Old adoption form

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G.A.I.N. Cat Adoption Application

* Indicates required field

Name and description of the cat or kitten you'd like to adopt *

Email *

Name *

First

Last

[object Object]

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone Number *

Home Phone Number *

Work Phone Number *

Are you over 18 years of age? *

18-25 26-35 36-50 Over 50

How many years have you lived at your current address? *

Do you own or rent your home? *

Own Rent

If you rent your home, what type of home is it? *

Single family home Apartment / condo

If you rent your home, does your landlord accept pets? *

Yes No

If you rent your home, please provide the name and phone number of the landlord or property manager who will approve your having this pet at the property. *

Type "N/A" if you own your home and do not rent.

Note that approval from landlord/manager must be obtained prior to adoption.

How many adults live in your household? *

How many children live in your household? *

What are the ages of the children living in or visiting your household on a regular basis? *

Is anyone in your household allergic to cats? *

Yes, allergic to cats No

Explain why you want to adopt a cat/kitten now. Do you have any experience with cats/kittens? Are you prepared to own and care for your pet for its full life? *

How many dogs do you have now? *

How many cats do you have now? *

Do you have any other pets? What are they? *

Will your cat be inside or inside and outside? How will the cat be kept when you are not at home? How long will the cat need to be left alone? *

Have you had a pet die of distemper, parvo, leukemia, feline AIDS or any other contagious disease in the last year? *

Yes No

If yes, please explain. *

Please provide the full name, address, and phone number of your current or most recent veterinarian. Please let your veterinarian know to release information to GAIN regarding the status of vaccinations, altering, etc., of current/previous animals. *

If you do not have a reasonably current vet reference, please provide two (2) personal references. For each, include name, telephone number, your relationship to this person, and how long you have known this person.

First reference *

Second reference *

Attestation *

I understand that completing this application is not a guarantee that I will be allowed to adopt this pet and that G.A.I.N. has the right and responsibility to deny any adoption.

Done

G.A.I.N. is a qualified 501(c)(3) tax-exempt organization and a Michigan Nonprofit Corporation.

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