What provisions will you make to protect the cats?
Veterinary Care
Please provide the name and phone number of your small animal veterinarian:
Please provide the name and phone number of your large animal veterinarian:
Agreement
Consent
*
By checking this box and signing below, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of acquiring a working cat. I authorize investigation of all statements on this application. I understand that this application is property of Paws Patrol. Working Cats® is a registered trademark of VFTA (www.workingcats.org).
Signature
*
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Phone
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