What is the name of the cat or kitten you are interested in adopting?
Applicant's Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Phone
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(###)
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Email Address
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Age
Occupation
Please list the other members of your household, including children. For adults 18+ please list full name.
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Why are you interested in adopting this particular cat?
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How long at current address?
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Less than 1 year
1 to 2 years
More than 2 years
Rent or own?
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Name or company name of property owner.
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(If it is a company name, enter not applicable in last name field.)
First Name
Last Name
Phone number of property owner.
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(###)
###
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Previous address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long at previous address?
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Less than 1 year
1 to 2 years
More than 2 years
I have no previous address
Do any smokers live in your home?
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Do you currently have other animals?
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If yes, please indicate name, type and approximate age of pet(s).
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If no other animals, enter not applicable.
Are all pets currently in your home spayed/neutered?
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Veterinarian Phone
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(###)
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Have you had pets before?
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Please list any pets you have had in the past, years owned, and why you no longer have them.
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If you never had any pets, enter not applicable.
Under what circumstances, if any, would you give this cat away to a friend or family member?
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Under what circumstances would you surrender this cat to the animal shelter?
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What will you do if this cat decides s/he wants to use your rug instead of the litterbox?
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Would you ever declaw this cat, and if so under what circumstances?
Will your new cat/kitten live indoors or outdoors?
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What is your plan if you experience an emergency, such as a hurricane?
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What provisions will you make for this cat should you become unable to care for him or her?
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List potential reasons that would render you unable to care for this cat.
Do you agree to donate the appropriate adoption fee for this pet?
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The fee for adoption is indicated on the cat's adoption listing. While this donation does not cover the full medical expenses paid by the rescue, this is the amount agreed as a fair donation.
Do you understand that you are applying to adopt a cat whose medical history is unknown before it entered the rescue. Cats are tested for FIV and FeLV before placement, but beyond that we cannot anticipate future medical problems which may arise. You agree that, as the cat's legal owner, all future veterinary costs are your sole responsibility from the date of adoption.
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Do you agree to seek prompt and quality veterinary for this cat as soon as the need arises?
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The average expense for a cat is $1500‐2000 in food, litter, and veterinary costs per year. Do you agree to make such a financial commitment to this cat?
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Do you agree to take this cat for routine veterinary checkups as often as needed, and every year at minimum?
Over‐the‐counter flea and tick preventatives (Hartz, Adams, etc.) can be extremely dangerous to cats and dogs. Reactions can cause problems such as skin inflammation, seizures, and death. If you use these, do you agree to only use veterinarian‐approved products such as Revolution, Frontline, Advantage, Capstar, and Program?
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The average lifespan is 15‐20 years. Do you agree that you are comfortable making a commitment to this cat to be its guardian and caretaker for the rest of its life?
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Any additional questions or comments here:
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(If no questions or comments, enter not applicable)
Date
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MM
DD
YYYY
