Cat Matchmaker Questionnaire - Wichita Animal Action League

You must be at least 18 years old and rent or own your own home to adopt a pet.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

Are you interested in a specific cat or would you like some suggestions?*

Describe your home*

Quiet and subdued
Loud and active
A little of both

I am:*

First time cat owner
Seasoned pro

I rent my home*

Yes
No

Renters Consent*

I have talked to my landlord and have done what is required of me to bring a new pet home. This includes paying any deposits and clarifying breed/size/quantity restrictions, etc.

Number of children in the home AND their ages

I currently own:*

No other pets
Other cat(s)
Dog(s)
Both cats & dogs

Have you had other pets in the past 5 years?*

Yes
No

If yes, what happened to them?

Where do your current animals stay during the day and where do they sleep?

I am interested in:

Cats with special needs- medical
Cats with special needs- behavioral
Bonded pairs
Any of the above

Do you plan to declaw?*

Yes
No
Undecided

Veterinarian*

I already have a vet
I need a recommendation on a vet

In your opinion, what would be a good reason for not keeping this animal after adoption?

How did you learn about this animal?

Is there anything else we should know to help find the purrrfect match for you?

Read the statements below and check to agree.

We agree to provide professional vet care, a nutritious diet, and a loving home.*

Agree

We also agree that we will return the pet if we can no longer keep it.*

Agree

No member of our household has ever been convicted of cruelty to animals.*

Agree

Please consider registering WAAL on Dillon’s Community Rewards program. It just take a couple of minutes, then every time you shop, our animals get a percentage of what you spend! To enroll:
1. Visit http://www.dillons.com/communityrewards
2. Sign in
3. Click "Enroll Now"
4. Enter WAAL's ID # 39850 and search
5. Select Wichita Animal Action League and click "Enroll"