The Preston County Animal Shelter-Cat Adoption Application
278 Poor Farm Rd Kingwood, WV 26537
Phone-304-329-3461 Fax-304-329-3483
PCAS@PrestonCountyWV.Gov
It is the mission of PCAS to ensure that each pet goes to a home that is aware of
the commitment of pet ownership and is capable and prepared to accept that
responsibility.
If you or someone in your home have been charged with animal cruelty, you will
NOT be eligible to adopt.
PCAS reserves the right to limit the number of pets adopted at one time to a
household. We may also require certain animals to be adopted together or to
have restrictions on other pets/children in the home. These requirements and
restrictions are for the safety and happiness of the pets/adopters and to give
every pet the best chance possible at succeeding in their new homes.
You must be 18 years of age or older to adopt an animal.
ALL dogs/puppies & cats/kittens are spayed/neutered and given age-appropriate
vaccinations before going to their new homes. This is NOT negotiable.
If you rent or live in an apartment we MUST have written consent from your
landlord or property manager before you may take an animal home.
Submitting an application does NOT guarantee your eligibility to adopt an animal.
PCAS reserves the right to refuse any application.
Please fill out all pertinent questions truthfully. If the application is not completed
or we are provided with false information, your application will be rejected.
If you have a question about the application, please feel free to ask and we will
assist you.
This application has been designed to assist both you and the shelter evaluate the type
of pet you are looking for and what would be the best fitting pet for your home and
lifestyle.
Name of Cat: ________________________________
Date: ___________
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Name: ________________________________ Age: _________ DOB: ____________
Home Phone: ________________________ Cell Phone: _______________________
E-Mail: __________________________________________
Address: _________________________________________________________
City: ______________________ State: ________ Zip: ______________
Occupation: _______________________________
Number of Adults in the Home: ___________ Number of Children: ___________
Please list the name, age & relationship to yourself of each person currently living in
your home (ex-Mary, spouse, 35)
________________________________________________________________________
________________________________________________________________________
Does anyone in your home have any known cat allergies: Yes No
Do all adults in your household know you plan to adopt? Yes □ No N/A
Have your children ever been around cats? Yes □ No N/A
Y
our type of dwelling: House/Trailer Condo Townhouse Apartment
Own Rent Length of time at current residence: ___________________
If Renting- Landlord/Property Manager name: ______________________
_
Phone number: ______________________
Pet Deposit required? Yes No If yes, Cost? _________
Do you plan to move in the next 6-12 months? Yes No
Why do you want to adopt at this time?
Companion for you/ family/ another pet Barn Cat
Gift (For Whom) ________________ Other _____________________
Will this cat be:
Indoors □ Mostly Indoors □ Outdoors □ Mostly Outdoors
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Do you intend to have your cat de-clawed? Yes No
Where will your new cat sleep at night? _____________________________________
How many hours average per day will your new pet be left alone?
0-4
□ 4-8 □ 8-12 □ 12+
Do
you travel often? □ Yes □ No
If yes, where will your new cat be staying while you are away?
________________________________________________________________________
Which of the following situations would lead you to re-home your cat?
Moving
Fleas or sheds too much
F
inished school/ moving back home
Children will no longer care for cat
Getting a divorce or married
Cat has grown old
Would not give up for any reason
Having a baby
Destructive behavior
Too expensive
Allergies
G
ot a new pet
What would you do with your cat if you could not keep it for the reasons above?
________________________________________________________________________
Have you ever surrendered or re-homed a pet? □ Yes □ No
If yes, Why? ________________________________________________________
Please list current pets here:
Name
Type/Breed
M/F
Spayed/Neutered
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Current veterinarian: ______________________________________________________
Veterinarian Address: ________________________________________________
Veterinarian Phone Number: _______________________________
Are your current pets up to date on vaccinations? Yes No
If you do not currently have pets, what veterinarian do you plan to use?
________________________________________________________________________
Is there anything else you would like to tell us that you think would be important
when considering your application?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How did you hear about this cat’s availability for adoption?
________________________________________________________________________
Please read and sign below: Many factors determine which applicant will be matched
with a particular pet. If you are not chosen for this pet, it does not mean that you are
not considered a good pet owner or that your home is not acceptable. Our goal is to
place all animals into homes that will best suit their individual needs. Please ask for
clarification if you have any questions.
I ha
ve completed this application truthfully and fully understand the adoptio
n
p
rocess.
S
ignature: ________________________________________ Date: ______________
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