Cat Adoption Application
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1
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4This animal application is for:
Cat Adoption Application
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At the VHS it is our goal to help you find a pet that will fit into your household. Please assist us by filling out this form:
1) Name:
Date:
/
/
mm
dd
yy
2) Address:
3) City:
State:
Zip:
4) Phone (home):
Phone (work):
5) E-mail Address:
6) How Long have you lived at your current address?
years
months
7) Previous Address:
8) What type of housing do you live in?
9) Do you rent or own?
❑
rent
❑
own If renting, landlord’s name & phone:
10) Are you 18 years of age or older?
no Do you live with your parents?
❑
yes
❑
❑
yes
❑
no
11) If under 18, Name of Parent or Guardian:
Phone:
12) What is the makeup of your household?
adults
children (if 1 or more see item 13)
13) Ages of Children if applicable:
14) Are any members of your household allergic to pets?
❑
❑
no If yes, describe the type of allergy
yes
and treatment:
15) Have you ever surrendered an animal to the VHS
❑
❑
no If yes, describe the situation:
yes
16) Have you ever adopted from the VHS?
❑
❑
no If yes, describe the animal(s) that you adopted and
yes
where they are now:
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Parent category: Legal