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Name of cat you are interested in:
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1. Your name
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2. Street address (no P.O.boxes please)
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3. City
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4. State, Zip code
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5. Telephones: Home: Cell: Work
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6. How long have you lived here?
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7. Is this a: House, Condo, Townhouse, Duplex, Apartment, Mobile Home
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8. Do you: Own, rent, live with parents, live with roommates?
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9. Name of apartment complex and landlord's phone #
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10. Internal use only: proof of pet deposit verified by
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11. Are you 21 years of age?
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12. Are you: Employed, Unemployed, Retired, Between jobs
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13. If employed, where and how long?
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14. If you are a stay-at-home-mom, please give name of husband's employer and tele.#
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15. Why do you want this cat?
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16. Does your spouse want this cat? Yes, No, Don't know, N/a
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17. Does anyone in your house DISLIKE cats?
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18. Who will be responsible for care of this cat?
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19. How many adults live in your home?
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20. How many children live in your home? Please give ages.
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21. Does any member of your household have allergies? If yes, to what?
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22. Does any member of your household have respiratory problems?
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23. What will you do with this cat if a member of your household develops allergies or respiratory problems?
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24. Does anyone in your household smoke? If yes, how much daily?
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25. As and ADULT, how many animals have you owned?
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26. Where is each animal now?
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27. Do all of your other pets live inside? If no, which ones live outside and why?
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28. Are all your other pets spayed or neutered?
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29 . Are all your other pets up to date on vaccinations?
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30. How will you introduce this pet to the rest of your pets?
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31. What will you do if this pet does not get along with your other pets?
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32. Have you ever given a pet away? If yes, please explain.
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33. Are there any declawed cats in your household?
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34. Do you plan to declaw this cat?
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35. Who will be this cat's veterinarian?
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36. Please think about negative behaviors - scratching, not using the litter box, jumping on counters, etc. How will you handle these behaviors?
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37. What will you do with this cat if you have to move, lose your job, become divorced, have a baby?
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