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Cat Adoption Application
Cat Adoption Application
Green Dogs Unleashed
2018-12-21T16:01:13-05:00
Step 1 of 5
20%
Cat you're applying to adopt
*
Section 1: Owner Information
Name(s)
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Telephone (primary)
*
Telephone (alternate)
Employer
Occupation
How many children are living in the household, and ages:
Section 2: Housing Information
What type of area do you live (rural, city, suburbs, etc.)?
*
Rural
City
Suburb
Farm/Country
What type of housing do you live?
*
House
Apartment
Condo
Duplex
Do you own or rent?
*
Own
Rent
If renting, do you have permission from your landlord to have a cat?
*
Yes
No
Do you intend to keep your cat indoors or outdoors?
*
Indoors
Outdoors
Where will your pet sleep at night?
*
Section 3: Veterinary Information
Veterinary Office:
*
Doctor(s):
Telephone:
*
How long have you been with this vet*?
*
May we contact your vet and inquire about your previous or current pet healthcare?
*
(Please call your vet and give them permission to talk with us as well)
Yes
No
Are you willing to allow a representative from GDU to periodically visit your home?
*
Yes
No
Do you agree to provide regular health care to your new kitten/cat?
*
Yes
No
Do you agree that your new kitten/cat will not be de-clawed?
*
Yes
No
How many and what types of other animals reside in the home?
*
Please list names, ages, breed, male/female, and whether or not they are spayed/neutered.
If any of the animals listed above are not spayed/neutered, please state why not.
Section 4: References
Please provide contact information for two people that we can contact for a personal reference. They should be people who have known you for at least one year and not related to you. They will be asked to answer a few questions (via email) regarding pet ownership and how they feel the pet you are adopting will fit into your life.
Name (Reference 1)
*
First
Last
Phone (Reference 1)
*
Email (Reference 1)
*
Name (Reference 2)
*
First
Last
Phone (Reference 2)
*
Email (Reference 2)
*
Section 5: Agreement
Green Dogs Unleashed does ask an adoption fee of $120 per cat/kitten to help us cover expenses incurred. I certify that all of the above information is correct. Should an un-neutered or un-spayed animal be placed with me, I agree to have it neutered or spayed by such date agreed upon by me and Green Dogs Unleashed. At that time, I will forward evidence to Green Dogs Unleashed that such procedure has been completed. The animal will reside in my home as a pet and will not be allowed to live outdoors. I will provide it with adequate food, water, shelter, training, affection, and medical care. I understand that Green Dogs Unleashed is a referral service and is not responsible for the accuracy of information received about the habits, temperaments, or physical condition of animals available for adoption. I understand it is my responsibility to evaluate the animal for myself before agreeing to adopt it. I am in full agreement with these terms of adoption. Green Dogs Unleashed shall not be liable for, and is hereby relieved from all liability for any damage, expenses, causes of action, fines, suits, demands, judgements, or claims of any nature whatsoever arising from or by reason of any damage to property or injury to any persons caused in part or in whole by the cat placed in your home. I hereby accept and assume such liability and agree to protect, indemnify, and hold Green Dogs Unleashed harmless from and against all the aforesaid. GREEN DOGS UNLEASHED AND THE ADOPTER(S) AGREE THAT IN THE CASE THAT THIS DOCUMENT IS EXECUTED VIA EMAIL THAT THE ADOPTERS TYPED SIGNATURE IS VALID AND BINDING UPON THE PARTIES. I agree to mail the original application to Green Dogs Unleashed, 1171 N Boston Rd, Troy, VA, 22974.
Signature of Applicant (enter your full name):
*
Date
*
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.
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