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Simple Kitten Adoption Form
1
Full Name
First Name
Last Name
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2
E-mail
example@example.com
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3
Are you 18 years of age or older?
Yes
No
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4
Birth Date
-
1
Month
Day
Year
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5
Do you own your own home?
Yes
No
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6
What is your landlord's policy on pets?:
2
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7
Type of Dwelling:
Please Select
House
Apartment
Condo
Mobile Home
Please Select
Please Select
House
Apartment
Condo
Mobile Home
3
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8
Are you planning on moving within the next 6 months?
Yes
No
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9
What are your plans for your pets if you move?
4
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10
What is your reason for wanting to adopt a cat?
Housepet
Mouse Patrol
Companion
Companion for pet
Gift
Other
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11
If adopting a kitten, where would the kitten be kept when alone?
5
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12
Are you planning on declawing your new cat or kitten?
Yes
No
Maybe
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13
Are your current cats declawed?
Yes
No
N/A
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14
Are any members of your household allergic to animals?
Yes
No
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15
Please describe:
6
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16
Over the past 5 years, how many pets have you owned? (Include current pets)
Please Select
0
1
2
3
4
5
6+
Please Select
Please Select
0
1
2
3
4
5
6+
7
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17
Please list breed, age, if they're still living with you? (if not, why?)
Please be very specific.
8
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18
Have you ever lost or given away a pet?
Yes
No
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19
If you currently own a dog or cat, how does he/she react to new cats?
9
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20
Are your present pets up-to-date on their annual vaccines?
Yes
No
N/A
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21
Please explain:
10
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22
Are your present pets spayed or neutered?
Yes
No
N/A
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23
Please explain:
11
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24
Were your previous pets spayed or neutered?
Yes
No
N/A
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25
Please explain
12
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26
Can/Will you provide your cat with monthly flea/tick prevention?
Yes
No
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27
If your cat displays behavioral problems (such as poor litter box habits, inappropriate scratching etc.) how would you go about correcting the behavior?
Contact a Professional
Use a book
Personal Knowledge
Other
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28
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?
Move box to new location
Try a different litter
Clean box more often
Have cat examined by vet
Use a cat door
Return Cat
None
Other
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29
What brand of cat food do you plan on feeding your new cat?
13
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30
Are you prepared to commit to a pet for 15 - 20 years (average life span)?
Yes
No
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31
Where will your cat spend most of his/her time?
Please Select
Indoors Only
Outdoors Only
Indoors and Outdoors
Barn Cat
Basement/Garage
Confined
Please Select
Please Select
Indoors Only
Outdoors Only
Indoors and Outdoors
Barn Cat
Basement/Garage
Confined
14
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32
If you selected outdoor, would your cat be supervised?
Yes
No
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33
If there is anything else you think we should know, please note it here.
15
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