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Name (First & Last): |
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| *Email
Address: |
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Please note: if you use Spamblocker
or another program, be sure to include
info@retrieversandfriends.com
in your "ALLOWED" list.
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| Home Phone: |
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| Work Phone: |
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Address: |
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City: |
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State:
CA
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Zip:
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Number of people who
reside in your home:
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| Ages of
people who reside in your home: |
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Your
Employer: |
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Spouse's
Employer: |
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| What is your work
schedule? |
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About Your Home
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| Do you live in a: |
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| How long at this address? |
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Do you rent or own your home? |
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| Landlord's Name (if
applicable): |
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| Landlord Phone: |
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| Does your rental
agreement allow you to have a pet? |
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Does anyone in your family have allergies? |
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If yes, please explain below: |
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| Do you have a local veterinarian? |
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If yes, please list name and phone number below: |
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| May we call your
veterinarian for more information? |
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Please tell us what
you're looking for: |
| Name of cat(s) you are interested in (from web site):
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| How long have you been looking for a pet?
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| Would you like to adopt a male or a female?
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Breed: |
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Size: |
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| Color: |
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| Why are you interested
in adopting this particular cat? |
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| How soon are you ready
to adopt? |
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General Information
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If this cat scatches the furniture or has any bad habits, what will you do? |
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| Under what
circumstances would you consider giving away your cat to a new
owner? |
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Who will be responsible for the care and feeding of this cat? |
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What brand of cat food you plan on feeding this cat? |
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| What arrangements would you make for the this pet when you travel?
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| Do you have any
upcoming travel or vacation plans?
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| If yes, when will you
be leaving and how long will you be gone? |
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| Where will your cat
spend his/her time? |
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Will the cat be allowed access to the outdoors? |
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| Your Pet History |
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Please provide the following information for any pets you now own or
have owned in during your adult life. You may add additional
pets in the "comments" section below. |
| Pet #1 |
| Breed |
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| Age |
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| Sex |
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| Is your pet spayed or
neutered? |
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| Do you still have this
pet? |
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| If this pet is no
longer with your family, please explain. (Cause of death, or
to whom the pet was given and why.) |
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| Pet #2 |
| Breed |
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| Age |
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| Sex |
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| Is your pet spayed or
neutered? |
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| Do you still have this
pet? |
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| If this pet is no
longer with your family, please explain. (Cause of death, or
to whom the pet was given and why.) |
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| Pet #3 |
| Breed |
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| Age |
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| Sex |
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| Is your pet spayed or
neutered? |
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| Do you still have this
pet? |
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| If this pet is no
longer with your family, please explain. (Cause of death, or
to whom the pet was given and why.) |
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| Pet #4 |
| Breed |
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| Age |
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| Sex |
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| Is your pet spayed or
neutered? |
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| Do you still have this
pet? |
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| If this pet is no
longer with your family, please explain. (Cause of death, or
to whom the pet was given and why.) |
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| Pet #5 |
| Breed |
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| Age |
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| Sex |
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| Is your pet spayed or
neutered? |
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| Do you still have this
pet? |
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| If this pet is no
longer with your family, please explain. (Cause of death, or
to whom the pet was given and why.) |
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