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Application

Name *

First

Last

E-mail *

Home Phone Number *

Work Phone Number

Street Address *

City/Town *

State *

Zip Code *

Occupation *

Employer *

Spouse Occupation

Spouse Employer

How did you hear about our cats? *

Why would you like to adopt a cat/kitten? *

Have you ever adopted an animal from a shelter? *

Yes
No

Have you ever adopted a pedigree animal? *

Yes
No

Do you own or rent your home? *

Rent
Own

Are there any restrictions? *

Yes
No

How long at this address? *

Do you plan to move within 6 months? *

Yes
No

Please list all members of household *

Are there any major changes planned for your household in the next year? If so explain *

Who are you adopting this pet for? *

Who will be primarily responsible for the care/supervision of this pet? *

Do any members of your household have allergies to cats? *

What behaviors do you consider a problem and how would you handle them? *

What would happen to this pet when you go on vacation? or if you have an emergency *

What would happen to this pet when you go on vacation or if you have an emergency? *

Regular veterinarian/clinic *

I need permission to talk to your vet for information kindly inform vet I will be calling. Thank you

Date of last visit to veterinarian *

How many hours (average day) will pet spend without human *

Where will pet be when you are at home? *

Where when left alone? *

How much time each day will cat spend indoor? *

How long after adoption will you wait before allowing the cat/kitten outside? *

If cat is kept indoors exclusively, are you considering declawing this kitten/cat? *

Yes
No

If yes explain *

List pets you have had-current and former pets: What happened to them? *

Email