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My basic info
Breed
Domestic Shorthair
Color
Black & White or Tuxedo
Age
Kitten
Sex
Female
Pet ID
–
Hair Length
short
My details
Good with kids
Not good with dogs
Good with cats
Shots current
My story
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Here's what the humans have to say about me:
Fee includes spay /neuter at our vet $ 60.00
8 weeks and older have first vaccines and dewormed , fiv/luk tested and flea treated.
READY DATE
Please submit adopt form to ngas@cox.net for faster reply time.
Zipcode______________ Phone: __________________________________
Email:__________________________________ Can we text you?_____
Name of companion you are interested in adopting with us ____________________
Are you willing to have a visit to your home before or after this adoption? _____
Does your household agree that you have the time, patience and finances to commit to this companion for their lifetime?_________
Current companions: Dogs, #___ Cats, #____ Is your cat Declawed_______
Pets Ages_______________________Breeds____________________Other pets______________
Are they Spayed / Neutered?_____ IF NO, Why?________________________________________
Are your pets Indoor__ Outdoor__ Both__ Pet door___ Garage____ kennel___ Other_______
Who is your current Veterinarian___________________________________Phone____________________________
Do YOU HAVE HANDS ON Experience with the breed of pet you are interested in?________
Do you have a vehicle to take this pet to a veterinarian? Yes__ No___
What brand of pet food will you be giving this pet as a regular diet____________
How many hours each day will this pet be alone______________________________
Companion History: When did you last care for a companion? _______age of pet_____
Were they spayed/neutered ? ____Were they indoor or outdoor?_________ Kennel___
Where is this companion now?_________________________________________
Cat Adoption
Have you had experience with kittens that scratch when they are young and playing?
Do you and family understand cats may scratch when frightened or not left alone?¬___
Will you have this cat declawed NO___ Yes ____If Yes Why?_____________________________ _______________________________________________________________________________
Not sure___ Please Go to http://www.declawing.com/ Is anyone in your home allergic to cat fur?______
What type or Brand Litter will you use_____________ How often will you scoop the box?________________________________________________________________________________
Will this cat be indoor____ Outdoor____ Both____ Kept in another room_____ be caged_____
Going Away, vacation, work trips etc.
Will you take companion with you ?___ Have a Petsitter ___Board ____Take to family ,friend, neighbor home_____ Friend ,family, neighbor, name and phone_______________________________________
List everyone living in your home or visiting on a regular basis, weekends etc.
Adults ages __________roommates______ children ages__________ grandchildren ages______________________ _____________________________________________
When you are not home where will this companion be _________________________
If cat jumps on tables or furniture will this bother you? ___ Explain__________________________
Are you In a House____ Apartment___ Condo___ Mobile Home___ Hotel___ Temp housing___
Buying __ Military Housing__ Living with someone ___ Month to Month ___Renting __
Can you provide written permission from your property manager allowing this type of breed or pet where you live now?___ Manager/Landlord name and Phone___________________________
Have you paid your pet deposit?_________ When is your lease up?________________________
If you move, are deployed, have a baby, have a family member move in ,Will you keep this pet?____
If you must give up this companion do you have family who can care for them?______________
If you are unable to care for this pet where will pet go? __________________________________
What would cause you to give up this companion?______________________________________
Applicant Employment _________________________ Phone________________ supervisor________________ How long at this employment ?______
Co-Applicant Employment ____________________Phone____________________
REFERENCES, Please list references, Pet sitter, Groomer, Neighbor, Friend, Co worker
1. Name_________________________________ Phone #(____)_________________
2. Name________________________________________ Phone #(____)_________________
By signing below I attest that I have Never been convicted of animal abuse, Animal cruelty,
Neglect or abandonment in the state of Virginia Or any other state or country.
I certify that I am 21 years of age.
Any untruthful answers or not meeting the requirements for this adoption can result in the forfeiture of the companion adopted by me?
I have read this Questionnaire and understand that applying does not ensure approval. Visiting a companion does not ensure Adoption.
Applicant Name Print_______________________________Date_____
Applicant Signature________________________________Date_____
Co-Applicant Name print____________________________________Date_______
Co-applicant Signature______________________________________Date_______
OFFICE USE ONLY:
Application reveiwed by: ____________________________________Date________
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