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Date:
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Interested in: Cat's Name:
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2nd Choice:
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Name:
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Age of applicant:
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Age of co-applicant:
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Do you live with your parents?
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Address:
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City, State, Zip
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Home Phone #:
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Cell Phone #:
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Email Address:
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Do you live in a:
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House
Apartment
Condo
Mobile Home
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If renting, Landlord's name and phone number:
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How long have you lived at your present address?
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Are you adopting for:
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Yourself
Family
Others
Gift/Surprise
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Are you looking for an:
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Inside only cat
Outside cat
Inside/Outside cat
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Why do you want this cat?
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Companion
Child's Pet
Mouser
Gift
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Other:
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How many adults reside in your home?
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Children and Ages:
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Are all members of the household in agreement with adopting this pet?
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Does any members of the household have any allergies?
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If so, describe:
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Who will be responsible for taking care of the pet?
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What arrangements have you made to care for the pet in case you can no longer do so?
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How many hours per day will this animal be left alone?
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Where will the pet be kept when left alone?
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List of all current Pets. Please include breed, name, age:
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Are they up to date on vaccines:
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Are they spayed/neutered:
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Are they on Heartworm Prevenative:
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List all previous Pets in the last 5 years. Please include breed, name, age:
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Were they up to date on vaccines:
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Were they spayed/neutered:
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Were they on Heartworm Prevenative:
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Does pet live inside/outside?
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How long did you have your pet?
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Why is pet no longer with you?
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Who is your current/previous veterinarian? (List clinic name AND PHONE NUMBER. Please contact your vet clinic and give them permission to release your pet's information.)
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Are your current and previous pet listed under your name?
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If no, please list name:
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How much time do your current/previous pets spend outside?
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How much time would your new cat spend outside?
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Rescue animals require time to adjust to their new home. What amount of time do you consider to be reasonable for adjustment?
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There are costs involved in having a pet.The average cost for preventative veterinary care is $100-$200. Additionally there are expenses of food, toys, grooming, boarding, emergency vet care, etc. to consider, does your household budget allow you to comfortably cover these expenses?
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What behaviors would you be unable to tolerate from an adopted cat? (check all that apply)
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Scratching Furniture
Jumping On The Furniture
Playing In Early A.M. Hours
Meowing/Howling
Getting Into Trash/Garbage Cans
Getting On Counter Tops
Hiding From Guests/Other Family Members
Shedding On Furniture/Clothing
Climbing On Curtains/Drapes/Blinds
Escaping
Fighting
Throwing Up Hairballs
Getting Into Cabinets/Closets/Cupboards
Inability to Get Along With Other Animals
Not Quickly Adjusting To Other Pets in The Home
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Methods I plan to use to discourage un-wanted behaviors:
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You understand that rescue cats may have unknown medical history/problems?
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You understand that rescue cats may have unknown behavior issues?
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Additional information you would like to provide to WAG:
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The above information that I have provided to WAG Animal Rescue for the purpose of adopting an animal is accurate and complete.
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Signature:
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Date:
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