Azalea City Cat Coalition Adoption Form
Fill out the form below to submit an application to adopt one of our pets!
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Email *
Name: *
License or ID Number: *
Date of Birth: *
Date of Birth *
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Choose your experience with cats *
Please name the specific cat(s) / kitten(s) you are applying for: *
Phone Number: *
Email: *
Current Address (Street Number, City, Zip Code). Also include if it is a house, apartment, trailer, etc *
Do you Own or Rent? *
How long have you lived at the address? *
Current Employer (Note if you are a student) *
Occupation: *
Work Phone
How long have you been employed here?
Do you live with a spouse or partner, or with you parents? *
Name of your spouse / partner / other (specify if parents, etc)
Phone Number of Spouse / Other *
Does your spouse / other approve of this adoption? *
Do you have young children living in your home? *
List of ages of your children (If applicable)
Does anyone in your family have allergies to cats / dogs? *
Have you ever owned a cat / kitten before? *
Have any of your bets gotten lost, poisoned, or hit by a car? *
Have you ever had to give up a pet? If so, explain. *
Please list all pets currently living in the household, including breed, spayed / neutered, and claws / declawed information *
Where will this pet stay during the day? At night? *
Are you interested in an indoor or outdoor cat? *
Where will you keep your pet while you are away overnight or on vacation? *
Where this pet sleep? *
What is the hurricane evacuation plan for your pets? *
Do you consider the pet you adopt to be a companion animal and part of your family? *
Do you have plans to de-claw the cat if you adopt it? If yes, why? *
Do you understand that in the event that you are unable to keep this pet for its lifetime, it must be returned to Azalea City Cat Coalition with NO EXCEPTIONS? *
Are you able to pay the adoption fee of $125 *
List 2 references that do NOT live with you. Name and phone number *
Veterinarian. **Add your previous veterinarian if you have recently moved or no longer have prior pets** *
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