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Adoption Application & Questionaire |
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Date: |
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Name (Last, First): |
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Co-Applicant Name (Last, First): |
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Address: |
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Home & Household Information |
If you rent your home, you are required to provide verification that the landlord allows pets. If you live with your parents,
you are considered a renter.
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What type of Housing do you live in: |
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Do you own or rent: |
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Please list each person who resides in your home (including children + ages, roomates, friends): |
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Please list the pets in the past 15 years that are you were financially responsible for. Please do not list childhood
pets that your parents cared for:
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Please complete below information regarding current pets |
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Have you had any additional pets in the last five years? Please list the species, age and reason you no longer own them.
Lost, put to sleep (reason), given away (reason).
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Have you ever adopted from us or another rescue/shelter? |
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Employment Information |
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Type of cat you are interested in: |
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Reason you want to adopt: |
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Will the cat be allowed outside? |
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Do you plan to Declaw? |
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The adopter understands that the feline comes with no warranty as to health, temperament, future behavior, breed or appearance; and that
Paws and Purrs Humane Society is not responsible should this cat bite, scratch, or harm any animal, person, or property in any way once
you adopt. By signing or typing your name below, I certify that the information I have given is true. I understand that Paws and Purrs
Humane Society reserves the right to deny my application for any reason at any time. I further authorize the investigation of all statements
in this application.
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A value is required.Signature
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Additional Comments / Notes: |
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