Which pet(s) on our web site are you
interested in?
Your first and last name:
Spouse's Name
If married, how long
Street address:
City/State/Zip:
Major Cross Streets near your home
Home phone:
Email
address:
Occupation: (You/Spouse)
Employer:
(You/Spouse)
Work
phone: (You/Spouse)
Who is
your Veterinarian?
Veterinarian's phone:
Do you own
or rent your home?
Own
Rent
Apartment/Landlords Name
Apartment Office/Landlords Phone
If you rent, have
you paid the pet deposit? (Click N/A if you own your home.)
Yes
No
N/A
If you own, does the HOA have any
restriction on numbers or size of pets
Yes
No
If yes, what are the restrictions
Are you
planning on moving soon ?
Yes
No
Where will
the cat stay during the day?
Where will
the cat stay at night?
Do you have a pet door to the outside?
Is your yard fenced
How long
do you plan to keep this pet ?
How long
have you been thinking of adopting ?
Who is
this pet for?
Does
anyone in your home have allergies ?
Have all
adults in the house agreed to adopt ?
Yes
No
List the
dogs &/or cats you have had in the past 5 yrs or presently have.
If there are more than five, use the space at the end to list any additional
pets
Years Owned
Breed
Pet Spay/Neutered?
Where was this animal kept ?
Do you still have the
pet?
If not, what happened
to him/her?
Yes
No
InOut
Both
Yes
No
Yes
No
InOutBoth
Yes
No
Yes
No
In
Out
Both
Yes
No
Yes
No
In
Out
Both
Yes No
Yes
No
In
Out
Both
Yes
No
What do you want a cat to be ?
Indoor
Outdoor
Both
Are any pets you still have current on their vaccinations ?
Yes No
Please tell us who lives with
you
Will any children live
with the cat?
Yes
No
Please list everyone's age and relationship to you?
Tell us about the cat you would like to
adopt :
Gender:
Male Female
Not important
Age:
Kitten Young
Adult
Older
Not important
Breed ?
Not important
Fur-length
Short-hair
Long-hair
Not-important
Preferences
Cuddly
Independent
Playful
De-clawed
Please
check which situations would cause you to return this pet ?
Allergies
Moving
Change in marital
status Graduation
New Baby
Destructive
behavior
Aggressiveness
Vacation plans
Vet Bills
Housetraining
Job change
Not getting along
with current pets
Children not
taking care of it
Please
check all the reasons why you are wanting this pet ?
My Companion
Rodent Control Show
cat Current
pet's playmate
Children's playmate
Use this space
If there is anything you would like to explain to us, anything else you
would like to tell us, or anything you would like to ask us?
THANK YOU for taking the time to complete
this Application. If you're satisfied with the information provided, just
click on the [SUBMIT THE APPLICATION] button below. By clicking on the
SUBMIT button you are certifying that all your answers are true and
correct. False information will render the application ineligible. If
you'd like to call us, we're at 480-380-2124.
All information
provided in this application will be treated as completely confidential
and will not be released to any other party outside of this organization
for any reason.
We
reserve the right to refuse any adoption.
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