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  • KITTEN NUGGET RESCUE ADOPTION APPLICATION

  • IDENTIFICATION

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • EMPLOYMENT

    We will get ask you for your permission before contacting your employer if necessary..

  • HOUSING

  • Do you rent or own? :*

  • HOUSEHOLD MEMBERS

  • Is any member of your household allergic to cats?:*

  • PRIOR PET HISTORY

  • List the animals, by name, that have been a part of your family during the last 5-10 years. Please not if cat, dog or other. Indicate the status of each using the following codes :

    0 - Still lives with me 1 - Deceased 2 - Gave away/surrendered
    3 - Lost/ran away 4 - Sold 5 - Sold
    6 - Euthanized 7 - Gave to shelter 8 - Unknown

  • Are your current pets -

  • Update to date on vaccinations?:*
  • Spayed and/or neutered?:*
  • On flea and tick prevention?:*
  • If applicable - are/is your cat(s) indoor or outdoor?
  • Format: (000) 000-0000.
  • Where will this pet spend most of its time?*

  • By my signature below, I authorize Kitten Nugget Rescue to contact :
    - My veterinarian(s) to check the care provided to previous and/or current pets and to check the spay/neuter and vaccine history.
    - My landlord (if applicable) to ensure that I have their permission to keep pet(s) on the premises.

  • I certify that the statements made on this application are true and accurate to the best of my knowledge. I understand that false statements by me may lead to the rejection of this application for adoption.
  • Date :*
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  • Should be Empty: