LAPCATS Adoption Application
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| Name & Age
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| Email
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| Cat's Name You're Interested In
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| Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Postal / Zip Code
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| Country
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| Main Phone Number
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| Other Phone
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| Do you own or rent?
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| Years at Present Residence
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| Previous Address (If less than 3 years at present address)
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| Street Address
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| Address Line 2
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References
(Not Related to You)
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Your Needs
A description of the section goes here.
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| Please tell us what your ideal cat would be and what characteristics you are looking for in the "perfect cat."
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Vet Information
Please provide us with your veterinarian's information
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| Name
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| Last
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| Suffix
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| Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Country
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| Phone Number
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Family Information
A description of the section goes here.
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| Number of Adults in Household
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| Names of ALL adults living in household
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| Are there any children in the house?
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Yes No
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| How old are the children living in the household?
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| Have the children lived with animals in the past?
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Yes No N/A
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| Have you or any member of your family had a history of allergies or asthma?
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Yes No
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| Are there any smokers in the house?
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Yes No
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| If YES, do they smoke in the house?
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| Average number of hours a day someone is at home
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| What animals currently reside in your home or have recently lived in your home?
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| All pets owned as adult in the past and present. If they are no longer with you, please list reason why.
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Information on Current or Most Recent Dogs/Cats
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| Are they up to date on vaccinations?
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Yes No N/A
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| Have they been microchipped?
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Yes No N/A
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| Have they been spayed/neutered?
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Yes No N/A
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| If they have not been spayed/neutered, please explain:
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| Have you ever had a cat de-clawed?
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Yes No
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| Would you like your new cat to be de-clawed?
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Yes No
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| What might persuade you to have a cat de-clawed?
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| Have your current cats been tested for Feline Leukemia & FIV?
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Yes No N/A
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| Do your current pets go outside and will your new cat have access to the outdoors?
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Yes No Sometimes
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| Under what conditions are your animals outside?
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| Have you ever given an animal away or surrendered to a shelter? If so, why?
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| Do you have someone who would take your animal(s) permanently should something unexpected happen to you? If yes, please name that person.
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| What would you do if someone in your family became allergic to your cat?
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| What is a reasonable amount of money to spend on routine vet care and emergency vet care?
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| Have you thought about what you would do if there was a change in your living situation (ie: dating, marriage, co-habitation, divorce, pregnancy, children, moving) AND the relationship hinged on your getting rid of the cat(s)? Please give a detailed resp
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| What if your cat doesn't like the new pets you bring into your home?
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| What would you like us to know?
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