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GOOD SAM - Cat Adoption Application
This form will help Good Sam learn a little more about you, your household, and which animal(s) would be a great fit for you and your family! Please feel free to reach out to us at (303) 222-0081 or
adopt@goodsamrescue.org
if you have any questions!
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* Indicates required question
If you have your eye on a cat you are interested in adopting (from our Adoptable Cats page) please enter their name here:
Your answer
Today's date:
*
MM
/
DD
/
YYYY
First name:
*
Your answer
Last name:
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
Street address:
*
Your answer
City/State/ZIP:
*
Your answer
Email:
*
Your answer
Primary phone #:
*
Your answer
Alternative phone #:
Your answer
Employer:
*
Your answer
Position held:
Your answer
Which housing type do you currently reside in?
*
Choose
House
Apartment
Town home or condo
Other
If "other", please explain:
Your answer
Do you own or rent your home?
*
Own
Rent
Other:
If you rent your home, have you notified your landlord/property manager of your intent to adopt this cat and may we contact them to obtain permission for this animal to live in your home?
Yes
No
Clear selection
If you rent your home, please provide the name and phone number of your landlord/property manager:
Your answer
Number of adults (including yourself) in your household:
*
Choose
1
2
3
4
5
More than 5
Are the adults in your household aware of this adoption and ready to bring a new pet into your home?
Yes
No
Not yet
Clear selection
Number of children in your household:
*
Choose
0
1
2
3
4
5
More than 5
Please list the ages of the children in your household and whether or not they have experience with cats as pets:
Example: "1 boy, age 7, has had a cat as a pet for the past 4 years."
Your answer
Does anybody in your household have allergies to cats?
*
Yes
No
I'm not sure
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