Name: |
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Address |
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City: |
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State: |
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Zip |
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E-mail |
(provide only one address)
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Evening Phone Number : |
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Work Phone: |
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Day time phone number: |
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Applicant's Date of birth: |
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Applicant's Occupation: |
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Name of the cat you are interested in: |
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1. Will this be your first cat? |
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2. Is this cat being adopted for |
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3. In what type of housing do you reside? |
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4. How many years at current location? |
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5. Do you Own or Rent |
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6. Do you live on a Busy Street?
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7. List ALL people living in the home (not listed above) and
include the following for each: (1) Full Name, (2) Relationship to
Applicant, (3) Age.
If not applicable, enter "NONE” |
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8. Have all adult household members (Spouse/Partner,
Roommate, Parents, etc.) agreed upon adopting a pet? |
Please explain :
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9. Has anyone in your family ever been allergic to cat
hair? |
Please explain how this will be managed if you adopt a cat.
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10 Are you prepared for the additional cost of food, cat litter and
veterinary care?
Costs can range from
$500 - $1000 per year, or more, depending on health issues. |
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11. Are you willing to take responsibility for this cat for the rest of
its life, 15 years or more? |
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12. Some cats may need help learning appropriate litter box habits and
scratching behavior in their new home. Are you committed to working with the cat on such behaviors, if needed? |
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13. What arrangements will be made for the cat if you are away? |
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14. If there is a new addition to the family (child, grandchild, etc.),
how will this impact the cat’s life? |
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15. Have you ever re-homed a pet or returned one to a
shelter/rescue? |
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16.What circumstances would result in you returning the
cat to us? |
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17. How many pets do you currently own? |
Please list type of pet, name, age, if it is spayed/neutered and if they are current on vaccinations.
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18. What pets have you owned in the past?
Please list type of pet, the
age it passed and cause of death. |
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19. Are you planning on having the cat declawed?
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20. Who will have primary responsibility to care for the
cat? |
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21. How many hours per day will your cat be left alone? |
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22. Where will your cat be kept
during the day? |
At night?
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23. Will your cat be kept: |
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24. Do you agree to have this cat spayed/neutered? |
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25. Who is your Vet? ( Name & Town ) |
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26. Vet's phone number: |
A representative from PAL will contact your vet. |
27. List two personal non-related references |
(If you do not currently have a vet, please
include a third personal reference.)
Name:
Phone:
Name:
Phone:
Name:
Phone:
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