| * denotes a required field |
|
|
Cats name I want to adopt is * |
|
|
Reason for Adopting* |
|
| Name, Address, Phone # |
|
|
Applicant Name,* First and Last |
|
|
Co-Applicant Name, First and Last |
|
| Relationship to Applicant |
|
| Street, City, State (abbreviate), Zip* |
|
|
Lot / Unit / Apt # |
|
|
Home Email Address* * Please verify your email address is correct as all initial contact will be via email* |
|
| How often do you check this email account? |
|
| Work/Other Email Address: |
|
| How often do you check this email account? |
|
| Home Phone # |
|
|
Cell Phone #* We do NOT call outside of 480/602/623 area code |
|
| Work Phone # |
|
| Name of Company where you work? |
|
| How long at this Company? |
|
| About You and Your Family |
|
|
How many adults live in your home?* |
|
|
Have all adult household members been notified that you are looking to adopt a CAT?* |
|
| Is everyone in agreement to adopt a CAT at this time?* |
|
|
Is anyone in your home allergic to CATS?* |
|
|
How many children live in your home?* |
|
| What are the childrens ages? |
|
|
Are there any children under the age of 7yrs visiting your home daily? * |
|
|
If there are no children in the home at this time, are there plans for this to change during the CATS lifetime? * |
|
|
Who will be responsible for caring for this CAT?* |
|
| In case of Health or Accident, do you have someone locally who can care for this cat? |
|
| Is this person a Relative, Friend, Neighbor, AJ's Best Friends? |
|
| About Your Home |
|
| Type of home?* (apt, condo, manufactured, residentual) |
|
|
Do you Own this residence?* |
|
|
Does your home have a dog door?* |
|
| Is dog door electronically monitored? |
|
|
Are You Renting this residence? |
|
| Name of Apt Complex *required if renting |
|
| When does lease expire? *required if renting |
|
| Do you plan on staying or moving when lease is up? *required if renting |
|
| If moving, when & to where? |
|
|
Does your landlord allow pets?* |
|
| If yes, what type of pets does Landlord allow? (dogs, cats, horses, etc) |
|
| How much is Pet Deposit? *required if renting |
|
| How much is Pet Rent per Month? *required if renting |
|
| Can you furnish copy of Lease? |
|
|
Your Former Pets |
|
|
Have you owned CATS in the past?* |
|
|
# of Persians?* |
|
| # of Himalayans?* |
|
| # of Other breeds or domestic cats |
|
| Where did you get your CAT/s? (please elaborate) Breeder, Pet Store, Newspaper Ad, Pound, Humane Society, Rescue, Friend, Stray, etc. |
|
| Name of Humane Society or Rescue |
|
| How old was CAT/s when you got it? |
|
| Was CAT declawed when you got it? |
|
|
What other PET/S have you owned?
Use <Ctrl> to select more than one |
|
| What happened to your PET/s? |
|
| If PET has passed on, how old was PET when he/she died? |
|
| PET died of: |
|
| Was PET under the care of a Vet? |
|
|
Your Current Pets |
|
|
How many PETS do you have now?* |
|
| How many are DOGS?* |
|
| What breed of DOG is your pet? (please elaborate) |
|
|
What size of DOG? (Toy 1-10#, Small 11-25#, Medium 26-50#, Large 51# & up) |
|
|
Where does the DOG sleep at night? |
|
|
How many are CATS?* |
|
| How many are Persians? |
|
| How many are Himalayans? |
|
|
How many are Shorthaired Cats? |
|
| Are CATS indoors, outdoors, or both?* |
|
|
Where does the CAT sleep at night? |
|
| Where did you get your CAT? (Breeder, friend, found, Humane Society, Internet, Mall Pet Store, Pound, Recue, Newspaper, Vet, other) |
|
| Name of Breeder, Pet Store, Rescue, Humane Society, or Pound |
|
| CAT was how old when you got it? |
|
| Do you ever have your Persian/Himi shaved? |
|
| What is your major attraction to this breed? |
|
| Where do you keep the litterbox? |
|
| What type of litterbox are you using? covered, uncovered, electric |
|
| What type of litter are you using? Attract, citrus, clay, clumping, corn, crytals, pine, scented, unscented, wheat, other |
|
Friday, September 03, 2010
