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Cat Pre-Adoption Questionnaire
By completing this questionnaire, you help our Placement Counselors match you with a purrfect furrever companion! Please note adopters must be at least 19 years old and provide a valid ID. 
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First Name *
Last Name *
Street Address *
Apt/Unit #
State *
County
Zip/Postal Code *
Primary Phone Number *
Secondary Phone Number
Email *
Names of all persons living in your household, their relationship to you, and their ages *
Type of dwelling? *
Own or Rent  *
If you rent, is there a pet policy or do you have to get your landlord's permission prior to adopting a pet?
Please list all current pets in the home.  Please include age and sex and if they are spayed/neutered.
Please list any previous pets you have personally owned.
Have you ever had to rehome or surrender a pet to a shelter or rescue? If so, what happened?
What veterinarian do your pets go to?
Are your pets at home up to date on vaccines, heartworm prevention, and spayed/neutered? If no, please explain why.
When you are home, where would the adopted pet be? *
How do you plan to handle this pet's exercise and enrichment needs? *
If the pet becomes destructive in your home, what would you do? *
What would you do if you could no longer care for this pet? *
Why did you choose to adopt a pet? *
Thank you for choosing adoption!  
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This form was created inside of Wiregrass Pet Rescue and Adoption Center.

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