P.O. Box 1015
Waldorf, MD 20604-1015
Phone: 301 645-8181
CAT ADOPTION REQUEST Date:________________________________________
Name:_____________________________________________________________________
Address:__________________________________________________________________
Telephone(include area code) (H)___________________(W)____________________
Directions:_______________________________________________________________
__________________________________________________________________________
What animal are you interested in adopting?_______________________________
Is someone home during the day?__________During what hours?_______________
Who will be responsible for this animal?__________________________________
Who will be responsible for litter training an untrained animal?_______________
Do you own your own home?___________Rent?___________Live with parents?__________
If renting, do you have approval of your landlord to have a pet?________________
How many children live in your home?____________List ages_______________________
Does any member of your family have allergies to animals?_______________________
When you go on vacation, who will care for your cat?____________________________
Where will your cat be kept during the day?_______________Night?_________________
Will your cat be declawed?________________Will it go outside?____________________
Do you anticipate moving soon?_________Will you take the cat with you?___________
If you move, what will you do with your animal?___________________________________
What types of pets have you owned in the last five years? Type of animal Sex(M/F) Age Neutered(Y/N) What happened to it? __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________Do you have a veterinarian now?________Vet's name_________________________________
Have you adopted from us before?___________________________________________________
Do you understand that state law requires all cats over 4 months of age to be vaccinated against rabies____________________?
Do you understand our spay/neuter requirements?_______________________________
Do you understand that all kittens will require a series of distemper vaccinations and that adults will need an annual distemper vaccination as well as rabies?__________________
Adopting an animal is a 10 to 16 year commitment. Are you willing and able financially and emotionally to take on this responsibility?________________________________________
Rev. 08/95
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