Cat Adoption Application

Cat Adoption Application P.O. Box 757, Selah, WA 98942 Email: email: succryakima@gmail.com
Email
example@example.com
Underground Community Cat Rescue
ID#
Applicant Name
Age
Street Address, C/S/Z
Phone
Email
example@example.com
Own or Rent
If rent, name/phone of landlord
Name of cat you wish to adopt
Age
M/F
Breed/Color
Description
Reason for adopting
Briefly describe your average day and how your cat will fit into it
Are all members of your household in agreement on adopting a cat
Applicant's Veterinarian
Phone
May we contact veterinarian
Are you financially prepared for not only routine medical care but
emergency care if that arises (explain)
Other pets in household
Are your personal pets all fixed and up to date on their vaccinations

MonthDayYear
Date
If you have children in your house, please list their ages
Share any additional comments
Adopter agrees and understands that all UCCR adopted tame cats are indoor only. All adopted cats are fully vaccinated, fixed, microchipped and vet records are provided if pertains to your cat. If you have any questions regarding an adoption, we would be happy to hear from you via our email. uccryakima@gmail.com or though Underground Community Cat Rescue's Facebook Messenger site. Our phone number is 509-379-1621. We respond much faster using email or FB Messenger.

By signing and submitting, you swear that all information given is truthful and complete.
Signature of Applicant

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Underground Community Cat Rescue
Name of Cat
Date

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Date
Adoption Fee
Signature

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Adopter
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Comments
UCCR, P.O. Box 757, Selah, WA 98942 Phone: 509-379-1621 email: succryakima@gmail.com Fastest way to reach us is through Facebook Messenger.
UCCR, P.O. Box 757, Selah, WA 98942 Phone: 509-379-1621 email: uccryakima@gmail.com Fastest way to reach us is through Facebook Messenger.
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THE FOLLOWING TO BE COMPLETED BY A UCCR REPRESENTATIVE