Name
              
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                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Phone
              
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                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Street Address
              
             
          
                
                
                  
                     
                    Address 1 
                   
                
                
                  
                     
                    Address 2 
                   
                
                
                  
                     
                    City 
                   
                
                
                  
                     
                    State/Province 
                   
                
                
                  
                     
                    Zip/Postal Code 
                   
                
                
                  
                     
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Birthdate
              
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                    MM 
                   
                
                
                  
                     
                    DD 
                   
                
                
                  
                     
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Occupation
              
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              Employer
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Why are you interested in adopting a cat?
              
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              Which cat(s) are you interested in and why?
              
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              How many adults reside in your household?
              
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              How many children? If applicable, what age(s)?
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do any members of your household smoke?
              
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                    Yes 
                  
                    No 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              For whom are you adopting the cat?
              
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              Who will be responsible for the cat's care?
              
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              Does any member of the family have any allergies to animals? If so, please describe.
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Where do you live?
              
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                    Apartment/condo 
                  
                    Townhome 
                  
                    Single family home 
                  
                    Other 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you own or rent your home?
              
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                    Own 
                  
                    Rent 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              How long have you lived at this address?
              
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              Are pets allowed?
              
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                    Yes 
                  
                    No 
                  
                    Unsure 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Where will the cat be kept?
              
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                    Indoors only 
                  
                    Indoors and outdoors 
                  
                    Outdoors only 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              How many hours (on average) will someone be home during the day and night?
              
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              How many hours (on average) will the cat be left unattended?
              
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              When no one is home, where will the cat be kept?
              
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              If you move, what will you do with the cat?
              
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              Have you ever had a pet before?
              
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                    Yes 
                  
                    Yes, but they were family pets that I wasn't solely responsible for 
                  
                    No 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Describe the pets (if any) you still care for or that are living in your household. For each, please provide the following: 1. Name 2. Breed 3. Age 4. Gender 5. Whether they are spayed/neutered 5. Where they are kept both when you're home and when you're away 6. Time in your care
              
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              Describe the pets that you have cared for in the past that you no longer care for. Please provide the following: 1. Name 2. Breed 3. Age 4. Whether they were spayed/neutered 5. Where they were kept 6. Reason they are no longer with you
              
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              Are your pets current on their vaccinations?
              
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                    Yes 
                  
                    No 
                  
                    Unsure 
                  
                    I don't have any pets at this time 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Please provide the name of your veterinarian, if you have one.
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Veterinarian's phone number:
              
             
          
                
                
                
                  
                     
                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What type of food do you currently feed your cat(s) or intend to feed these cat(s) if adopted?
              
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                  Dry/kibble
                
                  Wet/canned
                
                  Mix of both
                
                  Unsure
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you willing and able to provide annual checkups, vaccinations, and any medical care necessary?
              
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                    Yes 
                  
                    No 
                  
                    Unsure 
                  
                    Depends on cost 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              How much do you expect to spend annually caring for your cat (Veterinary expenses, food, etc)
              
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              How much would you be willing and/or able to spend on veterinary expenses if there is a medical emergency for your cat?
              
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              What precautions would you take to properly introduce a new cat into your home if you have other animals (a dog, bird, rabbit, another cat, etc)?
              
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              What will you do if your new cat does not get along with your current pets?
              
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              Are you planning to declaw your cat?
              
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                    Yes 
                  
                    No 
                  
                    Front declaw only 
                  
                    Undecided 
                  
                    Uncertain what declawing entails 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have you declawed any of your previous cats?
              
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                    Yes 
                  
                    No 
                  
                    Unsure 
                  
                    I have never owned a cat 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have you ever adopted an animal from a rescue/animal control agency?
              
             
          
                
                
                
                  
                    Yes 
                  
                    No 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have you ever had an application rejected for adoption of an animal from a rescue/animal control facility?
              
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                    Yes 
                  
                    No 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If a disciplinary or behavior problem arises, what steps will you take to work on it?
              
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              In your mind, what situations justify giving up a pet?
              
                * 
              
             
          
                
                
                  Allergies
                
                  Moving to a place that doesn't allow pets
                
                  Life change (marriage, baby, job loss)
                
                  Doesn't get along with other pets in household
                
                  House soiling (not using the litter box appropriately)
                
                  Behavior problems (e.g. biting, marking)
                
                  None of the above
                
                  Other
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If you answered "other" or "none of the above," please explain:
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you willing to sign legal pet adoption papers?
              
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                    Yes 
                  
                    No 
                  
                    Unsure 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you agree to permit a visit to your home/farm by appointment?
              
                * 
              
             
          
                
                
                
                  
                    Yes 
                  
                    No 
                  
                    Unsure 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please provide at least 3 personal references, with no more than one being a familial relation. For each, please provide the following: 1. Name 2. Relationship to you 3. Phone number 4. Best time to call, if any. Reference 1:
              
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              Reference 2:
              
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              Reference 3:
              
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              By typing your name below, you acknowledge that all information on this form is true and correct. You understand that any misrepresentation of fact may result in Meow or Never Inc. refusing adoption privileges to you. If your request for adoption is approved and later Meow or Never Inc. discovers the above information is not true or correct, Meow or Never Inc. reserves the right to remove the adopted cat from your home/farm.
              
                *