PITTSBURGH C.A.T. APPLICATION
* Required
Who are you interested in adopting?
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Your answer
Name of primary caregiver/adopter
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Please note that the primary caregiver must be the one applying to adopt.
Your answer
Address where the cat will be living
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Your answer
Primary phone number (10 digits with hyphens)
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Your answer
E-Mail address
Your answer
Age of primary caregiver/adopter
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Your answer
Have you ever adopted or applied to adopt from Pittsburgh CAT before?
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Yes
No
Not Sure
Are you a student?
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Yes
No
If you are a student, where?
Your answer
Are you a US Citizen?
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Yes
No
If no, please explain (country of citizenship, student visa, work visa, etc).
Your answer
Are you financially secure enough to responsibly provide for a cat's medical care?
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Your answer
Have you ever had a cat before?
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Yes
No
Where are those cats now?
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Your answer
Have you ever relinquished a companion animal to a shelter, rescue organization, or another family?
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Yes
No
If yes, please list the name of the shelter, rescue, or other agency and the reason you relinquished.
Your answer
Are you or any household member allergic to cats?
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YES
No
Not Sure
Where will your cat spend their time?
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Indoors only
Indoor/Outdoor (ex. unsupervised or not on a leash or in an enclosed area)
Indoors/Outdoors with supervision or in enclosed area (ex. covered patio, catio, on a leash)
Do you own your own home or rent?
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I own my home
I rent a house
I rent an apartment
Other:
If you rent, does your lease state that you are allowed to have a cat?
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Yes
No
N/A
If you rent, please provide the name, address of your landlord
Your answer
If you rent, please provide phone number (10 digits with hyphens) for your landlord.
Your answer
How many people live in your household, including yourself?
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Your answer
List all additional members of your household, do not include yourself
Name of additional household member #1
Your answer
Age
Your answer
Relationship to adopter
Your answer
Name of additional household member #2
Your answer
Age
Your answer
Relationship to adopter
Your answer
Name of additional household member #3
Your answer
Age
Your answer
Relationship to adopter
Your answer
Please list any additional household members. Include NAME, AGE, RELATIONSHIP
Your answer
How many animals are in your home?
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Your answer
Animal # 1's name, breed, and age
Your answer
Animal #2's name, breed, and age
Your answer
Animal #3's name, breed, and age
Your answer
Please list any additonal pets. Include NAME, BREED, AGE.
Your answer
Are you considering declawing?
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Yes
No
If yes, for what reason?
Your answer
Who would watch your companion animals if you were away from home (on vacation, away for work, etc)
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Your answer
What would you do if you were somehow no longer physically or financially capable of caring for this companion animal?
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Your answer
Veterinarian Information
Are all companion animals in the home spayed, neutered, and up to date on vaccinations?
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yes
No
Other:
Name of vet where current or former animals would be on file. List any that apply.
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Your answer
Phone number of vet (10 digits with hyphens)
Your answer
Phone number of 2nd vet if applicable (10 digits with hyphens)
Your answer
Pittsburgh C.A.T. routinely contacts applicants' veterinarians as part of our adoption screening process. Do we have your permission to contact your veterinarian to verify your pet(s) health records and vaccination status?
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IF YES, PLEASE CALL YOUR VET AND TELL THEM THEY HAVE YOUR PERMISSION TO RELEASE RECORDS TO US SO THAT WE CAN EXPEDITE THE APPLICATION PROCESS. BY NOT CALLING AHEAD, YOU MAY SIGNIFICANTLY SLOW DOWN THE PROCESSING OF YOUR APPLICATION.
Yes
No
No current vet
Acknowledge and Agreement
I certify that I am twenty-one (21) years of age or older, of sound mind and conscience, and a resident of Pennsylvania. I certify that all of the information given to Pittsburgh C.A.T. in this application is true and correct. I understand that my request to adopt any animal may be denied for any circumstance or situation that could be deemed not to be in the best interest of the animal, or is determined to be in violation of state or local ordinances. I authorize investigation of all statements in this application. I also authorize my veterinarian to release any information that would be helpful in determining my suitability as an adopter to a representative of Pittsburgh C.A.T.
Name
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Your answer
Initials
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Your answer
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