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Ark of San Juan Cat/Kitten Adoption Application
Updated Dec 2020
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* Indicates required question
Name of cat you are interested in (or type of cat)
*
Your answer
What is your First and Last Name?
*
Your answer
What is your Street Address?
*
Your answer
What is your City and Zip Code?
*
Your answer
What is your Home Phone Number?
*
Your answer
What is your Cell Phone Number?
*
Your answer
What is your Work Phone Number
Your answer
What is your email address?
*
Your answer
How many people are in your household?
*
Your answer
If there are children in the home, what are their ages?
Your answer
Do you live in a:
*
House
Condo
Apartment
Mobile Home
Other:
Do you:
*
Own
Rent
If you rent, do you have your Landlord's permission to have a pet?
*
Yes
Unsure
Other:
Name and Phone Number of your Landlord:
Your answer
If an Ark representative requested a home visit prior to adoption, would that be ok?
*
Yes
No
Conditional
If you answered NO or CONDITIONAL above, please explain:
Your answer
Will this Cat be an
*
Indoor only Cat
Outdoor only Cat
Both
Undecided
When the Cat is outdoors, is there sufficient shade in the yard for his or her comfort?
*
Your answer
What outdoor shelter will be provided for cold/or wet weather?
*
Your answer
Do you currently have any pets? (check all that apply)
*
Yes
No
One Cat
More than 1 Cat
One Dog
More than 1 Dog
Other:
Required
If you have any Cats or Dogs, please list exactly how many, their ages, their breeds and sexes:
*
Your answer
If you have a dog(s) how does it access outside?
*
Doggie door
Open door (or door left open for them)
Waits for a walk
Other:
Have you previously had a Cat or Cats?
*
Yes
No
If you answered YES above, then what is their history or situation:
Your answer
Do you know how to introduce a new Cat to other pets (specifically to other Cats) in your household?
*
Yes
No
Need instruction how to introduce
Do you intend to declaw this Cat?
*
Yes
No
Maybe
Don't know what declaw entails
Are you, or anyone in your household, allergic to Cats?
*
Yes
No
Unsure
How many hours a day will the Cat be left alone?
*
Rarely alone
Less than 3 hours
4 hours or more
8 hours or more
Other:
Where will the Cat be kept while alone?
*
Your answer
When you travel, who will be responsible for the Cat's care in your absence?
*
Your answer
Where will the Cat sleep at night?
*
Your answer
Will this Cat wear an identification collar?
*
Yes
No
Undecided
Are you prepared to provide necessary veterinary care for this Cat?
*
Yes
No
Depends on cost
Do you currently have a vet?
*
Yes
No
Would like a recommendation
Required
If you have a vet, who is it?
Your answer
If you should move, what would happen to the Cat?
*
Your answer
If you should die before this Cat, what would happen to it and who would take care of it?
*
Your answer
Why do you want a Cat?
*
Your answer
Why did you choose this particular Cat?
*
Your answer
Are you aware that if the Cat does not work out in your home, you may relinquish the Cat back to the Ark, and your adoption fees will not be returned, and those fees will be considered a donation to The Ark of San Juan?
*
Yes I understand
No, I am not ready to agree at this time
By submitting this application I state that I have read and completed this form and fully understand the responsibility of adopting this Cat.
*
I fully understand
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