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Date:
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Interested in:
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Cat
Kitten
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Animal's name:
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Animal's Name, second choice:
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Name:
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Address:
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City, State, Zip
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Home phone and cell:
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Email Address:
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How long have you lived at your present 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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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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Yes
No
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What is your reason for adopting an animal?
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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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How many adults reside in your home?
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Children and Ages:
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Are all household members in agreement with adopting this cat?
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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 cat?
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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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Do you presently have any pets?
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If yes list breed(s), age(s), sex, and name(s):
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Are they spayed/neutered?
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Current on vaccines?
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On heartworm prevention?
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Who is your current/previous veterinarian? (clinic name and phone number):
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How much time do your current/previous pets spend outside?
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How much time would this new pet spend outdoors?
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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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The average cost per year for providing preventative veterinary care is $100. 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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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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What behaviors would you be unable to tolerate from an adopted cat? (check all that apply)
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scratching furniture
jumping up on furniture/counter tops
playing in early am hours
meowing/howling
getting into cabinets/closets/cupboards
climbing curtains/drapes/blinds
hiding from guests/other family members
shedding hair on furniture/clothes
escaping
fighting
throwing up/hairballs
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Other:
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Methods I plan to use to discourage unwanted behavior(s): (check all that apply)
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yell
put cat in another room
remove problem item(s)
put cat outside
spritz with water
won't tolerate behaviors
swat/spank/hit with newspaper
throw something at cat
who cares cats are cats
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Other:
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The foregoing information that I have provided to WAG Animal Rescue for the purpose of adopting an animal is accurate and complete.
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Name and Date:
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