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First Name: Last Name: |
| Address: |
| City: State: |
Zip code: |
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Home Phone: Work Phone: Cell Phone: |
| E-mail Address: |
| Do you own or
rent?
own
rent |
| If
renting, please give Landlord's Phone# so that
we may verify that cats are allowed:
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| Are you willing to allow a home
visitation? |
| Do you have any pets? yes no |
If so, please list them all, indicating cat or dog, breed and ages
...
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| Have you previously owned a cat?
yes
no |
| Have you previously owned an abyssinian?
yes
no |
If you previously owned a cat and don't now, how long ago was it and what happened?
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Veterinarian's name, address and phone #
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| How many people live in your household?
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| If you have children, what are their ages?
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| Is everyone in agreement to get a new pet?
yes
no |
| Is anyone in your household allergic to cats?
yes
no |
If so, what are the circumstances?
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| Who will be primarily responsible for the cat's care?
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| Where/how will the cat be maintained?
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| What are your views on declawing?
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| If a rescue cat was previously declawed, would you still be willing to adopt him/her?
yes
no |
| What ages are you willing to adopt?
(check all that apply): |
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Kitten, under 6 mos.
1 to 5 yrs.
5 to 10 yrs.
10 yrs. and over |
| Do you have a preference as to sex of cat? |
| Do you have a color preference if so check all that apply...
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Ruddy
Red
Blue
Fawn
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Please fill out form and
press the SUBMIT button |
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