Working Cat Adoption Application Contact InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Primary Phone*Primary Phone Type* Home Mobile Secondary PhoneSecondary Phone Type Home Mobile Working Cat InformationHow many Working Cats are you interested in adopting?123What type of shelter will you provide for your Working Cat(s)?*Farm/ranch with barn or outbuildingHorse StableResidential home with garage or shedOtherWhat food will you provide your Working Cat(s)?*Dry cat foodWet cat foodBoth dry and wet cat foodNo food providedOther information you would like to share0 of 350 max charactersSignatureI have made myself familiar with pet responsibility laws in my area.* Yes By signing below, I certify the information I have given is true, I am at least 18 years old, and that I understand any misrepresentation of facts may result in losing my privilege of adopting a pet through Winnebago County Animal Services. I also understand that Winnebago County Animal Services has the right to deny my request to adopt an animal, and I authorize investigation of all statements in this questionnaire.SignatureReset to re-sign.CommentsThis field is for validation purposes and should be left unchanged.