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 shareSignatureI 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.SignatureNameThis field is for validation purposes and should be left unchanged.