CARING HEARTS ADOPTION APPLICATION
Name of Cat ___________________________ Date_________________________________
Your Name ____________________________________________________________________
Address _________________________________________________________________
City ________________________________State ____ ZIP___________
Home Phone _________________________ Work Phone
Cell Phone__________________________
EMAIL_____________________________________________
Employer ___________________________Address __________________________________
Occupation ______________________________How long at this company?_______________
Do you live in a: House___Apartment__Condo___Duplex___Townhouse___Trailer___
Do you: Own___Rent___ How long have you lived there?________________________
If you rent, when is your lease expiring?___________Landlord's phone number_______________
How many people live in your household? Adults:_____children (under 18) _________________
Does any member of your family/household have any known allergies to animals? ______Yes ______No
Is everyone in your household in favor of adopting a pet? ________Yes ________ No
How many pets live in your house currently? _________Cats ________Dogs ________Other
Tell us about your current pets. (Type, age, inside or outside)
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Are your animals spayed/neutered? __________Yes _________No
Where will this pet reside? _______Inside only _______Outside ______Garage/Barn ____ inside/outside equally
Please list any pets you no longer own and explain what happened to them. _______________________________
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Who is your veterinarian?____________________Vet's Phone #:_________________________
May we contact your veterinarian as a reference? Yes___ No____
How much do you plan to spend yearly to feed, vaccinate and provide medical care for your pet?_________________
Do you plan to declaw your cat/kitten? ________Yes _________No
If yes, why?___________________________________________________________________
How much time will you allow for this cat to adjust to its new home, environment, and present pets and lifestyle?___ _____________________________________________________
What would constitute a reason for giving up your pet?____________________________________________________
Will you agree to a scheduled home follow-up visit after adoption? Yes___No___
Please print off this application, complete it and email it to: caringheartsrescue@yahoo.com
Completion of the application does not obligate you to adopt. It helps us match you to your purfect furrever furrend.
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