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Pet Name/Breed/Description: Gender: MaleFemale
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Your Name: Email:
Address: Home Phone:
City/State/Zip: Cell Phone:
Place of Employment:: Work Phone:
Driver's License Number: State Issued: Exp Date:
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For what purpose do you wish to adopt this cat/kitten?
House pet Mouser Companion Companion for other pet Gift (for)
Other (specify)
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Do you plan on having your cat declawed?
No Yes - Why?
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Will this cat be allowed outdoors?
No Yes - When?
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Do you currently have other pets?
Yes - How many?
Dogs Sex Age Where kept Years had Spayed/Neutered YesNo
Cats Sex Age Where kept Years had Spayed/Neutered YesNo
No - Have you ever had any?
Dogs NoYes Where kept Years had Spayed/Neutered YesNo
Cats NoYes Where kept Years had Spayed/Neutered YesNo
What happened to them?
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Number of adults in your household Children/Ages
Is anyone in your family allergic to cats? NoYes - How will you accommodate?
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Are you a student?
No Yes - What will happen to your cat at the end of the school year?
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Where will you keep your pet while you're at work?
Where will you keep your pet at night?
What will you do if your cat scratches the furniture or shows other destructive behavior?
What will you do if your cat has problems with the litter box?
What specific traits are you looking for in a cat (quiet, playful,good with other cats, etc.)?
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Where do you live? Apartment House Condo/Townhome/Duplex Mobile Home
Do you Own Rent- Name of rental complex and/or landlord
Is there a pet deposit required? NoYes - How much? Is it paid? NoYes
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Do you have a veterinarian? NoYes (name of vet/animal hospital)
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