| * denotes a required field |
Cat's Information |
| Cat's Name: |
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| FOCAS ID Number: |
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| Breed: |
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| Color: |
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| Age: |
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| Sex: |
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Adopter's Information |
| * Name of Adopter: |
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| Street Address: |
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| City: |
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| State/Province: |
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| Zip: |
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| * E-mail: |
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| Phone: |
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| Cell Phone: |
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| Occupation: |
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| Employer: |
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| Business Phone: |
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Home Residents |
| Name of Spouse or Roommate: |
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| Spouse/Roommate's Occupation: |
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| Spouse/Roommate's Employer: |
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| Spouse/Roommate's Business Phone: |
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| List the names and ages of all children and/or any roommates living in the home: |
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What other animals do you currently own? Number of Dogs?: |
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| Number of Cats?: |
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| Please list breed, sex and age of all pets: |
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| Have they been spayed/neutered?: |
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| When were they last vaccinated?: |
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| If yes, where?: |
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| Is anyone in your household allergic to animals?: |
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| If yes, to what animals?: |
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Home Environment |
| Specify the type of home you live in: |
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| Please specify: |
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| How long have you lived there?: |
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| If less than two years, list previous address: |
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| Do you rent?: |
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| If yes, do you have your landlords permission to have a cat?: |
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| If you rent, may we contact your landlord?: |
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| Landlord's name: |
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| Landlord's phone number: |
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| Date to best reach your landlord: |
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| Do you have screens on all your windows?: |
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| Do you have a balcony?: |
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| Will you allow an inspection of your premises by a FOCAS representative?: |
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Your Plan |
| Where will the cat sleep? Please be specific.: |
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| Who will be responsible for the feeding, grooming and training your new cat?: |
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| * Why do you want a cat? For all of the reasons that apply, please number in order of importance (i.e. 1, 2, 3 etc.): |
For children
For spouse
As a gift
For other pets
Companionship
Mouser
Other
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| Please be specific: |
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| How did you learn about this cat?: |
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| Please specify: |
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| Have you owned a cat or dog before?: |
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| If yes, what happened to it? (If deceased, please state cause of death and how long ago): |
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| Cats need veterinary care. What is your estimated cost per year for care?: | $
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| Cats can live longer than 15 years, and their care may cost more than $400 per year. Are you prepared to accept this kind of responsibility for the cat's entire life?: |
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| List the name of the veterinarian you plan to use: |
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| Do you plan to put an I.D. tag on this cat?: |
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| Do you plan to declaw your cat?: |
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| If so, why?: |
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| How soon after the cat arrives home will it be left alone?: |
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| How many hours a day will the cat be left alone?: |
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| Where will the cat be kept during this time?: |
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| Where will the cat be kept during the day?: |
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| Where will the cat be kept at night? : |
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| Where will you keep your litter box?: |
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| Cats have been known to claw furniture, carpet and drapes, dig in potted plants, etc. How do you plan to deal with these potential problems?: |
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| How often do you travel?: |
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| How do you plan to provide for the cat when you are out of town?: |
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| What will happen to the cat if you move locally?: |
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| What will happen to the cat if you move across the country?: |
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| What will happen to the cat if you move overseas?: |
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| Under what circumstances would you not keep this cat? Check all that apply: |
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| Please be specific: |
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Comments |
| Do you have questions or comments? Include them here: |
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| How did you hear about FOCAS?: |
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Certification |
| Certification: |
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