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CAT ADOPTION APPLICATION
Date of Application
*
Animal's Name
*
Description
*
APPLICANT INFORMATION
Name
*
E-Mail Address
*
Home Tel
*
Mobile Tel
*
Address
*
City
*
State
*
Zip
*
# of Children in Home
*
Ages
*
# of Adults in Home
*
Employer Name
*
Phone
*
Type of Housing
*
Apt.
Condo
Duplex
House
Other
Do you
*
Rent
Own
Other
# yrs there & future plans?
*
If Rental, Landlord's Name
Phone
Are animals permitted?
No
Yes
How long/where will the animal be left alone per day?
*
What animals do you have now?
*
dogs
cats
other
List their names, ages, and if spay/neutered
*
Type of food fed? Brand? Wet? Dry?
*
Have you had animals in the past?
*
No
Yes
If yes, what happened to them?
Will your new pet be kept
*
100% inside?
Outside?
Both?
Do you declaw your cats?
*
No
Yes
Have you ever had a declawed cat?
*
No
Yes
Is any member of the household allergic to animals?
*
No
Yes
Does anyone have asthma?
*
No
Yes
Does a family member have a fear of animals?
*
No
Yes
If you travel, what arrangements are made?
*
Veterinarian's Name
*
Phone
*
Address
*
Have you ever given a pet up?
*
No
Yes
To Whom?
Please explain
A cat can live 15–20 years. Are you financially prepared and willing to give this cat the recommended medical care it requires for its lifetime?
*
No
Yes
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