PITTSBURGH C.A.T. APPLICATION
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Who are you interested in adopting? *
Name of primary caregiver/adopter *
Please note that the primary caregiver must be the one applying to adopt.
Address where the cat will be living *
Primary phone number (10 digits with hyphens) *
E-Mail address
Age of primary caregiver/adopter *
Have you ever adopted or applied to adopt from Pittsburgh CAT before? *
Are you a student? *
If you are a student, where?
Are you a US Citizen? *
If no, please explain (country of citizenship, student visa, work visa, etc).
Are you financially secure enough to responsibly provide for a cat's medical care? *
Have you ever had a cat before? *
Where are those cats now? *
Have you ever relinquished a companion animal to a shelter, rescue organization, or another family? *
If yes, please list the name of the shelter, rescue, or other agency and the reason you relinquished.
Are you or any household member allergic to cats? *
Where will your cat spend their time? *
Do you own your own home or rent? *
If you rent, does your lease state that you are allowed to have a cat? *
If you rent, please provide the name, address of your landlord
If you rent, please provide phone number (10 digits with hyphens) for your landlord.
How many people live in your household, including yourself? *
List all additional members of your household, do not include yourself
Name of additional household member #1
Age
Relationship to adopter
Name of additional household member #2
Age
Relationship to adopter
Name of additional household member #3
Age
Relationship to adopter
Please list any additional household members. Include NAME, AGE, RELATIONSHIP
How many animals are in your home? *
Animal # 1's name, breed, and age
Animal #2's name, breed, and age
Animal #3's name, breed, and age
Please list any additonal pets. Include NAME, BREED, AGE.
Are you considering declawing? *
If yes, for what reason?
Who would watch your companion animals if you were away from home (on vacation, away for work, etc) *
What would you do if you were somehow no longer physically or financially capable of caring for this companion animal? *
Veterinarian Information
Are all companion animals in the home spayed, neutered, and up to date on vaccinations? *
Name of vet where current or former animals would be on file. List any that apply. *
Phone number of vet (10 digits with hyphens)
Phone number of 2nd vet if applicable (10 digits with hyphens)
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? *
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.
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.


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