Tiffany Williams 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
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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: *
Do you: *
If you rent, do you have your Landlord's permission to have a pet? *
Name and Phone Number of your Landlord:
Your answer
If an Ark representative requested a home visit prior to adoption, would that be ok? *
If you answered NO or CONDITIONAL above, please explain:
Your answer
Will this Cat be an *
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) *
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? *
Have you previously had a Cat or Cats? *
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? *
Do you intend to declaw this Cat? *
Are you, or anyone in your household, allergic to Cats? *
How many hours a day will the Cat be left alone? *
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? *
Are you prepared to provide necessary veterinary care for this Cat? *
Do you currently have a vet? *
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? *
By submitting this application I state that I have read and completed this form and fully understand the responsibility of adopting this Cat. *