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Second Hope Cat Adoption Form
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Proposed Adoptee:
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Your answer
Primary Applicant/Caretaker Name:
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Your answer
Primary Applicant/Caretaker Address:
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Your answer
Primary Applicant/Caretaker Email Address:
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Your answer
Primary Applicant/Caretaker Phone Number:
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Your answer
Primary Applicant/Caretaker Employer:
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Your answer
Primary Applicant/Caretaker Employment Position:
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Your answer
Primary Applicant/Caretaker Employer Location:
Your answer
Primary Applicant/Caretaker Work Phone:
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Your answer
Co-Applicant/Caretaker Name:
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Your answer
Co-Applicant/Caretaker Email Address:
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Your answer
Co-Applicant/Caretaker Home Phone:
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Your answer
Co-Applicant/Caretaker Cell Phone:
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Your answer
Co-Applicant/Caretaker Employer:
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Your answer
Co-Applicant/Caretaker Employment Position:
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Your answer
Co-Applicant/Caretaker Employment Location:
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Your answer
Co-Applicant/Caretaker Work Phone:
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Your answer
Please provide the name, age, and relationship of all people who live or may live with you and your cat/kitten:
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Your answer
Residence:
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House
Condo
Mobile Home
Apartment
Do you
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Own
Rent
Other:
Landlord's Name:
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Your answer
Landlord's Phone:
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Your answer
Do you have a pet door with indoor/outdoor access?
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Yes
No
Do you plan to let this cat/kitten outside? Please explain why or why not.
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Your answer
Please provide the name, relationship, and contact information for at least two references who are not related.
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Your answer
Name, Phone, and Address of your Veterinarian:
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Your answer
For all animals you currently own or care for, please list the name, species, breed, if animal is declawed, if animal is altered, and how long you have owned the animal.
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Your answer
For all of the animals you have had in the past or no longer own, please list the name, species, breed, if animal was declawed, if animal was altered, and how long you owned the animal.
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Your answer
Have you ever had a cat declawed?
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Yes
No
Have you ever had a cat test positive for FeLV or FIV?
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Yes
No
Where do you keep your pets during the day?
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Your answer
Where do your pets sleep at night?
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Your answer
How many hours per day will the cat be left alone?
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Your answer
Where did you acquire your current pets?
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Your answer
Have you ever turned a pet over to a shelter before?
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Your answer
Have you ever had to give up an animal before?
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Your answer
What will you do if the new cat does not get along with your current pets?
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Your answer
Does any member of your family have allergies? If yes, what types of allergies?
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Your answer
Do you travel for work or leisure? If yes, who cares for your animals while you are away?
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Your answer
Are you pregnant or planning to become pregnant? What will you do with your cat?
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Your answer
If you move, will you take your cat with you?
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Yes
No
Do you plan to declaw this cat/kitten?
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Yes
No
Maybe
Are you willing to take on the commitment of a cat for the next 10-20 years?
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Yes
No
Maybe
Have you ever had a pet euthanized? If yes, please explain the circumstances.
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Your answer
Please explain why you want to adopt this particular cat/kitten?
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Your answer
What do you think are the most important responsibilities in caring for an animal?
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Your answer
Are you willing to work with your cat on any behavioral issues that may arise?
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Your answer
How do you plan to discipline your cat/kitten?
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Your answer
Are you familiar with the laws and ordinances of your city, county, and state regarding licensing?
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Yes
No
Are you familiar with the laws and ordinances of your city, county, and state regarding number of cats allowed?
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Yes
No
Are you familiar with the laws and ordinances of your city, county, and state regarding leash requirements?
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Yes
No
Are you familiar with the laws and ordinances of your city, county, and state regarding restrictions against certain breeds?
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Yes
No
Are all of your pets up to date on vaccinations, as required by law?
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Yes
No
Other:
Do you fully understand the costs involved with owning a cat/kitten?
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Yes
No
Maybe
To feed, supply litter, provide medical care, bedding and toys, I anticipate to spend per year:
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$100
$200
$300
$400
$500
MORE
What will you do in an emergency if you cannot afford a vet bill for the care of your cat?
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Your answer
If the cat/kitten you are interested in is no longer available, describe what you are looking for:
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Your answer
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