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Azalea City Cat Coalition Adoption Form
Fill out the form below to submit an application to adopt one of our pets!
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Email
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Your email
Azalea City Cat Coalition Adoption Form
Name:
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Your answer
License or ID Number:
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Your answer
Date of Birth
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MM
/
DD
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YYYY
Choose your experience with cats
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First Time Owner
Owned 1 or 2
Knowledgeable and Experienced
Please name the specific cat(s) / kitten(s) you are applying for:
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Your answer
Phone Number:
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Your answer
Email:
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Your answer
Current Address (Street Number, City, Zip Code). Also include if it is a house, apartment, trailer, etc
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Your answer
Do you Own or Rent?
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Own
Rent
How long have you lived at the address?
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Your answer
Current Employer (Note if you are a student)
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Your answer
Occupation:
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Your answer
Work Phone
Your answer
How long have you been employed here?
Your answer
Do you live with a spouse or partner, or with you parents?
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Your answer
Name of your spouse / partner / other (specify if parents, etc)
Your answer
Phone Number of Spouse / Other
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Your answer
Does your spouse / other approve of this adoption?
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Yes
No
Other:
Do you have young children living in your home?
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Yes
No
List of ages of your children (If applicable)
Your answer
Does anyone in your family have allergies to cats / dogs?
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Yes
No
Have you ever owned a cat / kitten before?
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Yes
No
Have any of your bets gotten lost, poisoned, or hit by a car?
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Yes
No
Have you ever had to give up a pet? If so, explain.
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Your answer
Please list all pets currently living in the household, including breed, spayed / neutered, and claws / declawed information
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Your answer
Where will this pet stay during the day? At night?
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Your answer
Are you interested in an indoor or outdoor cat?
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Indoor
Outdoor
Indoor / Outdoor
Where will you keep your pet while you are away overnight or on vacation?
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Your answer
Where this pet sleep?
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Your answer
What is the hurricane evacuation plan for your pets?
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Your answer
Do you consider the pet you adopt to be a companion animal and part of your family?
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Yes
No
Do you have plans to de-claw the cat if you adopt it? If yes, why?
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Your answer
Do you understand that in the event that you are unable to keep this pet for its lifetime, it must be returned to Azalea City Cat Coalition with NO EXCEPTIONS?
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Yes
No
Are you able to pay the adoption fee of $125
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Yes
No
List 2 references that do NOT live with you. Name and phone number
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Your answer
Veterinarian. **Add your previous veterinarian if you have recently moved or no longer have prior pets**
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Your answer
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