Why are you interested in adopting this cat/kitten?
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Your Name
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First Name
Last Name
Your Age
Spouse/Significant Other
First Name
Last Name
Spouse/Significant Other's Age
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone
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(###)
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Cell Phone
(###)
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Email Address
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Number of Children in Household
Children's Ages
Does anyone in your household have allergies to animals?
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If yes, please explain.
Where do you live?
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Do you own or rent your home?
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If renting, provide landlord's name/phone.
Current Pets
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Please list your current animals (name, species, sex, breed, and age).
Tell us about the pets you have had in the past 5 years.
Are current pets spayed/neutered and current on their vaccinations?
If not, please explain.
If you have a cat, has it been tested for feline leukemia and/or FIV?
If not, please explain.
Have you ever had a pet euthanized for reasons other than illness?
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If yes, please explain.
Have you ever turned a pet into a shelter?
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If yes, please explain.
Veterinarian
Veterinarian used for your pet(s) (if you do not currently have pets, please list the vet used for your previous pets). List name of clinic, phone number, address, name(s) of pets treated here, and name the account is under.
Vet's Phone Number
(###)
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Which best describes the activity level in your home?
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How long will your pet be left alone daily?
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How long are you willing to give this new cat/kitten to adjust to your home?
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What type of behavior would cause you to not want to keep this cat/kitten?
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If a behavior problem arises, how would you address the issue?
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If you go on vacation or have an emergency, who will care for your pet?
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What provisions would you be willing to make for your pet should you become unable to care for it?
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Will you have this cat front-foot declawed?
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If yes, please explain why.
How much are you willing to spend on vet care annually for this pet? What will you do if the bill goes over this amount?
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How long do you anticipate have to care for this pet?
How did you hear about this pet?
If other, from where?
