Application - Triad Independent Cat Rescue

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Triad Independent Cat Rescue

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Application

Please complete the application as fully and as accurately as possible. Doing so will helpful in moving the process forward in a timely manner. If you have any questions about the application, please feel free to email us at triadcat@yahoo.com to voice them. We will do our best to respond in a timely manner. Thank you.

* Indicates required field

Name *

First

Last

Email *

Home Phone Number *

Cell Phone Number *

Gender *

Date of Birth *

Current Address *

Line 1

Line 2

City

State

Zip Code

Country

Current Address 2 *

About Yourself

List family pets, along with how long you owned the pet, and where the pet is now (or None if you or your family has not had pets). *

If you currently have pets, are they spayed or neutered? *

Yes No

If you currently have pets, are they up to date on their vaccinations and monthly preventatives? *

My animals are up to date on their vaccinations but I do not administer monthly preventatives I do not vaccinate my animals or give them monthly preventatives I do not currently have pets My pets are all up to date on their vaccinnations and receive monthly preventatives

Please provide the name and phone number for your most recent or current veterinarian. Please also list the name(s) of your pets seen by this vet as well as the name they would be listed under at that vet (e.g. you or your spouse). *

If you currently have pets, where do they live? Check all that apply. *

Indoors Outdoors No Pets

Are you planning on declawing your cat (if not already declawed)? *

Yes No

If you plan to declaw your cat, explain why. *

This cat will stay *

Indoors Outdoors

Have you had pets die? *

Yes No

If you have had pets die, what was the cause of death? *

Why do you want to adopt a cat? *

What is your current employment situation? *

Employed Student Retired or Disability Unemployed Other

About your home

Do you own or rent? *

Own Rent

If you rent, please enter your land lord's name and phone number *

If you rent, does your landlord know you are looking for a new pet? *

My landlord is aware that I am actively looking for a cat I have not yet informed my landlord of my desire to have a pet I own my home and do not need approval from a landlord

You live in: *

an apartment a house a townhouse or condo

List the members of your household. Name/Relation/Age; for children note if they have been exposed to cats. *

Are all the members of your household in agreement about adopting a cat? *

I haven't told them yet. No Yes

Does anyone in the household have pet allergies? *

Pet Preferences

Name(s) of Cat(s) you are interested in (if any). *

Are you looking for a particular breed/color/sex/age? If so, what? *

Submit

Copyright 2017 | Triad Independent Cat Rescue | All rights reserved
triadcat@yahoo.com | Greensboro, NC

Home
Events
Available Cats
Application
Adopted
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