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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?
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Have you ever adopted an animal from a shelter?
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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?
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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?
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Where when left alone?
*
How much time each day will cat spend indoor?
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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?
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Yes
No
If yes explain
*
List pets you have had-current and former pets: What happened to them?
*
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