| Sample Form |
| Fields marked by * are required. |
| 1. |
Your Name: *
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| 2. |
Your E-mail: *
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| 3. |
Cat's Name you are interested in?
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| 4. |
Address: Street, City, State and Zip Code:
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| 5. |
Do you own or rent?
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| 6. |
If Rent; Landlord Name and Ph. Number:
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| 7. |
Home Phone:
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| 8. |
Mobil Phone:
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| 9. |
Name of Employer:
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| 10. |
May we contact you at work? Yes No
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| 11. |
Work phone:
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| 12. |
Drivers license number and State:
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| 13. |
Number of adults in household:
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| 14. |
Ages:
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| 15. |
Number of children:
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| 16. |
Children ages:
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| 17. |
Are the adults in your household aware that you plan to adopt? Yes No
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| 18. |
Do you or anyone living in your household have any known allergy to animals? Yes No
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| 19. |
Are you a student? Yes No
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| 20. |
Are you active in the military? Yes No
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| 21. |
Is this your first experience with a cat? Yes No
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| 22. |
Would you take a pair?
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| 23. |
Are you prepared to make a commitment to your cat for the rest of its natural life (perhaps as long as 15-20 years)? Yes No
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| 24. |
Have you previously adopted from us or any other agency/shelter? Yes No
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| 25. |
Have you ever given away or returned a pet/animal for any reason? Yes No If yes, why?
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| 26. |
Why do you want a pet? House pet Gift Mouser For other pet Companion for child Other
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| 27. |
Will the cat be? Indoor only Outside Combination of both
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| 28. |
Do you plan to have the cat(s) declawed? Yes No
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| 29. |
If you own a dog(s), is that dog(s) aggressive toward cats? Yes No
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| 30. |
Please list your current pet(s)
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| 31. |
Do you understand that there is a continuing cost of proper veterinary care for your pet and are you prepared to incur that cost? Yes No
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| 32. |
Name of veterinarian:
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| 33. |
Name of animal hospital:
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| 34. |
Phone number:
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| 35. |
Name under which records are kept:
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| 36. |
When was your last visit to the vet?
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| 37. |
Reason for visit?
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| 38. |
To your knowledge, are your animals current on their vaccinations? Yes No
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| 39. |
Please list the pets you have owned in the past ten (10) years:
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| 40. |
STATEMENT OF UNDERSTANDING: By Intialing below, I acknowledge that I understand everything I have read in this application and answered all of the questions truthfully. I also understand that any knowingly false or incomplete answers may cause my application to be denied. I hereby give a representative of Forgotten Cats, Inc. permission to contact my landlord and veterinarian (if applicable) to verify any of the information supplied in this application. I understand there may be several applications for this pet, and all applications will be reviewed in the order they are received. I further understand that Forgotten Cats, Inc. is considered the guardian of the animal in question and has the right, in its sole discretion, not to approve this application.
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