AA
Adoption Application
Today's Date: *
MM
/
DD
/
YYYY
First Name: *
Your answer
Last Name: *
Your answer
DOB: *
Your answer
Street: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Cell Phone: *
Your answer
Email: *
Your answer
Do you own or rent? *
If rent, do you have permission from your landlord to have a cat or dog? *
Landlord name and phone no.
Your answer
Do you have children under the age of 18 living in your household? *
If yes, please list their ages
Your answer
How many pets currently live in your household? Please describe each pet ( species, gender, spayed/ neutered, age ) : *
Your answer
Will the pet you are planning to adopt be kept *
Have you ever given away a pet ?
If yes, please explain the reason.
Your answer
Name and Phone no. of your Veterinarian: *
Your answer
Will the cat be de-clawed? *
Would you allow a home visit to ensure that your home is appropriate for a pet?
I have read the above stated application carefully and certify that the information I have given is accurate and true, if an omission or untruth in this application is disclosed after an adoption takes place, I understand and accept that the previous owner has the right to annul the adoption and reclaim the animal. This agreement shall be subject to and governed by the Laws of the State of Colorado.
Please note : You will be asked to sign this application, after the meet and greet, and if you wish to proceed with the adoption.
Name printed:
Signature: Date:
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