| Name: |
|
| Street
Address: |
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| City:
|
|
| State
Zip Code |
| Your
E-Mail Address: |
|
| Home
Phone: |
|
| Cell
Phone: |
|
| Employer:
|
|
| Work
Phone: |
|
| Occupation:
|
|
| Name
of cat you are interested in: |
|
| Do
you live in: |
|
| Do
you own or rent your home?: |
|
Name
and phone number of Landlord or
housing complex to confirm they allow cats:
(A website is also acceptable): |
|
| Number
of Adults in House: |
|
| Number
of Children in House: |
|
What
kind of pets do you currently have [if any]
(dogs, cats, birds, snakes, gerbils)?: |
|
| What
are the breeds and ages of these pets?: |
|
| Are
all your cats/dogs spayed or neutered?: |
|
| If
you answered mixed spay/neuter, please explain: |
|
| Do
any of your cats go outside?: |
|
| Do
you plan on getting your adopted cat declawed?: |
|
| Is
anyone in your house allergic to cats? |
|
Which
family member will have the major
responsibility of caring for your pet?: |
|
| Average
number of hours a day someone is home: |
|
| Where
will your pet spend a majority of it's time?:
|
|
| How
many times have you moved in the past 5 years?: |
|
| Do
you plan to move anytime soon?:
|
|
| What
type of pets have you previously owned?: |
|
| What
happened to them?: |
|
| Has
a pet ever gotten lost/run away?:
|
|
| If
yes, please explain: |
|
| Have
your cats or dogs ever been hit by a car?:
|
|
Name
and phone number of current
or most recent veterinarian: |
|
| Would
this be your first pet?:
|
|
We recommend that you provide two references that
we can contact |
| Reference
1 Name: |
|
| Reference
1 Number: |
|
| Reference
1 Email: |
|
| Relation
to Reference 1: |
|
| Best
time to call Reference 1: |
|
| Reference
2 Name: |
|
| Reference
2 Number: |
|
| Reference
2 Email: |
|
| Relation
to Reference 2: |
|
| Best
time to call Reference 2: |
|