LONG BEACH FELINES ADOPTION APPLICATION

This is not a test. Completion of this document DOES NOT imply a guarantee of approval for adoption of any Long Beach Felines animal. This document is the property of Long Beach Felines. Please complete each question completely. We look forward to getting to know you.

PLEASE REMEMBER - FILLING OUT THIS QUESTIONNAIRE IS NOT A GUARANTEE OF ADOPTION

* INDICATES A REQUIRED ENTRY - IF NECESSARY, USE "NONE" or "NO" or "N/A"

ARE YOU APPLYING FOR A SPECIFIC CAT? *

IF YES, NAME OF CAT

NAME *

CO-APPLICANT NAME

OCCUPATION *

CO-APPLICANT OCCUPATION

AT LEAST ONE PHONE NUMBER IS REQUIRED

HOME PHONE

CELL PHONE

WORK PHONE

BEST TO CALL *

STREET ADDRESS *

CITY *

STATE *

ZIP CODE *

HOW LONG HAVE YOU LIVED AT THIS ADDRESS *

DESCRIBE YOUR HOME *

IF YOU LIVE WITH AN ASSOCIATION, WHAT ARE THE RULES ABOUT KEEPING PETS?

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DO YOU *

OWN

RENT

LANDLORD'S NAME

LANDLORD'S PHONE NUMBER

DO YOU HAVE YOUR LANDLORD'S PERMISSION TO HAVE A PET

YES

NO

EMAIL ADDRESS *

CO-APPLICANT EMAIL ADDRESS

PLEASE LIST ALL PEOPLE WHO LIVE IN YOUR HOUSEHOLD AND THEIR RELATIONSHIP TO YOU

ADULTS

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CHILDREN - WITH AGES

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WHY ARE YOU LOOKING FOR A CAT *

IS THIS YOUR FIRST PET? *

YES

NO

DO YOU OBJECT TO A HOME VISIT *

NO

YES

WHO WILL BE RESPONSIBLE FOR THE CAT'S CARE — FEEDING, LITTER BOX, VET VISITS *

ABOUT HOW MANY HOURS OF THE DAY WILL YOUR PET BE LEFT ALONE *

WHERE WILL HE BE LEFT WHEN ALONE — BE SPECIFIC *

WILL THIS PET BE ALLOWED ON THE FURNITURE? *

YES

NO

MAYBE - EXPLAIN MAYBE - EXPLAIN

WHERE WILL YOU KEEP THE LITTER BOX? *

WHAT AREAS OF HOUSE WILL BE OFF LIMITS TO THE CAT? *

DO YOU WANT TO DECLAW THIS CAT? *

NO

YES

WHY? WHY?

WHAT WILL YOU DO IF YOUR CAT CLAWS THE DRAPES, FURNITURE OR CARPET? *

TEACH IT TO USE A SCRATCHING POST

USE SOFT PAWS

DECLAW

OTHER OTHER

WHERE WILL YOUR CAT SLEEP AT NIGHT? *

LIST ALL CATS YOU HAVE NOW AND IN THE PAST 10 YEARS. IF NO CAT, ENTER "NONE" IN THE CAT NAME.

CAT 1 NAME *

AGE

GENDER

SPAYED/NEUTERED

DECLAWED

TEST FOR FeLV & FIV

TEST RESULTS

IF DECLAWED, WHERE

IS HE ALLOWED OUTDOORS?

STILL OWN?

IF NO, WHY? IF CAT IS DECEASED, FROM WHAT?

CAT 2 NAME

AGE

GENDER

SPAYED/NEUTERED

DECLAWED

TEST FOR FeLV & FIV

TEST RESULTS

IF DECLAWED, WHERE

IS HE ALLOWED OUTDOORS?

STILL OWN?

IF NO, WHY? IF CAT IS DECEASED, FROM WHAT?

CAT 3 NAME

AGE

GENDER

SPAYED/NEUTERED

DECLAWED

TEST FOR FeLV & FIV

TEST RESULTS

IF DECLAWED, WHERE

IS HE ALLOWED OUTDOORS?

STILL OWN?

IF NO, WHY? IF CAT IS DECEASED, FROM WHAT?

ADDITIONAL CATS - NOTE HERE

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DO YOU HAVE A VETERINARIAN? *

NO

YES

NAME & ADDRESS NAME & ADDRESS

YOUR NEW CAT WILL BE: *

HOW MUCH WOULD YOU CONSIDER SPENDING ON VETERINARY TREATMENT FOR YOUR SICK CAT? *

UNDER WHAT CIRCUMSTANCES WOULD YOU NOT BE ABLE TO KEEP THIS NEW PET — PLEASE CHECK ALL THAT APPLY *

IF YOU ARE UNABLE TO CARE FOR THE CAT, WHO WILL TAKE IT?
NAME/PHONE NUMBER/RELATIONSHIP * *

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WHAT WILL YOU DO WITH YOUR CAT:

WHEN YOU GO OUT OF TOWN *

IF YOUR NEW RESIDENCE DOES NOT ALLOW PETS? *

IF A NEW BOYFRIEND/GIRLFRIEND IS ALLERGIC TO CATS? *

IF YOU GET MARRIED - if you're single now?

WHAT LENGTH OF TIME DO YOU FEEL IS REASONABLE FOR THIS CAT TO ADJUST TO YOUR HOME? *

I have read the above information carefully and have filled out this application honestly. I understand that Long Beach Felines reserves the right to decline my application for any reason. If an omission or untruth is discovered after the adoption is completed, I understand and accept that the foster has the right to annul the adoption and reclaim the cat. I release Long Beach Felines from any liability and/or responsibility from any damage a cat may cause me during the adoption process.

THIS APPLICATION BECOMES PART OF OUR CONTRACT

DATE - click on calendar *

PLEASE USE YOUR MOUSE TO SIGN HERE *

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THANK YOU FOR COMPLETING THIS APPLICATION. SOMEONE SHOULD GET BACK TO YOU WITHIN 2 DAYS. IF YOU DON'T HEAR FROM SOMEONE, PLEASE EMAIL: lbfelines@yahoo.com.

Personal changes for you	Divorce/Separation
New spouse	Pregnancy
New baby	New roommate
New allergy	Job change/boss
Disability/Illness	New house/apt.
New carpet/drapes/furniture	Cat's behavior problems
Kids too rough with cat	Cat too rough with kids
Does not get along with other pet/s	Sprays/does not use litter box
Keeps you awake	Scratches carpets, drapes, furniture
"Talks" too much	Needs too much attention/timne
Taking too long to adjust to family — over 4 weeks	Cat's general health problems
Cat incurs expensive vet bills	Requires daily medical treatment
Needs special diet	Cat becomes disabled
None of the above - BE SURE YOU MEAN THIS	Other reasons — please specify Other reasons — please specify