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Adoption Application

Thank you for your interest in adopting a cat or dog. Please fill out the application below; a CatWorks volunteer will contact you to explain the adoption procedure.

We want every applicant to understand the responsibilities involved in caring for a pet. It is a lifetime commitment - many cats live 16 to 20 years. Cats and dogs bond with their human family and need to be treated as a member of that family. Please proceed with this application only if you are willing to make that commitment. Please read our Adoption Policies before filling out the application. This will explain our procedures and the fees involved.

PA Driver's License #:
Home Phone:
Are you over 18?YesNo 
Street Address
State: Zip:
Email Address:
Are you adopting for yourself or someone else?:
Do you own or rent your residence?
If you rent, please provide the name and phone number of your landlord
(enter n/a if not applicable):
How many people reside in your household?
Does anyone have allergies to pets?
If there are children, what are their ages
(enter n/a if not applicable)?
Who will be responsible for the care of the cat/dog?
Where will your cat/dog be kept?   Inside     Outside     Both
Do you plan to declaw your cat?YesNo 
Who will be responsible while you are away?
Have you owned a pet before?YesNo 
Describe those pets and their current health
(enter n/a if not applicable):
Breed of cat/dog you're interested in
(enter n/a if not applicable):
Name of cat/dog you're interested in
(enter n/a if not applicable):
Vet reference and phone number
(enter n/a if you do not have pet):

Please contact your veterinarian to authorize the release of reference information on your current pet(s) to the CatWorks.

Name of non-family member
personal reference:
Phone number of reference:
I understand that all the above fields are mandatory. By submitting this form I represent that the information I have provided is the truth to the best of my knowledge and belief.

Phone: 610.763.1408 or 610.203.0757  
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