Adoption Application
Animal you are interested in adopting
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Applicant's First Name
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Applicant's Last Name
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Street Address
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City
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State
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Apartment Number (if applicable)
Zip Code
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Email Address
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Please enter correctly as this is the main way we will contact you
Phone Number
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How did you find out about us?
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Petfinder
Internet Search
Family/Friend
Staff/Volunteer
Facebook/Twitter
Other
Best time to call
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Is this pet for you or someone else?
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Myself
Someone else
Do you own other pets at the current time?
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No
Yes
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed?
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Yes
No
N/A
How many pets have you owned in the last 5-10 years?
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What happened to them?
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Are your pets current on their vaccinations?
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Yes
no
n/a
Have you ever turned your dog or cat into a shelter?
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No
Yes
If yes, please explain?
If you have pets, will they adjust to a new pet in the house?
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Yes
No
Unsure
N/A
Please check the main reason you plan to adopt a pet:
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Companion
Family Pet
Child's Pet
Companion for another pet
Other
If you answered "other" above, please explain here:
Please describe in detail the pet you are looking for.
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Do you own or rent your home?
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Own
Rent
Someone else owns the Home
Someone else rents the Home
How many stories is your home- what floor?.
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Please select your current residence type.
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House
Apartment
Condo
Townhouse
Mobile Home
Other
If you answered "other" above, please explain here:
How long have you lived at this address?
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Less than one month
1-2 months
3-6 months
6-9 months
9-12 months
1-2 years
3-5 years
6-10 years
10 + years
If you rent, does your landlord and lease allow pets?
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Yes
No
Unsure
N/A
Anyone in your family in Military
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No
Yes
Any chance of deployment soon
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No
Yes
what will happen to cat if deployed
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Including yourself, how many people live in your household?
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Please list the ages & relationship of those who live in your home.
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Does anyone in your household have allergies to dogs/cats?
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Yes
No
Possibly
N/A
Employment Status
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Full-Time
Part-Time
Retired
Work from Home
Stay at Home Parent
Student
Unemployed
Other
If you chose "other" above, please explain:
On average, how many hours per day will your pet be left alone?
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Will this pet be predominantly living inside, outside, or both?
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Inside
Outside
Both
Does your home have a cat door?
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No
Yes
Where will the animal sleep?
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In bed with me
In bed with my child
In a dog / cat bed
In a kennel / crate
Wherever he or she likes
Outside
Other
Will you keep the animal up-to-date on vaccinations and annual checkups?
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No
Yes
If no, please explain:
What arrangements will you make for the care of your pets in case of an emergency?
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Leave with family/friend
Boarding
Pet Sitter
Take with me/us
Other
What will you do with the animal when you go on vacation?
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Leave with family/friend
Boarding
Pet sitter
Take with me/us
Other
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
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What would you do with your animal if you had to move?
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Take him / her with me
Give to family or friend
Return to rescue
Other
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years?
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No
Yes
If no, please explain:
Will you allow us to perform virtual or home checks?
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No
Yes
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. I also understand that this is just an initial application and does not guarantee an approval and does not hold or guarantee the cat or kitten of interest, all cats and kittens at Cat Nap hang out are available for adoption to our approved applicants onlyAnd cannot be reserved. It is a first come first serve basis
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Yes
No
Signature
Clear
Sign print name
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Date
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