Adoption Application

Adoption Application - Old

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First Name * Enter your first name.
Middle Initial *
Last Name * Enter your last name.
Preferred pronouns
Date of Birth *
Co-Applicant First Name
Co-Applicant Middle Initial
Co-Applicant Last Name
Co-Applicant Date of Birth
Primary cat you're interested in (cats not listed in menu are no longer available for adoption) *
Other cats you're interested in
Your Street * Enter your street address.
City *
State *
Zip Code *
Home Telephone Number Enter your home telephone number (ex. 555-555-5555).
Mobile Phone Number * Enter your mobile telephone number (ex. 555-555-5555).
Your Email Address * Enter your email address (ex. example@email.com).
Employment Status *
Number of adults in home? *
Number of children in home? *
What are their ages?
Do you rent or own? (Owned only applies if your name is on record) *
If renting, what is your landlords name and number? This includes property owned by family/friends.
Have you had any animals in the last 7 years? Please only include pets you have been responsible for, not family pets from childhood. *
If yes, list name, age, type (dog, cat, etc), and whether they are alive or deceased
If you've had cats, have they been indoor, outdoor, or both?
If previous cats have been outdoor or indoor/outdoor, please explain why.
Have you ever declawed a cat? *
If previous cats declawed, please explain why.
Veterinary Reference for owned pets from last 7 years (name, phone number, city). *
Will future cats be indoor, outdoor, or both? *
Please explain why your future cat will be indoor, outdoor, or both. *
Is there anything else you'd like us to know?
How did you find Ten Lives? *
I agree to the following: If approved for a meet & greet, I understand and acknowledge that Ten Lives Cat Rescue cannot guarantee the behavior of said cat(s). I agree that Ten Lives Cat Rescue and/or volunteers are not liable for any injuries suffered during a meet & greet. *	Agree Disagree
I agree to the following: All statements made on this application are truthful; I have made no false statements with regard to family members in the household, status of my home ownership and any other statements made on this application. *	Agree Disagree
Electronic Signature *