| Name of the cat/kitten you wish to adopt:
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| Your name:
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| Email Address:
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| Home Phone Number:
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| Mobile Phone Number
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| Home Address:
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| Your Facebook/Twitter/Instagram Account:
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| What is your occupation:
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| Who will be responsible for the cat's care (Feeding, cleaning litter box, taking to vet?):
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| Has anyone in your household experienced allergies or asthma?
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Yes
No |
| Are you prepared to care for this cat for 15-20 years?
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Yes
No |
| Is your home a
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Landed
Apartment |
| Do you rent or own your home?
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Rent
Own |
| If renting, do you have permission to have a pet?
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Yes
No |
| Why are you looking to adopt a cat? (check all that apply)
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Companion for you/spouse
Companion for children
Companion for pet
Replace lost/deceased cat |
| Do you have kids at home?
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Yes
No |
| If yes, how old are they? (check all that apply)
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Between 1-4 years old
Between 5-9 years old
Between 10-12 years old
12 years old and above |
| Will you spay/neuter (memandulkan) the cat when it reach its maturity age?
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Yes
No |
| Where will your cat sleep at night?
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Cat Bed
Outside the house
In the cage
My bedroom
Anywhere s(he) wants |
| How many hours of the day will your cat be left alone?
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| Will your new cat be an indoor or outdoor pet?
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Indoor
Outdoor
Both |
| If allowed outside (check all that apply)
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Anytime
Daytime only
Under supervision
On balcony/patio only
On a leash
Only when cat is older |
| Do you have any other pets?
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Yes
No |
| If yes, please specify what is your other pets and how many:
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| What brands of pet food do/will you feed your cats?
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| Who will care for your cat when you are away?
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| Do you have a veterinarian?
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Yes
No |
| Vet's Name:
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| Are you prepared to cover any vet expenses that your pay may incur throughout its life?
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Yes
No
Depends on the problem |
| Under what circumtances would you not be able to keep this cat? (please check all that apply)
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Pregnancy/Baby
Divorce/Separation
Spouse/child is allergic
Needs too much attention
Job change/loss
New house/apt.
Scratches carpet/drapes/furniture
Behavioral problems
Expensive vet bills
Conflicts with other pets
Sprays, litter box problems
Needs special diet
Cat becomes disabled
Requires daily treatment |
| If you have to give up this cat for any of the above checked reasons, what will you do with the cat?
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I certify that all of the above information is true and accurate. I understand that if I adopt a pet from Sookie's Store, this document will become part of the adoption record. |
| Please Type your Full Legal Name:
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