CREO EN TI RESCUE
"Cat Adoption Form"
NAME OF CAT(S)
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NAME OF THE APPLICANT:
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First Name
Last Name
AGE
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ADDRESS
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
HOW LONG AT THIS ADDRESS?
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PHONE NUMBER
EMAIL
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example@example.com
FACEBOOK OR INSTAGRAM
OWN YOUR HOME?
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RENT? (if yes, you must have landlord approval)
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DESCRIBE IN DETAIL DE CAT YOU ARE LOOKING FOR?
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WILL THIS BE FOR FIRST CAT?
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WHERE WILL YOUR CAT SPEND THE DAY AND NIGHT?
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HAVE YOU OWNED PETS IN THE PAST 10 YEARS?
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Yes
No
WHICH OF THESE DO YOU STILL HAVE? (include sex, age and breed)
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WHAT HAPPENED TO THE PETS YOU NO LONGER HAVE?
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ARE THEY SPAYED OR NEUTERED?
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YES
NO
IF NO, PLEASE EXPLAIN:
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ARE THEY CURRENT ON VACCINATIONS?
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YES
NO
ARE THEY DECLAWED?
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Are they declawed?
WHAT IS THE NAME & PHONE # OF YOUR VETERINARIAN?
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ARE THERE CHILDREN IN THE FAMILY?
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YES
NO
IF YES, WHAT ARE THEIR AGES?
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ARE YOU FINANCIALLY PREPARED TO PROVIDE THE NECESSARY CARE FOR YOUR PET: INCLUDING PROPER FOOD, VACCINATIONS, PARASITE CONTROL (FLEAS, TICKS, WORMS, ETC.) ADEQUATE SHELTER, AND VETERINARY CARE FOR YEARLY CHECK-UPS AND MEDICAL EMERGENCIES?
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YES
NO
HAVE YOU EVER PLACED A PET IN AN ANIMAL SHELTER?
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YES
NO
IF YES, WHAT WAS THE REASON?
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HAVE YOU EVER HAD A PET EUTHANIZED?
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YES
NO
IF YES, WHAT WAS THE REASON?
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BY TYPING MY FULL NAME BELOW, I AFFIRM THAT ALL INFORMATION ABOVE IS TRUE. I REALIZE THAT THIS IS A LIFETIME COMMITMENT AND WILL ENDEAVOR TO GIVE THIS PET A HAPPY AND HEALTHY HOME. IF THERE ARE PROBLEMS WITH THIS PET OR I MUST GIVE HIM/HER UP I WILL CONTACT CREO EN TI RESCUE.
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TYPE FULL NAME HERE
Signature
Enter the message as it's shown
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Submit
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