Community Cat Adoption Application
To be considered for adoption you must:
-- Be at least 21 years of age
-- Provide government issued photo ID
-- Have the consent of all adults living in the household
-- Understand that Community Cat has the right to accept or deny any application
-- Have all pets in the home up-to-date on rabies and distemper vaccinations and fixed
* Required
Email address
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Your email
Confirm email address:
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Your answer
Full Name
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Your answer
Street address (include apartment number):
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Your answer
City:
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Your answer
State:
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Your answer
Zip code:
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Your answer
Date of birth
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Your answer
Phone (day):
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Your answer
Phone (evening):
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Your answer
Residence - check one:
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House
Apartment
Condo
Mobile home
Other:
Required
Owner of residence:
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Your answer
Phone number and email address of owner or management company:
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Your answer
Is there anyone you would like to designate as another contact? If so, please list name, address/email, and phone:
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Your answer
What kind of cat are you looking for?
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Your answer
Are there any particular cats you've seen that you would like to meet? If so, what are their names?
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Your answer
How do you plan on dealing with scratching problems?
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Your answer
Are you looking for a cat that would be good living indoor, outdoor, or both? (We often have cats available in all three categories.)
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Your answer
What situation might make you need to give up your pet?
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Your answer
Full name of each adult in the home (including yourself), relationship to you, occupation:
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Your answer
Name of each child in the home and age:
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Your answer
Please provide a list of all animals currently living with you (include name, age, when owned, breed, whether or not spayed/neutered or declawed – Example: Rex, cat, 2007-current, neutered and declawed and Lady, golden retriever, 2008-current, spayed):
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Your answer
Please provide a list of all animals you have previously owned in the past FIVE years (include name, when owned, breed, whether or not spayed/neutered or declawed and current status of pet – Example: Rex, cat, 2007-2019, neutered and declawed, died from kidney disease and Lady, golden retriever, 2004-2016, spayed, died from complications from diabetes):
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Your answer
Is there anything else you'd like us to add? Or do you have any questions for us?
Your answer
Current vet:
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Your answer
Current vet phone number:
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Your answer
Previous vet, if any (include clinic name and phone number):
Your answer
Current employer and phone:
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Your answer
By placing or signing my name to this application, I certify that the information I have given here is true. I realize that any misrepresentation of facts may result in my losing the privilege of adopting a cat from Community Cat. I understand that Community Cat, Inc. has the right to deny my request to adopt an animal. I authorize verification of all statements in this application, and I also authorize my veterinarian to release any information requested by Community Cat, Inc. Signature:
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Your answer
Date
*
Your answer
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